Abstract P216: The Utility of Specific Measure for Heart Failure Patient in Web-Based Management: Reliability of Kansas City Cardiomyopathy Questionnaire

Abstract

[Background] Internet-based disease management program is known to reduce heart failure (HF) patients' re-hospitalization. Health-related quality of life (QoL) is often omitted in the web-based management of HF patients. We explored whether Kansas city cardiomyopathy questionnaire (KCCQ) can correlate QoL among HF patients while using web-based telemedicine communication system. [Method] 48 HF patients >50 years of age were enrolled into a clinical trial of telemedicine communication system for 12 month. KCCQ was given to the HF patients at the beginning and end of the study at 12 month. [Results] Mean age was 53.2; 72.2% were male; 38.9% were African-Americans; and the mean New York Heart Association class was 2.3. 50% HF patients used telemedicine and 50% served as control. KCCQ symptom stability was reduced in control patients when compared with web-communicated patients (C-28.1%; Web-32.0%; p=0.12). Overall quality of life was reduced in both group and higher in control group (16.3% vs. 2.2%; p=0.02). Overall clinical summary was improved in web-communicated patients (↑0.64% vs. ↓3.47%; p=0.01). [Conclsuion] These cross-sectional data highlight the potential utility of specific measure for HF patients in web-based communication system and disease management. KCCQ has significance of social and behavioral factors in HF-specific QoL.