Εκτίμηση της ποιότητας ζωής των ενηλίκων ασθενών με συγγενείς καρδιοπάθειες με τον δείκτη δραστηριότητας Duke

Postgraduate Thesis uoadl:1310958 427 Read counter

Unit:
Κατεύθυνση Εργαστηριακή και Κλινική Νοσηλευτική Καρδιολογία
Library of the School of Health Sciences
Deposit date:
2013-07-17
Year:
2013
Author:
Κουτσοθεοδώρου Ελένη
Supervisors info:
Φιλιππάτος Γεράσιμος, Αναπληρωτής καθηγητής
Original Title:
Εκτίμηση της ποιότητας ζωής των ενηλίκων ασθενών με συγγενείς καρδιοπάθειες με τον δείκτη δραστηριότητας Duke
Languages:
Greek
Summary:
Purpose. The purpose of the study was to assess the quality of life of
adult patients with congenital heart disease according to the Duke Activity
Status Index and to evaluate the prognostic significance of the index.
Method. The population of the study consisted of a total of 76 consecutive
patients with congenital heart disease, who were examined at the regular
practice of congenital heart disease or were hospitalized at the 2nd university
cardiology clinic of the 'Attikon' University General Hospital. The patients
had simple , complex or cyanotic congenital heart disease Out of a total of 76
patients, 70 replied to the Duke questionnaire and were therefore included in
the study.

Results. In this research paper, we studied the admission for hospital
management, the cardiovascular outcomes and the worsening of symptoms of our
patients according to NYHA and how the above are associated with the Duke
questionnaire.

When the patients were divided into those who presented any major
cardiovascular outcome or death, the survival analysis (cox regression
analysis) showed that lower Duke values :
Were related to an increased risk (HR= 0.956) for hospital admission (CI 95% =
0.925-0,988, p=0.008).
Were linked with an increased risk (HR= 0.920) for worsening of the symptoms
according to NYHA with (CI 95 % = 0.847-1.000, p= 0.049).
Were linked with an increased risk (HR= 0.968) for cardiovascular outcomes (CI
95 % = 0.940-0.997, p= 0.029).
Discussion . Based on studies, the Duke index has prognostic significance in
patients with heart failure. This study showed that the Duke index is affected
in patients with congenital heart
disease.
Conclusions. Duke is affected in patients
with congenital heart disease and may have a prognostic value for these
patients.
Keywords:
Quality of life, Congenital heart disease, Heart failure, Duke activity status index, Capacity of exercise
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
113
Number of pages:
88

document.pdf
617 KB
File access is restricted.