the role of device therapy vs. underlying heart disease
Implantable cardioverter defibrillator (ICD) therapy, which includes the risk of shocks, is considered the primary culprit of reductions in patient reported outcomes (PROs; e.g. health status and distress), thereby negating the role of underlying disease severity. We examined the relative influence of living with an ICD vs. congestive heart failure (CHF) on PROs and compared (i) ICD patients without CHF (ICD only), (ii) CHF patients without an ICD (CHF-only), and (iii) CHF patients with an ICD (ICD + CHF).
Europace, 2013, Vol 15, Issue 3, p. 355-61
Adult; Aged; Anxiety; Chi-Square Distribution; Cost of Illness; Defibrillators, Implantable; Depression; Electric Countershock; Equipment Design; Equipment Failure; Female; Health Status; Heart Failure; Humans; Male; Mental Health; Middle Aged; Multivariate Analysis; Netherlands; Prospective Studies; Risk Assessment; Risk Factors; Severity of Illness Index; Stress, Psychological; Time Factors; Treatment Outcome