Yıl: 2020 Cilt: 28 Sayı: 2 Sayfa Aralığı: 308 - 314 Metin Dili: İngilizce DOI: 10.5606/tgkdc.dergisi.2020.18541 İndeks Tarihi: 31-10-2020

Quality of life among patients with left ventricular assist device: Comparison of two populations

Öz:
Background: This study aims to evaluate quality of life amongpatients with an implanted left ventricular assist device in twodifferent populations.Methods: This cross-sectional study included a total of 20 patients(15 males, 5 females; mean age 41.8±13.4 years; range, 20 to 65years) from Turkey and 40 patients (33 males, 7 females; meanage 55.1±11.6 years; range, 21 to 76 years) from Germany whounderwent left ventricular assist device implantation and reachedtheir third month of treatment between January 2016 and August2016. The Euro Quality of Life-5 Dimension Questionnaire andKansas City Cardiomyopathy Questionnaire-12 were used to assessquality of life of both groups.Results: Sixty-five percent of the German patients returned towork, while none of the Turkish patients returned after implantation(p=0.000). The Turkish (70%) and German (40%) patients reportedthat they had difficulty in living with a left ventricular assistdevice (p=0.028). The mean Euro Quality of Life-5 DimensionQuestionnaire visual analog scale scores of the Turkish and Germanpatients were 70.50% and 62.38%, respectively. The mean KansasCity Cardiomyopathy Questionnaire-12 scores of the Turkish patientswere significantly higher than those of the German patients (p=0.01).Conclusion: Left ventricular assist device implantationimproved the quality of life of both Turkish and Germanpatients. Turkish patients with left ventricular assist deviceshould be encouraged to adopt a more independent life, not tolimit their lives to home and to return to work according to theirfunctional capacity
Anahtar Kelime:

Sol ventrikül destek cihazlı hastalarda yaşam kalitesi: İki toplumun karşılaştırılması

Öz:
Amaç: Bu çalışmada iki farklı toplumda sol ventrikül destek cihazı takılan hastalarda yaşam kalitesi değerlendirildi. Ça­lış­ma pla­nı: Bu kesitsel çalışmaya Ocak 2016 ile Ağustos 2016 tarihleri arasında sol ventrikül destek cihazı takılan ve tedavinin üçüncü ayına ulaşan Türkiye’den toplam 20 hasta (15 erkek, 5 kadın; ort. yaş 41.8±13.4 yıl; dağılım, 20-65 yıl) ve Almanya’dan 40 hasta (33 erkek, 7 kadın; ort. yaş 55.2±11.6 yıl; dağılım, 21-76 yıl) alındı. Her iki grubun yaşam kalitesinin değerlendirilmesinde Avrupa Yaşam Kalitesi-5 Boyut Anketi ve Kansas City Kardiyomiyopati Anketi-12 kullanıldı. Bulgular: Alman hastaların %65’i implantasyon sonrasında işe geri dönerken, Türk hastaların hiçbiri işe geri dönmedi (p=0.000). Türk (%70) ve Alman (%40) hastalar sol ventrikül destek cihazı ile yaşamakta zorlandıklarını ifade etti (p=0.028). Avrupa Yaşam Kalitesi-5 Boyut Anketi görsel analog ölçeği skoru ortalaması Türk hastalarda %70.50, Alman hastalarda ise %62.38 idi. Kansas City Kardiyomiyopati Anketi-12 ortalama skoru, Alman hastalara kıyasla, Türk hastalarda anlamlı şekilde yüksek idi (p=0.01). So­nuç: Sol ventrikül destek cihazı implantasyonu Türk ve Alman hastaların her ikisinde de yaşam kalitesini iyileştirdi. Sol ventrikül destek cihazı olan Türk hastalar, daha bağımsız bir yaşamı benimseme, yaşantılarını ev ile sınırlandırmama ve fonksiyonel kapasiteleri doğrultusunda işe geri dönme konularında cesaretlendirilmelidir
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Rose EA, Gelijns AC, Moskowitz AJ, Heitjan DF, Stevenson LW, Dembitsky W, et al. Long-term use of a left ventricular assist device for end-stage heart failure. N Engl J Med 2001;345:1435-43.
  • 2. Yılmaz MB, Akar RA, Ekmekçi A, Nalbantgil S, Sade LE, Eren M, et al. Future of advanced heart failure and mechanical support devices: A Cardiology-Cardiovascular Surgery Consensus Report. Turk Gogus Kalp Dama 2016;24:201-2.
  • 3. Boyle AJ, Ascheim DD, Russo MJ, Kormos RL, John R, Naka Y, et al. Clinical outcomes for continuous-flow left ventricular assist device patients stratified by pre-operative INTERMACS classification. J Heart Lung Transplant 2011;30:402-7.
  • 4. Kirklin JK, Naftel DC, Kormos RL, Stevenson LW, Pagani FD, Miller MA, et al. Third INTERMACS Annual Report:the evolution of destination therapy in the United States. J Heart Lung Transplant 2011;30:115-23.
  • 5. Maciver J, Ross HJ. Quality of life and left ventricular assist device support. Circulation 2012;126:866-74.
  • 6. Allen JG, Weiss ES, Schaffer JM, Patel ND, Ullrich SL, Russell SD, et al. Quality of life and functional status in patients surviving 12 months after left ventricular assist device implantation. J Heart Lung Transplant 2010;29:278-85.
  • 7. Kirklin JK, Pagani FD, Kormos RL, Stevenson LW, Blume ED, Myers SL, et al. Eighth annual INTERMACS report: Special focus on framing the impact of adverse events. J Heart Lung Transplant 2017;36:1080-6.
  • 8. Jakovljevic DG, McDiarmid A, Hallsworth K, Seferovic PM, Ninkovic VM, Parry G, et al. Effect of left ventricular assist device implantation and heart transplantation on habitual physical activity and quality of life. Am J Cardiol 2014;114:88-93.
  • 9. Aitken RC. Measurement of feelings using visual analogue scales. Proc R Soc Med 1969;62:989-93.
  • 10. EQ-5D-3L Scale. Available at: http://www.euroqol.org/home. html. [Accessed: October, 2015.
  • 11. Green CP, Porter CB, Bresnahan DR, Spertus JA. Development and evaluation of the Kansas City Cardiomyopathy Questionnaire: a new health status measure for heart failure. J Am Coll Cardiol 2000;35:1245-55.
  • 12. Grady KL, Sherri W, Naftel DC, Myers S, Gelijins A, Moskowitz A, et al. Age and gender differences and factors related to change in health-related quality of life from before to 6 months after left ventricular assist device implantation: Findings from Interagency Registry for Mechanically Assisted Circulatory Support. J Heart Lung Transplant 2016;35:777-88.
  • 13. Cook JL, Colvin M, Francis GS, Grady KL, Hoffman TM, Jessup M, et al. Recommendations for the Use of Mechanical Circulatory Support: Ambulatory and Community Patient Care: A Scientific Statement From the American Heart Association. Circulation 2017;135:e1145-e58.
  • 14. Hostenkamp G, Stolpe M. The Social Costs of Health-related Early Retirement in Germany: Evidence from the German Socio-Economic Panel. Journal of Applied Social Science Studies 2012;132:323-57.
  • 15. Kilic A, Acker MA, Atluri P. Dealing with surgical left ventricular assist device complications. J Thorac Dis 2015;7:2158-64.
  • 16. Mahfood Haddad T, Saurav A, Smer A, Azzouz MS, Akinapelli A, Williams MA, et al. Cardiac Rehabilitation in Patients With Left Ventricular Assist Device: A Systematic review and meta-analysis. J Cardiopulm Rehabil Prev 2017;37:390-6.
  • 17. Willemsen D, Cordes C, Bjarnason-Wehrens B, Knoglinger E, Langheim E, Marx R, et al. Rehabilitation standards for follow-up treatment and rehabilitation of patients with ventricular assist device (VAD). Clin Res Cardiol Suppl 2016;11:2-49.
  • 18. Emin A, Rogers CA, Banner NR; Steering Group, UK Cardiothoracic Transplant Audit. Quality of life of advanced chronic heart failure: medical care, mechanical circulatory support and transplantation. Eur J Cardiothorac Surg 2016;50:269-73.
  • 19. Kara Kaşikçi M, Alberto J. Family support, perceived self-efficacy and self-care behaviour of Turkish patients with chronic obstructive pulmonary disease. J Clin Nurs 2007;16:1468-78.
  • 20. Güleç C. A Transcultural Perspective to the Disease and Health Concepts in the Anatolian Culture. J Clin Psy 2000;3:34-9.
  • 21. Starling RC. Improved quantity and quality of life: a winning combination to treat advanced heart failure. J Am Coll Cardiol 2010;55:1835-6.
  • 22. Yapıcı S. Relationship Between Family and Education in The Turkish Society. Turkish Studies International Periodical for the Languages. Turkish Studies - Language and Literature 2010;5:1544-70.
  • 23. Kirklin JK, Naftel DC, Pagani FD, Kormos RL, Stevenson LW, Blume ED, et al. Sixth INTERMACS annual report: a 10,000-patient database. J Heart Lung Transplant 2014;33:555-64.
APA Ozdemir Koken Z, Kervan U, AVŞAR M, Kocabeyoglu S, paç m (2020). Quality of life among patients with left ventricular assist device: Comparison of two populations. , 308 - 314. 10.5606/tgkdc.dergisi.2020.18541
Chicago Ozdemir Koken Zeliha,Kervan Umit,AVŞAR Murat,Kocabeyoglu Sinan Sabit,paç mustafa Quality of life among patients with left ventricular assist device: Comparison of two populations. (2020): 308 - 314. 10.5606/tgkdc.dergisi.2020.18541
MLA Ozdemir Koken Zeliha,Kervan Umit,AVŞAR Murat,Kocabeyoglu Sinan Sabit,paç mustafa Quality of life among patients with left ventricular assist device: Comparison of two populations. , 2020, ss.308 - 314. 10.5606/tgkdc.dergisi.2020.18541
AMA Ozdemir Koken Z,Kervan U,AVŞAR M,Kocabeyoglu S,paç m Quality of life among patients with left ventricular assist device: Comparison of two populations. . 2020; 308 - 314. 10.5606/tgkdc.dergisi.2020.18541
Vancouver Ozdemir Koken Z,Kervan U,AVŞAR M,Kocabeyoglu S,paç m Quality of life among patients with left ventricular assist device: Comparison of two populations. . 2020; 308 - 314. 10.5606/tgkdc.dergisi.2020.18541
IEEE Ozdemir Koken Z,Kervan U,AVŞAR M,Kocabeyoglu S,paç m "Quality of life among patients with left ventricular assist device: Comparison of two populations." , ss.308 - 314, 2020. 10.5606/tgkdc.dergisi.2020.18541
ISNAD Ozdemir Koken, Zeliha vd. "Quality of life among patients with left ventricular assist device: Comparison of two populations". (2020), 308-314. https://doi.org/10.5606/tgkdc.dergisi.2020.18541
APA Ozdemir Koken Z, Kervan U, AVŞAR M, Kocabeyoglu S, paç m (2020). Quality of life among patients with left ventricular assist device: Comparison of two populations. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 28(2), 308 - 314. 10.5606/tgkdc.dergisi.2020.18541
Chicago Ozdemir Koken Zeliha,Kervan Umit,AVŞAR Murat,Kocabeyoglu Sinan Sabit,paç mustafa Quality of life among patients with left ventricular assist device: Comparison of two populations. Türk Göğüs Kalp Damar Cerrahisi Dergisi 28, no.2 (2020): 308 - 314. 10.5606/tgkdc.dergisi.2020.18541
MLA Ozdemir Koken Zeliha,Kervan Umit,AVŞAR Murat,Kocabeyoglu Sinan Sabit,paç mustafa Quality of life among patients with left ventricular assist device: Comparison of two populations. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.28, no.2, 2020, ss.308 - 314. 10.5606/tgkdc.dergisi.2020.18541
AMA Ozdemir Koken Z,Kervan U,AVŞAR M,Kocabeyoglu S,paç m Quality of life among patients with left ventricular assist device: Comparison of two populations. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2020; 28(2): 308 - 314. 10.5606/tgkdc.dergisi.2020.18541
Vancouver Ozdemir Koken Z,Kervan U,AVŞAR M,Kocabeyoglu S,paç m Quality of life among patients with left ventricular assist device: Comparison of two populations. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2020; 28(2): 308 - 314. 10.5606/tgkdc.dergisi.2020.18541
IEEE Ozdemir Koken Z,Kervan U,AVŞAR M,Kocabeyoglu S,paç m "Quality of life among patients with left ventricular assist device: Comparison of two populations." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 28, ss.308 - 314, 2020. 10.5606/tgkdc.dergisi.2020.18541
ISNAD Ozdemir Koken, Zeliha vd. "Quality of life among patients with left ventricular assist device: Comparison of two populations". Türk Göğüs Kalp Damar Cerrahisi Dergisi 28/2 (2020), 308-314. https://doi.org/10.5606/tgkdc.dergisi.2020.18541