scholarly journals Predictors of the quality of life of older people with heart failure recruited from primary care

2006 ◽  
Vol 35 (2) ◽  
pp. 172-177 ◽  
Author(s):  
Merryn Gott ◽  
Sarah Barnes ◽  
Chris Parker ◽  
Sheila Payne ◽  
David Seamark ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Primary Care ◽  
Older People

scholarly journals Low quality of life as an additional criterion for the clinical diagnosis of heart failure in primary care

2012 ◽  
Vol 31 (9) ◽  
pp. 559-565
Author(s):  
Helena B. Arueira ◽  
Evandro T. Mesquita ◽  
Hye C. Kang ◽  
Verónica A. Miranda ◽  
Carolina S. Ramos ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Primary Care ◽  
Clinical Diagnosis ◽  
Additional Criterion

scholarly journals Using Health-Related Quality of Life to Identify the Incident Cardiovascular Disease Risk

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 612-613
Author(s):  
Aung Zaw Zaw Phyo ◽  
Joanne Ryan ◽  
David A Gonzalez-Chica ◽  
Nigel P Stocks ◽  
Christopher M Reid ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Myocardial Infarction ◽  
Heart Failure ◽  
Cardiovascular Disease ◽  
Older People ◽  
Community Dwelling ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Abstract Previous studies have revealed that poor health-related quality of life (HRQoL) is associated with a higher risk of hospital readmission and mortality in patients with cardiovascular disease (CVD). The association between HRQoL and incident CVD is still limited for general older people. This study explored the associations between baseline HRQoL and incident and fatal CVD in community-dwelling Australian and the United States older people enrolled in ASPREE clinical trial. A cohort of 19,106 individuals aged 65 to 98 years, who were initially free of CVD, dementia, or disability, were followed between March 2010 and June 2017. The SF-12 questionnaire was used to assess HRQoL, and the physical (PCS) and mental component scores (MCS) of SF-12 were derived using norm-based methods. Incident major adverse CVD events included fatal CVD (death due to atherothrombotic CVD), hospitalizations for heart failure, myocardial infarction or stroke. Analyses were performed using Cox proportional-hazard regression. Over a median 4.7 follow-up years, there were 922 incident CVD events, 203 fatal CVD events, 171 hospitalizations for heart failure, 355 fatal or nonfatal myocardial infarction and 403 fatal or nonfatal strokes. A 10-unit higher PCS, but not MCS, was associated with a lower risk of incident CVD (HR=0.86, 95%CI 0.79-0.92), hospitalization for heart failure (HR=0.72, 95%CI 0.60-0.85), and myocardial infarction (HR=0.85, 95%CI 0.75-0.96). Neither PCS nor MCS was associated with fatal CVD events or stroke. Physical HRQoL can be used in combination with clinical data to identify the incident CVD risk among community-dwelling older people.

Predictors for oral and general health outcomes and quality of life among older people attending general practice (GP) clinics in South Australia

2020 ◽  
Author(s):  
Madhan Balasubramanian ◽  
Dominic Keuskamp ◽  
Najith Amarasena ◽  
David Brennan
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Primary Care ◽  
Older People ◽  
Health Outcomes ◽  
General Health ◽  
Chronic Conditions ◽  
Living Arrangement ◽  
South Australia

Abstract Background: As the proportion and number of older people in Australia continue to grow, innovative means to tackle primary care and prevention are necessary to combat the individual, social and economic challenges of non-communicable diseases.Objective: To assess risk factors (or predictors) for oral and general health outcomes and quality of life of older people (75+ yrs.) attending general practice (GP) clinics in South Australia.Methods: Data were collected from older people attending 48 GP clinics in metropolitan South Australia. Age, sex, education, living arrangement, material standards, chronic conditions and nutrition were assessed as risk factors. Global self-rated oral and general health and quality of life (OHIP Severity and EQ-5D Utility) were included as outcome measures.Results: A total of 459 participants completed the study; response rate was 78%. In the adjusted models, high satisfaction with material standards and good nutritional health were positively associated with all four oral and general health measures. Sex (β=-0.07), age (β=-0.09) and number of chronic conditions (β=-0.13) were negatively associated with EQ-5D, while living arrangement (β=0.06) was positively associated. Further, education level (PR:0.78), living arrangement (PR:0.75) and chronic conditions (PR:1.54) were significantly associated with self-rated general health.Conclusion: Satisfaction with material standards and nutritional risk were consistent predictors for oral and general health outcomes and quality of life of older people visiting GP clinics. Primary care teams involving general practitioners, nurses and allied health practitioners are well poised to assess risk factors for older people, and work alongside the dental team.

Towards a comprehensive telecardiology monitoring centre for community-based services

1997 ◽  
Vol 3 (1_suppl) ◽  
pp. 60-62 ◽  
Author(s):  
D Shanit ◽  
R A Greenbaum
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Primary Care ◽  
General Practitioner ◽  
Pilot Study ◽  
Community Based ◽  
Monitoring Centre ◽  
Accident And Emergency ◽  
Community Based Services

In a pilot study of primary-care telecardiology, 2563 consultations were carried out over 18 months. Following teleconsultation, 2076 patients (81%) were found to be suitable for management entirely by the general practitioner, without the need for referral to hospital. The system identified 487 patients (19%) with cardiac problems who required either admission to hospital or outpatient assessment. There was a resultant saving of referrals to hospital accident and emergency departments. Extension of the telecardiology service to include tele-echocardiography may result in faster access to diagnosis and better management of patients in heart failure, improving patients’ quality of life and reducing hospitalization.

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