ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Relationship between functional capacity and socioeconomic status in a cohort of Turkish heart failure patients [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2016; 44(6): 481-487 | DOI: 10.5543/tkda.2015.85594

Relationship between functional capacity and socioeconomic status in a cohort of Turkish heart failure patients

Hakkı Kaya1, Meltem Refiker Ege2, Ali Zorlu1, Osman Beton1, Hasan Güngör3, Ahmet Temizhan4, Yeşim Güray4, Yüksel Çavuşoğlu5, Mehdi Zoghi6, Mehmet Birhan Yılmaz1, On Behalf Of TREAT-HF Investigators1
1Department Of Cardiology, Cumhuriyet University, Sivas, Turkey
2Koru Hospital, Cardiology Clinic, Ankara, Turkey
3Department Of Cardiology, Adnan Menderes University, Aydın, Turkey
4Department Of Cardiology, Türkiye Highly Specialized Hospital, Ankara, Turkey
5Department Of Cardiology, Osmangazi University, Eskişehir, Turkey
6Department Of Cardiology, Ege University, İzmir, Turkey


OBJECTIVE
New York Heart Association (NYHA) classification predicts prognosis for heart failure (HF) patients. Socioeconomic status (SES) has the potential to affect treatment strategy and disease course. The present objective was to investigate whether SES of Turkish HF patients affected NYHA classification.

METHODS
Turkish research team-HF (TREAT-HF) is a questionnaire study with 52 questions, the purpose of which is to aid in the assessment of various qualities of HF patients. The 2013 TREAT-HF cohort included 503 patients from 11 centers in Turkey. Patients were divided into 2 groups according to NYHA functional classification: I-II, a better functional classification, or III-IV, a poorer functional classification. In addition, patients were analyzed according to gender.

RESULTS
Evaluated were NYHA functional classifications of 459 (326 males and 133 females) patients with a mean age of 59.7±14.07 years and a mean ejection fraction (EF) of 31.7±9.22%. Total monthly family income level of ≥1000 TL, younger age, higher EF, and male gender were independently associated with better NYHA functional classification. In addition to EF, regular weight control was found to be independently associated with better NYHA classification for females, while younger age and income of ≥1000 TL were independently associated with better NYHA classification for males.

CONCLUSION
The present results demonstrated that SES was associated with NYHA functional classification in a cohort of Turkish HF patients.

Keywords: Functional capacity, heart failure, medical adherence, socioeconomic status; Turkey.

How to cite this article
Hakkı Kaya, Meltem Refiker Ege, Ali Zorlu, Osman Beton, Hasan Güngör, Ahmet Temizhan, Yeşim Güray, Yüksel Çavuşoğlu, Mehdi Zoghi, Mehmet Birhan Yılmaz, On Behalf Of TREAT-HF Investigators. Relationship between functional capacity and socioeconomic status in a cohort of Turkish heart failure patients. Turk Kardiyol Dern Ars. 2016; 44(6): 481-487

Corresponding Author: Hakkı Kaya, Türkiye
Manuscript Language: English


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Journal Citation Indicator: 0.18
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