Health-Related Quality of Life of Japanese Patients With Chronic Heart Failure Assessment Using the Medical Outcome Study Short Form 36

Haruo Mitani; Hideki Hashimoto; Takaaki Isshiki; Shingo Kurokawa; Kenichi Ogawa; Kazuo Matsumoto; Fumihiko Miyake; Hideaki Yoshino; Shunnichi Fukuhara

doi:10.1253/circj.67.215

Clinical Investigation

Health-Related Quality of Life of Japanese Patients With Chronic Heart Failure

Assessment Using the Medical Outcome Study Short Form 36

Haruo Mitani, Hideki Hashimoto, Takaaki Isshiki, Shingo Kurokawa, Kenichi Ogawa, Kazuo Matsumoto, Fumihiko Miyake, Hideaki Yoshino, Shunnichi Fukuhara

Author information

Haruo Mitani
Department of Medicine (Cardiology) and Clinical Laboratory, Teikyo University School of Medicine
Graduate School of Medicine, the University of Tokyo
Hideki Hashimoto
Department of Hygiene and Public Health, Teikyo University School of Medicine
Takaaki Isshiki
Department of Medicine (Cardiology) and Clinical Laboratory, Teikyo University School of Medicine
Shingo Kurokawa
Department of Internal Medicine, Kitasato University School of Medicine
Kenichi Ogawa
First Department of Medicine (Cardiology and Pulmonary Disease), Dokkyo University School of Medicine
Kazuo Matsumoto
Second Department of Internal Medicine, Saitama Medical School
Fumihiko Miyake
Second Department of Internal Medicine, St Marianna University of Medicine
Hideaki Yoshino
Second Department of Internal Medicine, Kyorin University School of Medicine
Shunnichi Fukuhara
Department of Epidemiology and Health Care Research, Kyoto University Graduate School of Medicine
Graduate School of Medicine, the University of Tokyo

Keywords: Chronic heart failure, Health-related quality of life, Medical outcome study short form 36, Specific activity scale

JOURNAL FREE ACCESS

2003 Volume 67 Issue 3 Pages 215-220

DOI https://doi.org/10.1253/circj.67.215

Details

Abstract

Chronic heart failure is characterized by impaired cardiac function, but the relationship between clinical indices and subjective perception is not clear. This study was undertaken to investigate the relationship between cardiac function, exercise capacity and clinical classification, and the health-related quality of life (HRQOL) in 91 outpatients with an left ventricular ejection fraction (LVEF) less than 40%. Exercise capacity was evaluated by the Specific Activity Scale, and HRQOL by the Medical Outcome Study Short Form 36. Exercise capacity and the cardiothoracic ratio were correlated with the HRQOL related to physical functioning, although the correlation between exercise capacity and mental health was not significant. LVEF was not related to HRQOL. Factor analysis revealed (1) LVEF was independent of physical functioning; (2) physical function and exercise capacity comprise a factor reflecting physical HRQOL; and (3) socio-emotional functioning is the third factor independent of LVEF and physical function. Physical and socio-mental HRQOL measurement included information independent of the widely used clinical indices such as LVEF and New York Heart Association classification. The evaluation of HRQOL should be included in the assessment of patient status. (Circ J 2003; 67: 215 - 220)

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