Prospective evaluation of the association between hemoglobin concentration and quality of life in patients with heart failure.

Abstract

BACKGROUND:

Reduced hemoglobin has been associated with adverse outcomes in heart failure, but the relationship of hemoglobin to health-related quality of life in outpatients with this syndrome has not been well studied.

METHODS:

We used data from the prospective, observational Study of Anemia in a Heart Failure Population Registry, which randomly selected outpatients with heart failure from specialty or community cardiology clinics. Hemoglobin was determined by finger stick at baseline and during medically indicated follow-up visits. Health-related quality of life was assessed using the Kansas City Cardiomyopathy Questionnaire and the Minnesota Living with Heart Failure Questionnaire at 3-month intervals for 12 months.

RESULTS:

Adjusted regression analysis demonstrated a significant, direct, linear relationship between hemoglobin and health-related quality of life from baseline through 12 months follow-up on all Kansas City Cardiomyopathy Questionnaire domains (all P < .001) and the Summary and Physical domains of the Minnesota Living with Heart Failure Questionnaire (all P < .05). Adjusted categorical analysis of the change in Kansas City Cardiomyopathy Questionnaire Clinical scores associated with change in hemoglobin from baseline to 6 months also showed a significant relationship between increasing hemoglobin and improved health status (5.9 +/- 1.8 units for a hemoglobin increase of >or=1 g/dL, 0.7 +/- 1.2 units for change in hemoglobin <1 g/dL, and -2.6 +/- 1.4 units for a >or=1 g/dL decrease in hemoglobin, P < .001).

CONCLUSIONS:

These prospective, observational results indicate that reduced hemoglobin is associated with poorer quality of life in patients with heart failure. Additional studies will be required to establish if this is a cause-and-effect relationship.

• Authors: Kirkwood F Adams Jr, Ileana L Piña, Jalal K Ghali, Lynne E Wagoner, Stephanie H Dunlap, Todd A Schwartz, Wendy Gattis Stough, Mandeep R Mehra, Gary Michael Felker, Jun R Chiong, James Herbert Patterson, John Kim, Javed Butler, Ron M Oren
• Journal: American heart journal (Am Heart J) Vol. 158 Issue 6 Pg. 965-71 (Dec 2009) ISSN: 1097-6744 [Electronic] United States
• PMID: 19958863 (Publication Type: Journal Article)

Chemical References

• Hemoglobins

Topics

• Female
• Heart Failure (blood)
• Hemoglobins (analysis)
• Humans
• Male
• Middle Aged
• Prospective Studies
• Quality of Life