Impacto en la valoración funcional y calidad de vida en pacientes con insuficiencia cardiaca en una IPS de Barranquilla (Atl, Co) durante el 2022
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2023
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
La insuficiencia cardíaca (IC) es una causa importante de morbilidad y mortalidad en todo el mundo de allí es la importancia de la implementación de programas que se enfoquen en cambiar hábitos acompañados de un equipo integral y multidisciplinar.
Objetivo: Evaluar el impacto en la recuperación de la valoración funcional y calidad de vida en pacientes con Insuficiencia Cardiaca adscritos a un programa de seguimiento y control de una IPS de Barranquilla (Atl, CO) durante el 2022.
Metodología: Se realizó un estudio analítico, recogiendo los datos de evaluación de los pacientes adscritos a un programa de seguimiento y control de IC clasificados por NYHA, la valoración funcional por Barthel y calidad de con EQ-5D. Para describir los datos se utilizaron medidas de tendencia central y dispersión para variables cuantitativas, y frecuencias para variables categóricas. Se emplearon pruebas de Wilcoxon y Fisher exact test, considerando p < 0.05 como significativo. El análisis se realizó en R-CRAN versión 4.3.0.
Resultados: Se enrolaron 83 pacientes con IC, el 67% eran hombres, la edad media fue de 60 años. La HTA afectó al 47%, y la DM2 al 22%. La etiología dilatada fue la más común (55%). La mayoría estaba en NYHA clase II-IV y en estadio C según ACC/AHA. El BARTHEL promedió 90, indicando moderada dependencia. El EQ-5D promedió 80, denotando un estado de salud óptimo 12 posterior al inicio del programa. Hubo mejoras significativas en la FEVI y la puntuación EQ-5D a los 12 meses. No se observaron cambios en otros parámetros clínicos.
Heart failure (HF) is a significant cause of global morbidity and mortality, emphasizing the importance of implementing programs that focus on lifestyle modifications with the support of a comprehensive and multidisciplinary team. Objective: To assess the impact on functional assessment and quality of life recovery in patients with Heart Failure enrolled in a monitoring and control program at a healthcare institution in Barranquilla (Atl, CO) during 2022. Methodology: An analytical study was conducted, collecting data from the evaluation of patients enrolled in a Heart Failure monitoring and control program classified by NYHA, functional assessment using Barthel, and quality of life with EQ-5D. Descriptive statistics were used for quantitative variables, including measures of central tendency and dispersion, while frequencies were used for categorical variables. Wilcoxon and Fisher exact tests were employed, considering p < 0.05 as significant. The analysis was performed in R-CRAN version 4.3.0. Results: 83 patients with HF were enrolled, 67% were male, and the mean age was 60 years. Hypertension affected 47%, and type 2 diabetes mellitus affected 22%. Dilated etiology was the most common (55%). The majority were in NYHA class II-IV and stage C according to ACC/AHA. The BARTHEL averaged 90, indicating moderate dependency. The EQ-5D averaged 80, indicating an optimal health status 12 months after program initiation. Significant improvements were observed in LVEF and EQ-5D score at 12 months. No changes were observed in other clinical parameters.
Heart failure (HF) is a significant cause of global morbidity and mortality, emphasizing the importance of implementing programs that focus on lifestyle modifications with the support of a comprehensive and multidisciplinary team. Objective: To assess the impact on functional assessment and quality of life recovery in patients with Heart Failure enrolled in a monitoring and control program at a healthcare institution in Barranquilla (Atl, CO) during 2022. Methodology: An analytical study was conducted, collecting data from the evaluation of patients enrolled in a Heart Failure monitoring and control program classified by NYHA, functional assessment using Barthel, and quality of life with EQ-5D. Descriptive statistics were used for quantitative variables, including measures of central tendency and dispersion, while frequencies were used for categorical variables. Wilcoxon and Fisher exact tests were employed, considering p < 0.05 as significant. The analysis was performed in R-CRAN version 4.3.0. Results: 83 patients with HF were enrolled, 67% were male, and the mean age was 60 years. Hypertension affected 47%, and type 2 diabetes mellitus affected 22%. Dilated etiology was the most common (55%). The majority were in NYHA class II-IV and stage C according to ACC/AHA. The BARTHEL averaged 90, indicating moderate dependency. The EQ-5D averaged 80, indicating an optimal health status 12 months after program initiation. Significant improvements were observed in LVEF and EQ-5D score at 12 months. No changes were observed in other clinical parameters.
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Insuficiencia cardíaca, Programa de seguimiento, Evaluación funcional, Calidad de vida, Manejo de la enfermedad, Resultado del tratamiento, Heart failure, Follow-up program, Functional assessment, Quality of life, Disease management, Treatment outcome
