Heart failure & cardiomyopathies

Changes Over Time in Patient-Reported Outcomes in Patients with Heart Failure

ESC Heart FailPublished Secondary analysis of the HF-Wii study

Authors' conclusion

In total, 79% of the patients with HF encountered problems related to sleep, depressive symptoms, HrQoL, and well-being at least once during a 1-year period.

Study context

Population
Patients with heart failure (HF) (mean age 67 years; 29% female, 60% NYHA II)
Participants
603 patients
Primary endpoint
Trajectory of four PROs: sleep, depressive symptoms, HrQoL and well-being
Follow-up
1 year (baseline, 3, 6 and 12 months)

Primary result

As reported in the abstract

PROs over 1 year · 12 months
Good PRO scores at all timepoints
21%
Consistently poor sleep over 12 months
17%
Sustained depressive symptoms over 12 months
17%
Consistently poor health-related quality of life (HrQoL) over 12 months
15%
Poor well-being over 12 months
13%
At least one problem in any PRO during 1 year
79%

Further findings

Patient-reported outcomes (PROs) between baseline and 3 months

Continuing poor sleep
16%
Sustained depressive symptoms
11%
Consistent poor HrQoL
13%
Consistent poor well-being
13%

Patient characteristics associated with poor PROs over 12 months

Age, education, NYHA class and length of disease related to two PRO domains
6-min submaximal exercise capacity, co-morbidity and poor physical activity related to one PRO domain

Original publication

Changes Over Time in Patient-Reported Outcomes in Patients with Heart Failure. ESC Heart Fail. Published 29 December 2023. doi:10.1002/ehf2.14648

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