Association of Novel Ventricular Assist Device Self-report Measures With Overall Health-Related Quality of Life.
Kathleen L Grady, James L Burns, Larry A Allen and 20 others
PMID 39259580WHAT IT FOUND
Two of five new LVAD self-report measures were linked to heart-failure-specific quality of life at 3 months, not to generic quality of life.
Chest incision pain and adverse events were also linked to lower quality of life.
Key findings
01Higher satisfaction with treatment was associated with a higher heart-failure-specific quality-of-life score, while being bothered by VAD self-care and limitations was associated with a lower score.
02None of the novel self-report measures was independently associated with the generic 3-month health-state score.
03Chest incision pain was a factor in both quality-of-life models; 57% reported none, 35% mild-moderate, and 8% severe-very severe.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for RNs
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What it does not show
The study was observational. It shows links, not cause and effect. Attrition was substantial: 272 patients enrolled, but only 142 completed measures at 3 months, and the final models used 109 and 108 patients. The authors said missing data, including death, may bias findings. Most patients were male and White. The paper did not show whether results apply to other groups. The analysis looked at 3 months only. The paper did not show whether chest incision pain matters later. The paper did not test whether using the new measures changes care or quality of life.
The easy way to misread this
Do not conclude that these patient-reported measures improve quality of life. This observational study found associations at 3 months, and the novel measures were not linked to the generic health-state score.