Table 2.
Clinical Characteristics | Measurement | Validity/Reliability | Baseline | 30/90/180 days |
---|---|---|---|---|
HF History and Diagnostics | Chart Abstraction Tool (based on risk36 and 37) | - | x | x |
Comorbidities | Charlson Comorbidity Index38 (via record) | - | x | |
Hemodynamic Profile | Output, pressure, O2 extraction etc. (via record) | - | x | x |
VAD Support | Flow, rotations, power, pulse index etc. (via record) | - | x | |
Other Potentially Influential Factors (Exploratory) | ||||
Socio-demographics | Socio-demographic Questionnaire | - | x | |
Perceived Control | Control Attitudes Scale-Revised39 | α .73 | x | x |
Perceived Social Support | Perceived Social Support Scale40 | α .84 | x | x |
Mild Cognitive Dysfunction | Montreal Cognitive Assessment41 | 100/83%‡ | x | x |
Physical Symptoms | ||||
Physical Symptoms | Heart Failure Somatic Perception Scale42 | α .90¥ | x | x |
Pain Intensity/Interference | Brief Pain Inventory Short Form43 | α .84–.94 | x | x |
Daytime Sleepiness | Epworth Sleepiness Scale44 | α .83¥ | x | x |
Psychological Symptoms | ||||
Depression and Severity | Patient Health Questionnaire-945 | α .86¥ | x | x |
Anxiety | Brief Symptom Inventory46 6 Anxiety Items | α .87¥ | x | x |
Hostility | Brief Symptom Inventory46 5 Hostility Items | α .83¥ | x | x |
Serum Biomarkers | ||||
Myocardial Stress | Amino terminal pro-B-type natriuretic peptide | 11.75pg/mL* | x | x |
Systemic Inflammation | Soluble tumor necrosis factor alpha receptor | 0.77ng/mL* | x | x |
Endothelial Dysfunction | Soluble endothelial-leukocyte adhesion molecule 1 | 0.009ng/mL* | x | x |
Outcomes | ||||
HF Health-Related QOL | Kansas City Cardiomyopathy Questionnaire47 | α .78–.95 | x | x |
Health-Related QOL | European Quality of Life 5 Dimensions48 | θ | x | x |
Clinical Events | Clinical Event Adjudication | - | x |
sensitivity/specificity for mild cognitive dysfunction with cut-off of 24;
quantified using data from this same advanced HF population;51
minimal detection limits; θ mean of 0.78±0.18 in mild to 0.51±0.21 in severe HF.50
Abbreviations: HF, heart failure; QOL, quality-of-life; VAD, ventricular assist device.