Heart failure & cardiomyopathies

Association of Patient Reported Outcomes With Caregiver Burden in Older Patients With Advanced Heart Failure: Insights From the SUSTAIN-IT Study

Circ Heart FailPublished Prospective observational cohort study

Authors' conclusion

Among survivors at 12 months, baseline and change in patient health status were associated with subsequent caregiver time on task and task difficulty in dyads receiving advanced heart failure surgical therapies

Study context

Population
Older patients (60–80 years) receiving advanced surgical HF therapies and their caregivers
Participants
162 caregivers
Exposure
Patient health status vs caregiver burden
Outcome
Change in caregiver burden: OCBS-time and OCBS-difficulty (range 1-5; lower = better), predicted by KCCQ-12 (range 0-100; higher = better)
Follow-up
12 months
Methodological detailsmulticentre, 13 US sites
  • Multicentre
  • 13 US sites

Main finding

As reported in the abstract

Predictors of 12-month caregiver burden (OCBS-time, OCBS-difficulty; multivariable linear regression)
A 10-point higher baseline 12-item Kansas City Cardiomyopathy Questionnaire · OCBS-time
β −0.09 (95% CI −0.14 to −0.03); P < 0.001
A 10-point higher baseline 12-item Kansas City Cardiomyopathy Questionnaire · OCBS-difficulty
β −0.08 (95% CI −0.12 to −0.05); P < 0.001
Each 10-point improvement in the 12-item Kansas City Cardiomyopathy Questionnaire · OCBS-time
β −0.07 (95% CI −0.12 to −0.03); P = 0.002
Each 10-point improvement in the 12-item Kansas City Cardiomyopathy Questionnaire · OCBS-difficulty
β −0.09 (95% CI −0.12 to −0.06); P < 0.001
Caregivers with improved OCBS-time
99 (61.1%)
Caregivers with improved OCBS-difficulty
61 (37.7%)

Observational data: associations, not effects.

Original publication

Association of Patient Reported Outcomes With Caregiver Burden in Older Patients With Advanced Heart Failure: Insights From the SUSTAIN-IT Study. Circ Heart Fail. Published 24 June 2024. doi:10.1161/circheartfailure.124.011705

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