TY  - JOUR
AU  - Erceg, Predrag
AU  - Despotović, Nebojša
AU  - Milošević, Dragoslav P.
AU  - Soldatović, Ivan
AU  - Zdravković, Sanja
AU  - Tomić, Snezana
AU  - Marković, Ivana
AU  - Mihajlović, Gordana
AU  - Brajović, Milan
AU  - Bojović, Ognjen
AU  - Potić, Bojana
AU  - Davidović, Mladen
PY  - 2013
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1849
AB  - Background: Chronic heart failure is a very common condition in the elderly, characterized not only by high mortality rates, but also by a strong impact on health-related quality of life (HRQOL). Previous studies of HRQOL in elderly heart failure subjects have included mostly outpatients, and little is known about determinants of HRQOL in hospitalized elderly population, especially in Serbia. In this study, we tried to identify factors that influence HRQOL in elderly patients hospitalized with chronic heart failure in Serbia. Methods: The study population consisted of 136 patients aged 65 years or older hospitalized for chronic heart failure. HRQOL was assessed using the Minnesota Living with Heart Failure questionnaire. Predictors of HRQOL were identified by multiple linear regression analysis. Results: Univariate analysis showed that patients with lower income, a longer history of chronic heart failure, and longer length of hospital stay, as well as those receiving aldosterone antagonists and digoxin, taking multiple medications, in a higher NYHA class, and showing signs of depression and cognitive impairment had significantly worse HRQOL. Presence of depressive symptoms (P lt 0.001), higher NYHA class (P=0.021), lower income (P=0.029), and longer duration of heart failure (P=0.049) were independent predictors of poor HRQOL. Conclusion: Depressive symptoms, higher NYHA class, lower income, and longer duration of chronic heart failure are independent predictors of poor HRQOL in elderly patients hospitalized with chronic heart failure in Serbia. Further, there is an association between multiple medication usage and poor HRQOL, as well as a negative impact of cognitive impairment on HRQOL. Hence, measures should be implemented to identify such patients, especially those with depressive symptoms, and appropriate interventions undertaken in order to improve their HRQOL.
PB  - Dove Medical Press Ltd, Albany
T2  - Clinical Interventions in Aging
T1  - Health-related quality of life in elderly patients hospitalized with chronic heart failure
VL  - 8
SP  - 1539
EP  - 1546
DO  - 10.2147/CIA.S53305
ER  - 

@article{
author = "Erceg, Predrag and Despotović, Nebojša and Milošević, Dragoslav P. and Soldatović, Ivan and Zdravković, Sanja and Tomić, Snezana and Marković, Ivana and Mihajlović, Gordana and Brajović, Milan and Bojović, Ognjen and Potić, Bojana and Davidović, Mladen",
year = "2013",
abstract = "Background: Chronic heart failure is a very common condition in the elderly, characterized not only by high mortality rates, but also by a strong impact on health-related quality of life (HRQOL). Previous studies of HRQOL in elderly heart failure subjects have included mostly outpatients, and little is known about determinants of HRQOL in hospitalized elderly population, especially in Serbia. In this study, we tried to identify factors that influence HRQOL in elderly patients hospitalized with chronic heart failure in Serbia. Methods: The study population consisted of 136 patients aged 65 years or older hospitalized for chronic heart failure. HRQOL was assessed using the Minnesota Living with Heart Failure questionnaire. Predictors of HRQOL were identified by multiple linear regression analysis. Results: Univariate analysis showed that patients with lower income, a longer history of chronic heart failure, and longer length of hospital stay, as well as those receiving aldosterone antagonists and digoxin, taking multiple medications, in a higher NYHA class, and showing signs of depression and cognitive impairment had significantly worse HRQOL. Presence of depressive symptoms (P lt 0.001), higher NYHA class (P=0.021), lower income (P=0.029), and longer duration of heart failure (P=0.049) were independent predictors of poor HRQOL. Conclusion: Depressive symptoms, higher NYHA class, lower income, and longer duration of chronic heart failure are independent predictors of poor HRQOL in elderly patients hospitalized with chronic heart failure in Serbia. Further, there is an association between multiple medication usage and poor HRQOL, as well as a negative impact of cognitive impairment on HRQOL. Hence, measures should be implemented to identify such patients, especially those with depressive symptoms, and appropriate interventions undertaken in order to improve their HRQOL.",
publisher = "Dove Medical Press Ltd, Albany",
journal = "Clinical Interventions in Aging",
title = "Health-related quality of life in elderly patients hospitalized with chronic heart failure",
volume = "8",
pages = "1539-1546",
doi = "10.2147/CIA.S53305"
}

Erceg, P., Despotović, N., Milošević, D. P., Soldatović, I., Zdravković, S., Tomić, S., Marković, I., Mihajlović, G., Brajović, M., Bojović, O., Potić, B.,& Davidović, M.. (2013). Health-related quality of life in elderly patients hospitalized with chronic heart failure. in Clinical Interventions in Aging
Dove Medical Press Ltd, Albany., 8, 1539-1546.
https://doi.org/10.2147/CIA.S53305

Erceg P, Despotović N, Milošević DP, Soldatović I, Zdravković S, Tomić S, Marković I, Mihajlović G, Brajović M, Bojović O, Potić B, Davidović M. Health-related quality of life in elderly patients hospitalized with chronic heart failure. in Clinical Interventions in Aging. 2013;8:1539-1546.
doi:10.2147/CIA.S53305 .

Erceg, Predrag, Despotović, Nebojša, Milošević, Dragoslav P., Soldatović, Ivan, Zdravković, Sanja, Tomić, Snezana, Marković, Ivana, Mihajlović, Gordana, Brajović, Milan, Bojović, Ognjen, Potić, Bojana, Davidović, Mladen, "Health-related quality of life in elderly patients hospitalized with chronic heart failure" in Clinical Interventions in Aging, 8 (2013):1539-1546,
https://doi.org/10.2147/CIA.S53305 . .