ĐÁNH GIÁ CHẤT LƯỢNG CUỘC SỐNG Ở BỆNH NHÂN CAO TUỔI SUY TIM PHÂN SUẤT TỐNG MÁU GIẢM ĐIỀU TRỊ NGOẠI TRÚ

Abstract

Background: In patients with chronic heart failure, reduced quality of life leads to an increased risk of mortality and hospital readmission while raising the cost of healthcare for both patients and their families. Numerous studies worldwide have demonstrated that decreased quality of life is associated with higher rates of mortality and readmission. In Vietnam, the issue of reduced quality of life among elderly patients with heart failure with reduced ejection fraction (HFrEF) receiving outpatient care has been scarcely studied. Objective: To investigate the prevalence of quality-of-life impairment and its related factors in elderly patients with HFrEF receiving outpatient care. Methods: A descriptive cross-sectional study was conducted, enrolling eligible patients from August 2023 to December 2024 at Thong Nhat Hospital and the University Medical Center in Ho Chi Minh City. Quality of life was assessed using the Kansas City Cardiomyopathy Questionnaire  score. Results: Among 140 elderly patients with HFrEF receiving outpatient care, 87 patients (62.14%) were found to have impaired quality of life. Factors associated with reduced quality of life included the use of loop diuretics, adherence to guideline-directed medical therapy with all four foundational drugs, medication compliance and frailty. Conclusion: The study recorded that 62.14% of elderly patients with HFrEF receiving outpatient care experienced reduced quality of life. Four factors were identified as being associated with reduced quality of life: the use of loop diuretics, adherence to GDMT with all four foundational drugs, treatment compliance, and frailty.