Quality of life and influential factors in patients implanted with a left ventricular assist device

Naoko P. Kato, Ikuko Okada, Teruhiko Imamura, Yukie Kagami, Miyoko Endo, Daisuke Nitta, Takeo Fujino, Hironori Muraoka, Shun Minatsuki, Hisataka Maki, Toshiro Inaba, Osamu Kinoshita, Kan Nawata, Masaru Hatano, Atsushi Yao, Shunei Kyo, Minoru Ono, Tiny Jaarsma, Koichiro Kinugawa

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: Improving quality of life (QOL) has become an important goal in left ventricular assist device (LVAD) therapy. We aimed (1) to assess the effect of an implantable LVAD on patients’ QOL, (2) to compare LVAD patients’ QOL to that of patients in different stages of heart failure (HF), and (3) to identify factors associated with patients’ QOL. Methods and Results: The QOL of 33 Japanese implantable LVAD patients was assessed using the Minnesota Living with Heart Failure Questionnaire (MLHFQ) and Short-form 8 (SF-8), before and at 3 and 6 months afterwards. After LVAD implantation, QOL significantly improved [MLHFQ, SF-8 physical component score (PCS), SF-8 mental component score (MCS), all P<0.05]. Implanted LVAD patients had a better QOL than extracorporeal LVAD patients (n=33, 32.1±21.9 vs. n=17, 47.6±18.2), and Stage D HF patients (n=32, 51.1±17.3), but the score was comparable to that of patients who had undergone a heart transplant (n=13). In multiple regression analyses, postoperative lower albumin concentration and right ventricular failure were independently associated with poorer PCS. Female sex and postoperative anxiety were 2 of the independent factors for poorer MCS (all P<0.05). Conclusions: Having an implantable LVAD improves patients’ QOL, which is better than that of patients with an extracorporeal LVAD. Both clinical and psychological factors are influence QOL after LVAD implantation.

Original languageEnglish
Pages (from-to)2186-2192
Number of pages7
JournalCirculation Journal
Volume79
Issue number10
DOIs
Publication statusPublished - Sep 25 2015

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Heart-Assist Devices
Quality of Life
Heart Failure
Albumins
Anxiety
Regression Analysis
Psychology
Transplants

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Kato, N. P., Okada, I., Imamura, T., Kagami, Y., Endo, M., Nitta, D., ... Kinugawa, K. (2015). Quality of life and influential factors in patients implanted with a left ventricular assist device. Circulation Journal, 79(10), 2186-2192. https://doi.org/10.1253/circj.CJ-15-0502

Quality of life and influential factors in patients implanted with a left ventricular assist device. / Kato, Naoko P.; Okada, Ikuko; Imamura, Teruhiko; Kagami, Yukie; Endo, Miyoko; Nitta, Daisuke; Fujino, Takeo; Muraoka, Hironori; Minatsuki, Shun; Maki, Hisataka; Inaba, Toshiro; Kinoshita, Osamu; Nawata, Kan; Hatano, Masaru; Yao, Atsushi; Kyo, Shunei; Ono, Minoru; Jaarsma, Tiny; Kinugawa, Koichiro.

In: Circulation Journal, Vol. 79, No. 10, 25.09.2015, p. 2186-2192.

Research output: Contribution to journalArticle

Kato, NP, Okada, I, Imamura, T, Kagami, Y, Endo, M, Nitta, D, Fujino, T, Muraoka, H, Minatsuki, S, Maki, H, Inaba, T, Kinoshita, O, Nawata, K, Hatano, M, Yao, A, Kyo, S, Ono, M, Jaarsma, T & Kinugawa, K 2015, 'Quality of life and influential factors in patients implanted with a left ventricular assist device', Circulation Journal, vol. 79, no. 10, pp. 2186-2192. https://doi.org/10.1253/circj.CJ-15-0502
Kato, Naoko P. ; Okada, Ikuko ; Imamura, Teruhiko ; Kagami, Yukie ; Endo, Miyoko ; Nitta, Daisuke ; Fujino, Takeo ; Muraoka, Hironori ; Minatsuki, Shun ; Maki, Hisataka ; Inaba, Toshiro ; Kinoshita, Osamu ; Nawata, Kan ; Hatano, Masaru ; Yao, Atsushi ; Kyo, Shunei ; Ono, Minoru ; Jaarsma, Tiny ; Kinugawa, Koichiro. / Quality of life and influential factors in patients implanted with a left ventricular assist device. In: Circulation Journal. 2015 ; Vol. 79, No. 10. pp. 2186-2192.
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abstract = "Background: Improving quality of life (QOL) has become an important goal in left ventricular assist device (LVAD) therapy. We aimed (1) to assess the effect of an implantable LVAD on patients’ QOL, (2) to compare LVAD patients’ QOL to that of patients in different stages of heart failure (HF), and (3) to identify factors associated with patients’ QOL. Methods and Results: The QOL of 33 Japanese implantable LVAD patients was assessed using the Minnesota Living with Heart Failure Questionnaire (MLHFQ) and Short-form 8 (SF-8), before and at 3 and 6 months afterwards. After LVAD implantation, QOL significantly improved [MLHFQ, SF-8 physical component score (PCS), SF-8 mental component score (MCS), all P<0.05]. Implanted LVAD patients had a better QOL than extracorporeal LVAD patients (n=33, 32.1±21.9 vs. n=17, 47.6±18.2), and Stage D HF patients (n=32, 51.1±17.3), but the score was comparable to that of patients who had undergone a heart transplant (n=13). In multiple regression analyses, postoperative lower albumin concentration and right ventricular failure were independently associated with poorer PCS. Female sex and postoperative anxiety were 2 of the independent factors for poorer MCS (all P<0.05). Conclusions: Having an implantable LVAD improves patients’ QOL, which is better than that of patients with an extracorporeal LVAD. Both clinical and psychological factors are influence QOL after LVAD implantation.",
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AU - Kato, Naoko P.

AU - Okada, Ikuko

AU - Imamura, Teruhiko

AU - Kagami, Yukie

AU - Endo, Miyoko

AU - Nitta, Daisuke

AU - Fujino, Takeo

AU - Muraoka, Hironori

AU - Minatsuki, Shun

AU - Maki, Hisataka

AU - Inaba, Toshiro

AU - Kinoshita, Osamu

AU - Nawata, Kan

AU - Hatano, Masaru

AU - Yao, Atsushi

AU - Kyo, Shunei

AU - Ono, Minoru

AU - Jaarsma, Tiny

AU - Kinugawa, Koichiro

PY - 2015/9/25

Y1 - 2015/9/25

N2 - Background: Improving quality of life (QOL) has become an important goal in left ventricular assist device (LVAD) therapy. We aimed (1) to assess the effect of an implantable LVAD on patients’ QOL, (2) to compare LVAD patients’ QOL to that of patients in different stages of heart failure (HF), and (3) to identify factors associated with patients’ QOL. Methods and Results: The QOL of 33 Japanese implantable LVAD patients was assessed using the Minnesota Living with Heart Failure Questionnaire (MLHFQ) and Short-form 8 (SF-8), before and at 3 and 6 months afterwards. After LVAD implantation, QOL significantly improved [MLHFQ, SF-8 physical component score (PCS), SF-8 mental component score (MCS), all P<0.05]. Implanted LVAD patients had a better QOL than extracorporeal LVAD patients (n=33, 32.1±21.9 vs. n=17, 47.6±18.2), and Stage D HF patients (n=32, 51.1±17.3), but the score was comparable to that of patients who had undergone a heart transplant (n=13). In multiple regression analyses, postoperative lower albumin concentration and right ventricular failure were independently associated with poorer PCS. Female sex and postoperative anxiety were 2 of the independent factors for poorer MCS (all P<0.05). Conclusions: Having an implantable LVAD improves patients’ QOL, which is better than that of patients with an extracorporeal LVAD. Both clinical and psychological factors are influence QOL after LVAD implantation.

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