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Predictors for Poor Quality of Life in Older Adult with Heart Failure

Purpose: To evaluate an older adult with heart failure for predictors of a poor quality of life as reported by Gott et al.

Description

Gott et al identified factors associated with a poor quality of life (QOL) for an older adult with heart failure. These can help identify patients who may benefit from interventions to improve life quality. The authors are from the University of Sheffield, the University of Exeter and the University of Bardford in the UK.


Patient selection: adult > 60 years of age with heart failure

 

Parameters:

(1) gender

(2) age

(3) NYHA class

(4) depression

(5) socioeconomic group

(6) number of comorbidities

 

Parameter

Finding

Points

gender

male

0

 

female

1

age

< 80 years

0

 

>= 80 years

1

NYHA class

I or II

0

 

III or IV

1

depression

absent

0

 

present

1

socioeconomic group

I or II

0

 

III, IV or V

1

number of comorbidities

0 or 1

0

 

2 or more

1

 

total number of predictors for poor QOL =

= SUM(points for all 6 parameters)

 

Interpretation:

• minimum number of predictors: 0

• maximum number of predictors: 6

• The more predictors that are present the greater the risk of a poor quality of life.


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Objective

ICD-10