Assuntos
Humanos , Feminino , Adulto , Histoplasmose/complicações , Histoplasmose/diagnóstico , Histoplasma/isolamento & purificação , Radiografia Torácica/métodos , Radiografia Torácica , Histoplasma/patogenicidade , Histoplasma/efeitos da radiação , Anfotericina B , Histoplasmose/fisiopatologia , Histoplasmose , Doxiciclina/uso terapêutico , Metronidazol/uso terapêutico , Vancomicina/uso terapêutico , Prednisona/uso terapêutico , Esplenomegalia/complicações , EsplenomegaliaRESUMO
INTRODUCTION: Quality of life (QL) is an important objective in the treatment of patients with heart failure (HF). We have measured QL and different factors that can affect it in a group of patients hospitalized with HF. METHODS: 34 patients with HF were cross-examined by means of a specific questionnaire: The "Minnesota Living With Heart Failure Questionnaire" (MLWHFQ). Blood analyses, ecocardiographic measurements and specific questionnaires, were also carried out in order to evaluate other parameters which could affect QL: Age, sex, comorbidity, number of drugs taken, left ventricular ejection fraction, nutritional status, cognitive function, depression and functional capacity in daily life. RESULTS: QL measured by means of the MLWHFQ was quite high (mean: 34.3). The other tests yielded values within normality or next to normality. Depression was the factor more clearly associated with patients quality of life (p = 0.0001). We also found a statistically significant association with left ventricular ejection fraction (p = 0.03), age (p = 0.008) and albuminemia (p = 0.01). CONCLUSIONS: In our group of patients, QL was conditioned by depression, left ventricular ejection fraction, age and albuminemia.
Assuntos
Insuficiência Cardíaca , Qualidade de Vida , Idoso , Feminino , Insuficiência Cardíaca/complicações , Departamentos Hospitalares , Humanos , Medicina Interna , Masculino , Inquéritos e QuestionáriosRESUMO
Introducción: la calidad de vida (CV) es un objetivo importante del tratamiento de los pacientes con insuficiencia cardiaca (IC). Hemos medido la CV en una muestra de pacientes ingresados que presentan IC y diversos factores que pueden influir en ella. Métodos: se evaluó a 34 pacientes con IC utilizando un cuestionario específico, el Minnesota Living With Heart Failure Questionnaire (MLWHFQ). Además se realizaron mediciones analíticas y de ecocardiografía y se aplicaron cuestionarios específicos con el fin de evaluar otros parámetros que pueden influir en la CV: la edad, el sexo, la comorbilidad, la medicación habitual, la fracción de eyección del ventrículo izquierdo, el estado nutricional, la función cognitiva, la depresión y la capacidad funcional en la vida diaria. Resultados: la CV medida mediante el cuestionario MLWHFQ de los pacientes del estudio fue alta (media: 34,3). Los otros tests realizados dieron valores dentro de la normalidad o próximos a ella. La depresión fue el factor que con más claridad se asoció con la CV de los pacientes (p = 0,0001). También demostraron una asociación estadísticamente significativa la fracción de eyección del ventrículo izquierdo (p=0.03), la edad (p = 0,008) y la albuminemia (p = 0,01). Conclusiones: En nuestra muestra, la CV de los pacientes estaba condicionada por la depresión, la fracción de eyección del ventrículo izquierdo, la edad y la albuminemia
Introduction: Quality of life (QL) is an important objective in the treatment of patients with heart failure (HF). We have measured QL and different factors that can affect it in a group of patients hospitalized with HF. Methods: 34 patients with HF were cross-examined by means of a specific questionnaire: The Minnesota Living With Heart Failure Questionnaire (MLWHFQ). Blood analyses, ecocardiographic measurements and specific questionnaires, were also carried out in order to evaluate other parameters which could affect QL: Age, sex, comorbilidity, number of drugs taken, left ventricular ejection fraction, nutritional status, cognitive function, depression and functional capacity in daily life. Results: QL measured by means of the MLWHFQ was quite high (mean: 34.3). The other tests yielded values within normality or next to normality. Depression was the factor more clearly associated with patients quality of life (p = 0.0001 ). We also found a statistically significant association with left ventricular ejection fraction (p = 0.03), age (p = 0.008 ) and albuminemia (p = 0.01 ). Conclusions: In our group of patients, QL was conditioned by depression, left ventricular ejection fraction, age and albuminemia
Assuntos
Masculino , Feminino , Humanos , Insuficiência Cardíaca/reabilitação , Perfil de Impacto da Doença , Qualidade de Vida , Inquéritos e Questionários , Volume Sistólico/fisiologia , Depressão/epidemiologiaRESUMO
No disponible
Assuntos
Feminino , Pessoa de Meia-Idade , Humanos , Carcinoma/diagnóstico , Carcinoma/secundário , Eritema/etiologia , Umbigo , Neoplasias Abdominais/secundário , Neoplasias Abdominais/diagnóstico , Neoplasias dos Ductos Biliares/diagnóstico , Neoplasias do Sistema Digestório/patologia , Neoplasias Hepáticas/diagnóstico , Neoplasias Peritoneais/diagnósticoAssuntos
Neoplasias Abdominais/secundário , Carcinoma/diagnóstico , Carcinoma/secundário , Neoplasias do Sistema Digestório/diagnóstico , Eritema/etiologia , Umbigo , Neoplasias Abdominais/diagnóstico , Neoplasias do Sistema Biliar/diagnóstico , Neoplasias do Sistema Digestório/patologia , Feminino , Humanos , Neoplasias Hepáticas/diagnóstico , Pessoa de Meia-Idade , Neoplasias Peritoneais/diagnósticoRESUMO
No disponible