Sociodemographic characterization, clinical and cognitive profile of patients with Heart Failure

Authors

DOI:

https://doi.org/10.33448/rsd-v10i10.19275

Keywords:

Heart failure; Cardiovascular disease; Socioeconomic; Health profile; Cognition.

Abstract

Heart failure (HF) is considered one of the main health problems in the world. This fact draws attention to the need to know and expand discussions about the variables that are correlated to the development of this disease. The objective was to characterize socioeconomic, clinical and cognitive variables of patients with HF. Cross-sectional, quantitative and descriptive study, composed of patients with HF hospitalized in the wards of the Hospital de Beneficência in Surgery, over a 12-month period between 2018 and 2019. Interviews were used to apply a clinical and questionnaire questionnaire. sociodemographic and evaluation of the Mini Mental State Examination (MMSE). One hundred patients with a mean age of 59 ± 15 years, 51% female, were included. Family income mostly up to one minimum wage (57%), schooling from one to seven years (41%). As for clinical aspects, 34% had HF for more than five years, 40% had valve etiology, 51% had a class III functional classification, 43% had systemic arterial hypertension, 37% had undergone cardiac surgery in the last year, and 13% had angioplasty as most performed invasive procedure. Regarding the MMSE, the mean was 21±6 points, with high scores in the domains evaluated separately, except for “attention and calculation” and “recalling memory”. The socioeconomic and clinical profile, in addition to the cognitive status can help guide the management of patients, in order to manage therapy according to the different specificities of each patient.

References

Ambrosy, A.P., Fonarow, G.C., Butler, J., Chioncel, O., Greene, S.J., & Vaduganathan, M. et al. (2014). The global health and economic burden of hospitalizations for heart failure: Lessons learned from hospitalized heart failure registries. J Am Coll Cardiol, 63(12), 1123-1133. doi: 10.1016/j.jacc.2013.11.053.

Balieiro, H.M., Osugue, R.K., Rangel, S.P., Brandão, R., Balieiro, T.L., & Bernadez, S. et al. (2009). Perfil clínico-demográfico e indicadores de qualidade da insuficiência cardíaca em uma área rural. Arq Bras Cardiol, 93(6), 687–691. doi: 10.1590/S0066-782X2009001200020.

Benjamin, E.J., Virani, S.S., Callaway, C.W., Chamberlain, A.M., Chang, A.R., & Cheng, S. et al. (2018). Heart disease and stroke statistics: A report from the American Heart Association. Circulation, 137(12), e67-e492. doi: 10.1161/CIR.0000000000000558.

Bertolucci, P.H.F., Brucki, S.M.D., Campacci, S.R., & Juliano, Y. (1994). O Mini-Exame do Estado Mental em uma população geral: impacto da escolaridade. Arq NeuroPsiquiatr, 1(52), 1-7. https://www.scielo.br/j/anp/a/Sv3WMxHYxDkkgmcN4kNfVTv/?format=pdf&lang=pt.

Brann, A., Tran, H., & Greenberg, B. (2019). Contemporary approach to treating heart failure. Trend Cardiovasc Med, 30(8), 507-518. doi: 10.1016 / j.tcm.2019.11.011.

Brasil, M.D.S. (2021). Banco de dados do Sistema Único de Saúde-DATASUS, Sistema de Informações Hospitalares. http://www.datasus.gov.br/catalogo/sihsus.htm 2021.

Brasil, M.D.S. (2021). Banco de dados do Sistema Único de Saúde - DATASUS. Informações de Saúde, Sistema de Informações sobre Mortalidade. http://www.datasus.gov.br/catalogo/sim.htm 2021.

Brucki, S.M.D., Nitrini, R., Caramelli, P., Bertolucci, P.H.F., & Okamoto, I.H. (2003). Sugestões para o uso do Mini-Exame do Estado Mental no Brasil. Arq. Neuro-Psiquiatr, 3(61), 777-781. doi: 10.1590/S0004-282X2003000500014.

Çavuşoğlu, Y., Zoghi, M., Eren, M., Bozçali, E., Kozdag, G., Senturk, T., & Alicik, G. et al. (2017). Post-discharge heart failure monitoring program in Turkey: Hit- PoinT. Anatol J Cardiol, 17 (2), 107-112. doi: 10.14744 / AnatolJCardiol.2016.6812.

De Almeida Neto, O.P., Cunha, C.M., Cravo, G.D., Paulo, B.E., Teodoro, L., Almeida V.F., & Pedrosa, L.A.K. (2016). Perfil clínico e socioeconômico de pacientes com insuficiência cardíaca. Rev. Aten. Saúde, 14(50), 26-33. doi: 10.13037/rbcs.vol14n50.3971.

De Araújo, A.A., Da Nóbrega, M.M.L., Garcia, T.R. (2013). Nursing diagnoses and interventions for patients with congestive heart failure using the ICNP. Revista da Escola de Enfermagem da USP, 47(2), 385-392. https://doi.org/10.1590/S0080-62342013000200016.

Dias, I.A., Santos, L.S., & Ferreira, L.N. (2011). Avaliação da independência funcional e estado mental de pacientes com insuficiência cardíaca congestiva. C&D-Revista Eletrônica da Fainor, 4(1), 144-155. https://www.fainor.com.br/v2/?page_id=995.

Doehner, W., Ural, D., Haeusler, K.G., Celutkiene, J., Bestetti, R., & Cavusoglu, Y. et al. (2018). Heart and brain interaction in patients with heart failure: overview and proposal for a taxonomy. A position paper from the Study Group on Heart and Brain Interaction of the Heart Failure Association. Eur J Heart Fail, 20(2), 199-215. doi: 10.1002/ejhf.1100.

Faria, A.P.C., Modolo, R., Moreno, B.V.D., & Moreno, H. (2014). Effects of PDE type 5 inhibitors on Left Ventricular Diastolic Dysfunction in Resistant Hypertension. Arq. Bras. Cardiol, 104 (1), 85-89. https://doi.org/10.5935/abc.20140159.

Foraker, R.E., Rose, K.M., Suchindran, C.M., Chang, P.P., McNeill, A.M., & Rosamond, W.D. (2011). Socioeconomic Status, Medicaid Coverage, Clinical Comorbidity, and Rehospitalization or Death After an Incident Heart Failure Hospitalization: Atherosclerosis Risk in Communities Cohort (1987 to 2004). Circulation, 4(3), 308–316. https://doi.org/10.1161/CIRCHEARTFAILURE.110.959031.

Goyal, P., Almarzooq, Z.I., Horn, E.M., Karas, M.G., Sobol, I., & Swaminathan, R.V. et al. (2016). Characteristics of Hospitalizations for Heart Failure with Preserved Ejection Fraction. Am J Med, 129(6), 635.e15-26. doi: 10.1016/j.amjmed.2016.02.007. PMID: 27215991.

Hammond, C.A., Blades, N.J., Chaudhry, S.I., Dodson, J.A., Longstreth Jr, W.T., & Heckbert, S.R. et al. (2018). Long-Term Cognitive Decline After Newly Diagnosed Heart Failure: Longitudinal Analysis in the CHS (Cardiovascular Health Study). Circ Heart Fail, 11(3), 44-76. doi: 10.1161/CIRCHEARTFAILURE.117.004476.

Hayes, S.M., Peloquin, S., Howlett, J.G., Harkness, K., Giannetti, N., & Rancourt, C. et al. (2015). A qualitative study of the current state of heart failure community care in Canada: what can we learn for the future? BMC Health Services Research, 15(290), 1-10. doi 10.1186/s12913-015-0955-4.

Iyngkaran, P., Majoni, W., Cass, A., Sanders, P., Ronco, C., & Brady, S. et al. (2015). Northern Territory Perspectives on Heart Failure with Comorbidities– Understanding Trial Validity and Exploring Collaborative Opportunities to Broaden the Evidence Base. Heart Lung Circ, 24(6), 536-43. doi: 10.1016/j.hlc.2014.12.007.

Iyngkaran, P., Liew, D., Neil, C., Driscoll, A., Marwick, T.H., & Hare, D.L. (2018). Moving From Heart Failure Guidelines to Clinical Practice: Gaps Contributing to Readmissions in Patients With Multiple Comorbidities and Older Age. Clin Med Insights Cardiol, 4(12), 1179546818809358. doi: 10.1177/1179546818809358.

Kapłon-Cieślicka, A., Drożdż, J., & Filipiak, K.J. (2017). Prognostic factors in heart failure - are they all equally important? Kardiol Pol, 75(6), 519-526. doi: 10.5603/KP.a2017.0088.

Köche, J.C. (2011). Fundamentos de metodologia científica : teoria da ciência e iniciação à pesquisa. Petrópolis, Vozes. Disponível em: http://www.adm.ufrpe.br/sites/ww4.deinfo.ufrpe.br/files/Fundamentos_de_Metodologia_Cienti%CC%81fica.pdf.

Lee, T.C., Qian, M., Liu, H., Graham, S., Mann, D.L., & Nakanishi, K. et al. (2019). Cognitive Decline Over Time in Patients With Systolic Heart Failure. JACC: Heart Failure, 7(12), 1042–1053. https://doi.org/10.1016/j.jchf.2019.09.003.

Lee, W.Y., Capra, A.M., Jensvold, N.G., Gurwitz, J.H., & Go, A.S. (2004). Gender and risk of adverse outcomes in heart failure. Am J Cardiol, 94(9), 1147-52. doi: 10.1016/j.amjcard.2004.07.081.

Lindvall, C., Hultman, T.D., & Jackson, V.A. (2014). Overcoming the barriers to palliative care referral for patients with advanced heart failure. J Am Heart Assoc, 3(1), e000742. doi: 10.1161 / JAHA.113.000742.

Loures, M.C., & Porto, C.C. (2009). A avaliação da qualidade de vida: guia para profissionais da saúde. Ciência & Saúde Coletiva, 14(6), 2317–2318. https://doi.org/10.1590/S1413-81232009000600040.

Loures, V.A., Noronha, M.F.A., Bastos, R.G., & Girardi, J.M. (2009). Aspectos clínicos e epidemiológicos da insuficiência cardíaca. HU revista, 35(2), 89-96 . https://periodicos.ufjf.br/index.php/hurevista/article/view/379.

Mcnaughton, C.D., Cawthon, C., Kripalani, S., Liu, D., Storrow, A.B., & Roumie, C.L. (2015). Health Literacy and Mortality: A Cohort Study of Patients Hospitalized for Acute Heart Failure. J Am Heart Assoc, 4(5), e001799. doi: 10.1161/JAHA.115.001799.

Mozaffarian, D., Benjamin, E.J., Go, A.S., Arnett D.K., Blaha, M.J., & Cushman, M. et al. (2016). Heart Disease and Stroke Statistics—2016 Update: A Report From the American Heart Association. Circulation, 133(4), e38-360. doi: 10.1161/CIR.0000000000000350.

Philbin, E.F., Dec, G.W., Jenkins, P.L., & DiSalvo, T.G. (2001). Socioeconomic status as an independent risk factor for hospital readmission for heart failure. Am J Cardiol. 2001 Jun 15;87(12):1367-71. doi: 10.1016/s0002-9149(01)01554-5.

Rolande, D.M.S., Fantini, J.P., Cardinalli Neto, A., Cordeiro, J.A., & Bestetti, R.B. (2012). Determinantes prognósticos de pacientes com insuficiência cardíaca sistólica crônica secundária à hipertensão arterial sistêmica. Arq. Bras. Cardiol, 98(1), 76-94. https://doi.org/10.1590/S0066-782X2011005000123.

Ross, J.S., Chen, J., Lin, Z., Bueno, H., Curtis, J.P., & Keenan, P.S. et al. (2010). Recent national trends in readmission rates after heart failure hospitalization. Circ Heart Fail, 3(1), 97-103. doi: 10.1161/CIRCHEARTFAILURE.109.885210.

Souza, C.S., Stein, A.T., Bastos, G.A.N., & Pellanda, L.C. (2014). Blood Pressure Control in Hypertensive Patients in the “Hiperdia Program”: A Territory-Based Study. Arq. Bras. Cardiol, 102 (6), 571-578. https://doi.org/10.5935/abc.20140081

Spinar, J., Parenica, J., Vitovec, J., Widimsky, P., & Linhart, A. et al. (2011). Baseline characteristics and hospital mortality in the Acute Heart Failure Database (AHEAD) Main registry. Critical Care, 15(6), R291. https://doi.org/10.1186/cc10584.

Su, A, Al’Aref, S.J., Beecy, A.N., Min, J.K., & Karas, M.G. (2019). Clinical and Socioeconomic Predictors of Heart Failure Readmissions: A Review of Contemporary Literature. Mayo Clin Proc, 94(7), 1304-1320. doi: 10.1016/j.mayocp.2019.01.017.

Thomas, K.L., Hernandez, A.F., Dai, D., Heidenreich, P., Fonarow, G.G., & Peterson, E.D. et al. (2011). Association of race/ethnicity with clinical risk factors, quality of care, and acute outcomes in patients hospitalized with heart failure. Am Heart J, 161(4), 746-54. doi: 10.1016/j.ahj.2011.01.012.

Van Deursen, V.M., Urso, R., Laroche, C., Damman, K., Dahlstrom, U., & Tavazzi, L. et al. (2014). Co-morbidities in patients with heart failure: an analysis of the European Heart Failure Pilot Survey: Co-morbidities in heart failure. Eur J Heart Fail, 16(1), 103-11. doi: 10.1002/ejhf.30.

Vivo, R.P., Krim, S.R., Krim, N.R., Zhao, X., Hernandez, A.F., & Peterson, E.D. et al. Care and Outcomes of Hispanic Patients Admitted With Heart Failure With Preserved or Reduced Ejection Fraction: Findings From Get With The Guidelines–Heart Failure. Circulation, 5(2), 167–175. https://doi.org/10.1161/CIRCHEARTFAILURE.111.963546.

Word Health Organization (W.H.O). Cardiovascular diseases (CVDs). (2017). Disponível em: <https://www.who.int/news-room/fact- sheets/detail/cardiovascular-diseases-(cvds)>.

Yancy, C.W., Abraham, W.T., Albert, N.M., Clare, R., Stough, W.G., & Gheorghiade, M. et al. (2008). Quality of Care of and Outcomes for African Americans Hospitalized With Heart Failure. J Am Coll Cardiol, 51(17), 1675-84. doi: 10.1016/j.jacc.2008.01.028.

Yancy, C.W., Jessup, M., Bozkurt, B., Butler, J., CaseyJr, D.E., & Colvin, M.M. et al. (2017). 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Circulation, 136(6), 137-161. doi: 10.1161/CIR0000000000000509.

Ziaeian, B., Heidenreich, P.A., Xu, H., Devore, A.D., Matsouaka, R.A., & Hernandez, A.F. et al. (2017). Race/Ethnic Differences in Outcomes Among Hospitalized Medicare Patients With Heart Failure and Preserved Ejection Fraction. JACC Heart Fail, 5(7), 483-493. doi: 10.1016/j.jchf.2017.02.012.

Zuccalà, G., Pedone, C., Cesari, M., Onder, G., Pahor, M., & Marzetti, E. et al. (2003). The effects of cognitive impairment on mortality among hospitalized patients with heart failure. Am J Med, 115(2), 97-103. doi: 10.1016/s0002-9343(03)00264-x.

Published

18/08/2021

How to Cite

OLIVEIRA , G. S. .; MARQUES, C. . R. de G.; MATOS, A. L. P. de; TAVARES, A. C. de M.; SERRA, C. O. .; LEITE, E. da S.; CARDOSO, L. da C. C. .; FERREIRA, A. V. S. .; SANTANA, E. das V. .; SANTOS, B. C. .; FERRARI, Y. A. C. .; SANTOS, J. P. A. dos .; SANTOS, E. S. . Sociodemographic characterization, clinical and cognitive profile of patients with Heart Failure . Research, Society and Development, [S. l.], v. 10, n. 10, p. e538101019275, 2021. DOI: 10.33448/rsd-v10i10.19275. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/19275. Acesso em: 18 oct. 2021.

Issue

Section

Health Sciences