Heart failure (HF) is a progressive chronic condition that significantly affects patients’ health-related quality of life (HRQOL). As the global population ages, the burden of HF is rising, particularly among older adults who often experience overlapping challenges such as multimorbidity, reduced functional capacity, and complex medication regimens. This study aimed to assess HRQOL and identify factors associated with its decline among outpatients diagnosed with HF. Using the validated Minnesota Living with Heart Failure Questionnaire, this cross-sectional study collected HRQOL data along with clinical, demographic, and treatment-related variables. Ordinal regression analysis was conducted to examine associations between these variables and HRQOL scores. The results indicated that a higher number of prescribed HF medications (P < 0.05) and not taking a loop diuretic (P < 0.05) were associated with better HRQOL. In contrast, being classified in NYHA stage III/IV (P < 0.01), having multiple chronic conditions (P < 0.05), lower income (P < 0.05), and dissatisfaction with prescribed medications (P < 0.05) were significantly linked to lower HRQOL. These findings underscore the need for patient-centered approaches in managing HF, particularly in older adults, where quality of life is a critical outcome alongside disease control. Understanding how disease severity, comorbidities, and socioeconomic factors influence HRQOL can help guide more integrated, age-aware care strategies aimed at maintaining autonomy and well-being in individuals living with HF.

Authors:
Eman Alefishat, Khalifa University of Science and Technology, United Arab Emirates
Anan Jarab, Al Ain university, United Arab Emirates

About the Presenter(s)
Dr. Eman Alefishat is currently an Associate Professor and Assistant Dean of Medical Education at College of Medicine and Health Sciences, Khalifa University of Science and Technology, UAE.

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