Please use this identifier to cite or link to this item:
https://www.um.edu.mt/library/oar/handle/123456789/120632
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Fogleman, Nicholas D. | - |
dc.contributor.author | Apers, Silke | - |
dc.contributor.author | Moons, Philip | - |
dc.contributor.author | Morrison, Stacey | - |
dc.contributor.author | Wittekind, Samuel G. | - |
dc.contributor.author | Tomlin, Martha | - |
dc.contributor.author | Gosney, Kathy | - |
dc.contributor.author | Sluman, Maayke A. | - |
dc.contributor.author | Johansson, Bengt | - |
dc.contributor.author | Enomoto, Junko | - |
dc.contributor.author | Dellborg, Mikael | - |
dc.contributor.author | Lu, Chun-Wei | - |
dc.contributor.author | Subramanyan, Raghavan | - |
dc.contributor.author | Luyckx, Koen | - |
dc.contributor.author | Budts, Werner | - |
dc.contributor.author | Jackson, Jamie | - |
dc.contributor.author | Kovacs, Adrienne | - |
dc.contributor.author | Soufi, Alexandra | - |
dc.contributor.author | Eriksen, Katrine | - |
dc.contributor.author | Thomet, Corina | - |
dc.contributor.author | Berghammer, Malin | - |
dc.contributor.author | Callus, Edward | - |
dc.contributor.author | Fernandes, Susan M. | - |
dc.contributor.author | Caruana, Maryanne | - |
dc.contributor.author | Cook, Stephen C. | - |
dc.contributor.author | Mackie, Andrew S. | - |
dc.contributor.author | White, Kamila S. | - |
dc.contributor.author | Kutty, Shelby | - |
dc.contributor.author | Veldtman, Gruschen | - |
dc.contributor.author | Grech, Victor E. | - |
dc.contributor.author | Vella, Sheena | - |
dc.contributor.author | Mifsud, Anabel | - |
dc.contributor.author | Borg, Neville | - |
dc.contributor.author | Chircop, Daniel | - |
dc.contributor.author | Mercieca Balbi, Matthew | - |
dc.contributor.author | Vella Critien, Rachel | - |
dc.contributor.author | Farrugia, James | - |
dc.contributor.author | Gatt, Yanika | - |
dc.contributor.author | Muscat, Darlene | - |
dc.date.accessioned | 2024-04-10T06:11:47Z | - |
dc.date.available | 2024-04-10T06:11:47Z | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | Fogleman, N. D., Apers, S., Moons, P., Morrison, S., Wittekind, S. G., Tomlin, M.,...Veldtman, G. (2017). Regional variation in quality of life in patients with a Fontan circulation: a multinational perspective. American Heart Journal, 193, 55-62. | en_GB |
dc.identifier.uri | https://www.um.edu.mt/library/oar/handle/123456789/120632 | - |
dc.description.abstract | Background: Impaired quality of life (QOL) is associated with congenital heart disease (CHD) and country of residence; however, few studies have compared QOL in patients with differing complexities of CHD across regional populations. The current study examined regional variation in QOL outcomes in a large multinational sample of patients with a Fontan relative to patients with atrial septal defects (ASDs) and ventricular septal defects (VSDs). | en_GB |
dc.description.abstract | Methods: From the Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease—International Study (APPROACH-IS), 405 patients (163 Fontan and 242 ASD/VSD) across Asia, Europe, and North America provided consent for access to their medical records and completed a survey evaluating QOL (0 to 100 linear analog scale). Primary CHD diagnosis, disease complexity, surgical history, and documented history of mood and anxiety disorders were recorded. Differences in QOL, medical complications, and mood and anxiety disorders between Fontan and ASD/VSD patients, and across geographic regions, were examined using analysis of covariance. Hierarchical regression analyses were conducted to identify variables associated with the QOL ratings. | en_GB |
dc.description.abstract | Results: Patients with a Fontan reported significantly lower QOL, and greater medical complications and mood and anxiety disorders relative to patients with ASD/VSD. Inpatient cardiac admissions, mood disorders, and anxiety disorders were associated with lower QOL among patients with a Fontan, and mood disorders were associated with lower QOL among patients with ASD/VSD. Regional differences for QOL were not observed in patients with a Fontan; however, significant differences were identified in patients with ASD/VSD. | en_GB |
dc.description.abstract | Conclusions: Regional variation of QOL is commonplace in adults with CHD; however, it appears affected by greater disease burden. Among patients with a Fontan, regional variation of QOL is lost. Specific attempts to screen for QOL and mood and anxiety disorders among CHD patients may improve the care of patients with the greatest disease burden. | en_GB |
dc.language.iso | en | en_GB |
dc.publisher | Elsevier | en_GB |
dc.rights | info:eu-repo/semantics/restrictedAccess | en_GB |
dc.subject | Congenital heart disease -- Patients | en_GB |
dc.subject | Fontan procedure | en_GB |
dc.subject | Atrial septal defects | en_GB |
dc.subject | Ventricular septal defects | en_GB |
dc.subject | Quality of life -- Health aspects | en_GB |
dc.title | Regional variation in quality of life in patients with a Fontan circulation : a multinational perspective | en_GB |
dc.type | article | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. | en_GB |
dc.contributor.corpauthor | APPROACH-IS Consortium | en_GB |
dc.description.reviewed | peer-reviewed | en_GB |
dc.identifier.doi | 10.1016/j.ahj.2017.07.019 | - |
dc.publication.title | American Heart Journal | en_GB |
Appears in Collections: | Scholarly Works - FacM&SMed |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Regional variation in quality of life in patients with a Fontan circulation a multinational perspective 2017.pdf Restricted Access | 277.1 kB | Adobe PDF | View/Open Request a copy |
Items in OAR@UM are protected by copyright, with all rights reserved, unless otherwise indicated.