Objective: Our study aimed at assessing the quality
of life (QoL) of patients treated for chronic heart failure (HF), and analyzing
the impact of certain factors on that QoL, in the cardiology department of
Yalgado Ouédraogo University Hospital of Ouagadougou. Means and Method: It was
a descriptive cross-sectional study, performed over a six-month period from May
to October 2016. In the study, patients with age over 18 years were included, followed
up for chronic HF for at least six months in the outpatient unit, from January
1st to December 31st 2015. The questionnaire “Minnesota
Living with Heart Failure” was used to assess the QoL. Results: Two hundred and
four patients were enrolled. Most of them were living in Ouagadougou (82.8%).
Sex ratio was 0.98, and mean age was 56.06 16.37 years. The mean overall QoL score was 17.8 16.5. QoL was considered good
in its three dimensions, in more than 70% of patients. Looking at the mean
scores, the male patients, the patients living in rural and semi-urban areas,
the patients with impaired left ventricular ejection fraction and those with
severe or end-stage renal failure had significant QoL impairment.
Multiple linear regression reported significant correlation between QoL impairment
and the following factors (p value < 0.05 for all variables): marital life,
number of hospitalizations for acute HF, and
NYHA functional stage. Conclusion: Marital life, number of hospitalizations for
acute decompensation, and NYHA functional stage were predictive factors of
QoL impairment. MLHF questionnaire should be commonly used to assess the efficiency
of HF management. Self administration instead of assistance in filling the
questionnaire, could insure a more objective valuation of QoL.
Cite this paper
Kologo, K. J. , Millogo, G. R. C. , Tall, A. T. , Boro, T. , Kinda, G. , Kambiré, Y. , Barro, Y. , Sia, L. , Adoko, H. E. , Natama, R. , Tougma, J. B. , Samadoulougou, A. K. and Zabsonré, P. (2018). Assessment of Quality of Life in Patients with Chronic Heart Failure in Yalgado Ouédraogo University Hospital of Ouagadougou (Burkina Faso). Open Access Library Journal, 5, e4252. doi: http://dx.doi.org/10.4236/oalib.1104252.
Rector, T.S. and Cohn, J.N. (1992) Assessment of Patient Outcome with the Minnesota Living with Heart Failure questionnaire: Reliability and Validity during a Randomized, Double-Blind, Placebo-Controlled Trial of Pimobendan. American Heart Journal, 124, 1017-1025. https://doi.org/10.1016/0002-8703(92)90986-6
N’cho-Mottoh, M.P.B., Coulibaly, I., Yayehd, K., Boka, B., Bamba-Kamagate, D. and Sow-Touré, M. (2015) Facteurs prédictifs de la qualité de vie de l’insuffisant cardiaque noir africain. Medecine d’Afrique Noire, 62, 541-546.
Ponikowski, P., Voors, A.A., Anker, S.D., Bueno, H., Cleland, J.G.F., Coats, A.J.S., Falk, V., González-Juanatey, J.R., Harjola, V.-P., Jankowska, E.A., Jessup, M., Linde, C., Nihoyannopoulos, P., Parissis, J.T., Pieske, B., Riley, J.P., Rosano, G.M.C., Ruilope, L.M., Ruschitzka, F., Rutten, F.H., van der Meer, P. and Authors/Task Force Members (2016) 2016 ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure of the European Society of Cardiology (ESC) Developed with the Special Contribution of the Heart Failure Association (HFA) of the ESC. European Heart Journal, 37, 2129-2200. https://doi.org/10.1093/eurheartj/ehw128
Hoekstra, T., Jaarsma, T., van Veldhuisen, D.J., Hillege, H.L., Sanderman, R. and Lesman-Leegte, I. (2013) Quality of Life and Survival in Patients with Heart Failure. European Journal of Heart Failure, 15, 94-102. https://doi.org/10.1093/eurjhf/hfs148
Mukerjee, D., St George, D., Knight, C., Davar, J., Wells, A.U., Du Bois, R.M., Black, C.M. and Coghlan, J.G. (2004) Echocardiography and Pulmonary Function as Screening Tests for Pulmonary Arterial Hypertension in Systemic Sclerosis. Rheumatology, 43, 461–466. https://doi.org/10.1093/rheumatology/keh067
Chryssanthopoulos, S.N., Dritsas, A. and Cokkinos, D.V. (2005) Activity Questionnaires; A Useful Tool in Accessing Heart Failure Patients. International Journal of Cardiology, 105, 294-299.
Naveiro-Rilo, J.C., Diez-Juárez, D.M., Romero Blanco, A., Rebollo-Gutiérrez, F., Rodríguez-Martínez, A. and Rodríguez-García, M.A. (2010) Validation of the Minnesota Living with Heart Failure Questionnaire in Primary Care. Revista Espanola de Cardiología, 63, 1419-1427.
Nesbitt, T., Doctorvaladan, S., Southard, J.A., et al. (2014) Correlates of Quality of Life in Rural Patients with Heart Failure. Circulation: Heart Failure, 7, 882-887. https://doi.org/10.1161/CIRCHEARTFAILURE.113.000577
Hoekstra, T., Lesman-Leegte, I., van Veldhuisen, D.J., Sanderman, R. and Jaarsma, T. (2011) Quality of Life Is Impaired Similarly in Heart Failure Patients with Preserved and Reduced Ejection Fraction. European Journal of Heart Failure, 13, 1013-1018.
Rodríguez-Artalejo, F., Guallar-Castillón, P., Pascual, C.R., et al. (2005) Health-Related Quality of Life as a Predictor of Hospital Readmission and Death among Patients with Heart Failure. Archives of Internal Medicine, 165, 1274-1279. https://doi.org/10.1001/archinte.165.11.1274
Konstam, V., Salem, D., Pouleur, H., et al. (1996) Studies of Left Ventricular Dysfunction Investigators. Baseline Quality of Life as a Predictor of Mortality and Hospitalization in 5,025 Patients with Congestive Heart Failure: SOLVD Investigations. American Journal of Cardiology, 78, 890-895. https://doi.org/10.1016/S0002-9149(96)00463-8
Stull, D., Clough, L. and Van Dussen, D. (2001) Self-Report Quality of Life as a Predictor of Hospitalization for Patients with LV Dysfunction: A Life Course Approach. Research in Nursing & Health, 24, 460-469. https://doi.org/10.1002/nur.10006
Gott, M., Barnes, S., Parker, C., et al. (2006) Predictors of the Quality of Life of Older People with Heart Failure Recruited from Primary Care. Age Ageing, 35, 172-177. https://doi.org/10.1093/ageing/afj040
Hobbs, F.D.R., Kenkre, J.E., Roalfe, A.K., Davis, R.C., Hare, R. and Davies, M.K. (2002) Impact of Heart Failure and Left Ventricular Systolic Dysfunction on Quality of Life: A Cross-Sectional Study Comparing Common Chronic Cardiac and Medical Disorders and a Representative Adult Population. European Heart Journal, 23, 1867-1876. https://doi.org/10.1053/euhj.2002.3255
Riedinger, M.S., Dracup, K.A. and Brecht, M.L. (2000) Predictors of Quality of Life in Women with Heart Failure. SOLVD Investigators. Studies of Left Ventricular Dysfunction. The Journal of Heart and Lung Transplantation: The Official Publication of the International Society for Heart Transplantation, 19, 598-608. https://doi.org/10.1016/S1053-2498(00)00117-0
Dekker, R., Peden, A., Lennie, T., Schooler, M. and Moser, D. (2009) Living with Depressive Symptoms: Patients with Heart Failure. American Journal of Critical Care, 18, 310-319. https://doi.org/10.4037/ajcc2009672
Heo, S., Lennie, T.A., Okoli, C. and Moser, D.K. (2009) Quality of Life in Patients with Heart Failure: Ask the Patients. Heart & Lung: The Journal of Acute and Critical Care, 38, 100-108. https://doi.org/10.1016/j.hrtlng.2008.04.002
Hou, N., Chui, M.A., Eckert, G.J., Oldridge, N.B., Murray, M.D. and Bennett, S.J. (2004) Relationship of Age and Sex to Health-Related Quality of Life in Patients with Heart Failure. American Journal of Critical Care, 13, 153-161.
Barbareschi, G., Sanderman, R., Lesman-Leegte, I., Veldhuisen, D. and Jaarsma, T. (2011) Educational Level and the Quality of Life of Heart Failure Patients: A Longitudinal Study. Journal of Cardiac Failure, 17, 47-53.
Lee, D., Yu, D., Woo, J. and Thompson, D. (2005) Health-Related Quality of Life in Patients with Congestive Heart Failure. European Journal of Heart Failure, 7, 419-422. https://doi.org/10.1016/j.ejheart.2004.08.004
Lewis, E.F., Lamas, G.A., O’Meara, E., et al. (2007) Characterization of Health-Related Quality of Life in Heart Failure Patients with Preserved versus Low Ejection Fraction in CHARM. European Journal of Heart Failure, 9, 83-91. https://doi.org/10.1016/j.ejheart.2006.10.012
Austin, B.A., Wang, Y., Smith, G.L., Vaccarine, V., Krumholz, H.M. and McNamara, R.L. (2008) Systolic Function as a Predictor of Mortality and Quality of Life in Long-Term Survivors with Heart Failure. Clinical Cardiology, 31, 119-124. https://doi.org/10.1002/clc.20118
Jaarsma, T., Halfens, R., Abu-Saad, H., Dracup, K., Stappers, J. and Van Ree, J. (1999) Quality of Life in Older Patients with Systolic and Diastolic Heart Failure. European Journal of Heart Failure, 1, 151-160. https://doi.org/10.1016/S1388-9842(99)00007-0
Lainscaka, M., Keberb, I. and Ankerc, S. (2006) Body Composition Changes in Patients with Systolic Heart Failure Treated with Beta Blockers: A Pilot Study. International Journal of Cardiology, 106, 345-348.
Sizova, J., Naimann, J. and Morozova, T. (2008) Increased Activity of Endothelin-1 in Chronic Heart Failure: The Potentials of Therapy with Beta-Blocker Nebivolol. European Journal of Heart Failure, 1, 165.
The RESOLVD Investigators (2000) Effects of Metoprolol CR in Patients with Ischemic and Dilated Cardiomyopathy: The Randomized Evaluation of Strategies for Left Ventricular Dysfunction Pilot Study. Circulation, 101, 378-384. https://doi.org/10.1161/01.CIR.101.4.378