THE INFLUENCE OF TELEMEDICINE CARE ON HRQOL OF PATIENTS WITH PAROXYSMAL ATRIAL FIBRILLATION
Purpose: Paroxysmal atrial fibrillation (AF) is associated with significant impairment of quality of life. The aim of this study was to investigate the HRQoL (Health Related Quality of Life) of a group of patients with paroxysmal atrial fibrillation attended to the telemedicine Centre (telemedicine centre with cardiologically trained doctors 24/7) compared to controlled group of patients.
Methods: The study group comprised of 56 highly symptomatic patients (mean age 69, 14 males) attended to the Centre; the control group comprised of 67 patients (mean age 68, 25 males). The study contains sociological data, medical history, especially numbers of arrhythmias, drugs taken and data from the Centre. HRQoL was measured by SF-36v2 polish version. The results were postprocessed by licensed software delivered by QualityMetric.
Results: The data collected from SF-36v2 proved to show satisfactory data quality indicators notes. Only GH (General Health) did not pass reliability criteria. Multivariate regression analyses showed that patients with paroxysmal AF attended to telemedicine Centre had higher HRQoL than controlled group in four SF-36 subscales. In subscale RP (Role Physical) study group got the result of 43.30 +/-8.12 (vs 34.45 +/- 8) (p<0.0001), VT (Vitality) 46.85 +/-12.81 (vs 39.32 +/-13.16) (p=0.012), SF (Social Functioning) 47.99 +/-9.84 (vs 39.35 +/-12.86) (p=0.0008),
RE (Role Emotional) 43.38 +/- 7.69 (vs 29.89 +/- 10.94) (p=0.0001). Also Mental Component Summary (MCS) was higher in study group: 41.05 +/-8.63 (vs 33,54+/-11.73) (p=0.0003). Some other parameters like: BMI, age, gender, numbers of accompanying diseases, numbers of paroxysms had also impact HRQoL.
Conclusions: Care supplied by the telemedicine Centre positively influenced on HRQoL of patients with paroxysmal AF.