A COMPARISON OF DISEASE-SPECIFIC FUNCTIONAL LIMITATIONS BETWEEN GERIATRIC AND NON-GERIATRIC PATIENTS WITH CONGESTIVE HEART FAILURE: CROSS-SECTIONAL STUDY

Year 2023, Volume: 1 Issue: 1, 20 - 26, 27.11.2023

Ebru Çalık Kütükcü , Nurel Ertürk , Havva Ezgi Albayrak , Gülay Uzun , Muhammet Raşit Sayın

Abstract

Purpose: Reports in patients with chronic heart failure (CHF) demonstrate that nearly 60% of patients experience difficulty in one or more activities of daily living (ADLs), and functional inability is related with a worse prognosis. The purpose of this retrospective study was to compare disease-specific functional limitations between geriatric and non-geriatric patients with CHF.
Method: Sixty-eight patients with CHF were divided into two groups as geriatric (age≥65 years, n=29, group I) and non-geriatric (age<65 years, n=39, group II). The level of difficulty during ADLs was assessed using the Performance Measurement-8 Questionnaire for Activities of Daily Living (PMADL-8) and the disease specific health status using the Chronic Heart Failure Questionnaire (CHQ).
Results: The PMADL-8 scores of patients with CHF in group I were significantly higher than those in group II (p=0.001). The CHQ dyspnea scores of patients in group I were lower than those in group II (p=0.024). The scores of the CHQ fatigue, emotional status, mastery subdimensions, and total scores were similar between groups (p>0.05).
Discussion: Geriatric patients with CHF have greater disease-specific functional limitations during daily life and poorer disease-related quality of life compared with their non-geriatric counterparts. Rehabilitation experts must pay special attention in the geriatric CHF group, with an emphasis on functional limitation during daily activities.

Keywords

Congestive heart failure, health-related quality of life, activities of daily living, health status

References

• 1. Triposkiadis F, Xanthopoulos A, Parissis J, Butler J, Farmakis D. Pathogenesis of chronic heart failure: cardiovascular aging, risk factors, comorbidities, and disease modifiers. Heart Fail Rev. 2022; 27 (1): 337-44. doi:10.1007/s10741-020-09987-z
• 2. Dharmarajan K, Rich MW. Epidemiology, pathophysiology, and prognosis of heart failure in older adults. Heart Fail Clin. 2017; 13 (3): 417-26. doi:10.1016/j.hfc.2017.02.001
• 3. Del Buono MG, Arena R, Borlaug BA, Carbone S, Canada JM, Kirkman DL, et al. Exercise intolerance in patients with heart failure: JACC state-of-the-art review. J Am Coll Cardiol. 2019; 73 (17): 2209-225. doi:10.1016/j.jacc.2019.01.072
• 4. Mithal M, Mann WC, Stone JH. Functional limitation and disability associated with congestive heart failure. Phys Occup Ther in Geriatr. 2001; 18 (3): 45-56. doi:10.1080/J148v18n03_03
• 5. Pihl E, Fridlund B, Martensson J. Patients' experiences of physical limitations in daily life activities when suffering from chronic heart failure; a phenomenographic analysis. Scand J Caring Sci. 2011; 25 (1): 3-11. doi:10.1111/j.1471-6712.2010.00780.x
• 6. Dunlay SM, Manemann SM, Chamberlain AM, Cheville AL, Jiang R, Weston SA, et al. Activities of daily living and outcomes in heart failure. Circ Heart Fail. 2015; 8 (2): 261-7. doi:10.1161/CIRCHEARTFAILURE.114.001542
• 7. Calik-Kutukcu E, Arikan H, Saglam M, Vardar-Yagli N, Oksuz C, Inal-Ince D, et al. A comparison of activities of daily living in geriatric and non-geriatric patients with chronic obstructive pulmonary disease. Turk J of Geriatr. 2015; 18 (1): 68-74.
• 8. McDonagh TA, Metra M, Adamo M, Gardner RS, Baumbach A, Böhm M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021; 42 (36): 3599-726. doi:10.1093/eurheartj/ehab368
• 9. Shimizu Y, Yamada S, Suzuki M, Kono Y, Izawa H, Kato R, et al. Development of the performance measure for activities of daily living-8 for patients with congestive heart failure: a preliminary study. Gerontology. 2010; 56 (5): 459-66. doi:10.1159/000248628
• 10. Erturk N, Karas E, Uzun G, Sayın MR, Calik Kutukcu E. Reliability and validity of the Turkish version of the Performance Measure for Activities of Daily Living-8 for patients with mild symptomatic heart failure. Turk Kardiyol Dern Ars. 2022; 50 (7): 512-17. doi:10.5543/tkda.2022.22383
• 11. Yilmaz E, Eser E, Gurgun C, Kultursay A. Reliability and validity of the Turkish version of the Chronic Heart Failure Questionnaire. Anadolu Kardiyol Derg. 2010; 10 (6): 526-38. doi:10.5152/akd.2010.162
• 12. Hayran M, Hayran M. Sağlık araştırmaları için temel istatistik. 1st ed. Ankara: Omega Yayınları; 2011.
• 13. Pablo Díez-Villanueva, Alfonso F. Heart failure in the elderly. J Geriatr Cardiol. 2016; 13 (2): 115-17. doi:10.11909/j.issn.1671-5411.2016.02.009
• 14. Norberg EB, Boman K, Lofgren B. Activities of daily living for old persons in primary health care with chronic heart failure. Scand J Caring Sci. 2008; 22 (2): 203-10. doi:10.1111/j.1471-6712.2007.00514.x
• 15. Franzen K, Blomqvist K, Saveman BI. Impact of chronic heart failure on elderly persons' daily life: a validation study. Eur J Cardiovasc Nurs. 2006; 5 (2): 137-45. doi:10.1016/j.ejcnurse.2005.09.003
• 16. Gott M, Barnes S, Parker C, Payne S, Seamark D, Gariballa S, et al. Predictors of the quality of life of older people with heart failure recruited from primary care. Age Ageing. 2006; 35 (2): 172-7. doi:10.1093/ageing/afj040
• 17. Garcia-Olmos L, Batlle M, Aguilar R, Porro C, Carmona M, Alberquilla A, et al. Disability and quality of life in heart failure patients: a cross-sectional study. Fam Pract. 2019; 36 (6): 693-98. doi:10.1093/fampra/cmz017
• 18. Freedland KE, Rich MW, Carney RM. Improving quality of life in heart failure. Curr Cardiol Rep. 2021; 23 (11): 159. doi:10.1007/s11886-021-01588-y
• 19. Al-Noumani H, Al-Harrasi M, Al ZaabiO, Natarajan J. Predictors of health-related quality of life in patients with non-communicable diseases: A national cross-section study. Appl Nurs Res. 2022; 64: 151566. doi:10.1016/j.apnr.2022.151566