title: Is the severity of congenital heart disease associated with the quality of life and perceived health of adult patients?
abstract: OBJECTIVE
  To explore whether the severity of congenital heart disease is associated with the quality of life and perceived health status of adult patients.
  
  
  METHODS
  Descriptive, cross sectional study.
  
  
  METHODS
  Adult congenital heart disease programme in one tertiary care centre in Belgium.
  
  
  METHODS
  629 patients (378 men, 251 women) with a median age of 24 years.
  
  
  METHODS
  Disease severity was operationalized in terms of initial diagnosis (classification of Task Force 1 of the 32nd Bethesda Conference), illness course (disease severity index), and current functional status (New York Heart Association (NYHA) class, ability index, congenital heart disease functional index, and left ventricular ejection fraction). Quality of life was measured by a linear analogue scale, the satisfaction with life scale, and the schedule for evaluation of individual quality of life. Perceived health status was also assessed with a linear analogue scale.
  
  
  RESULTS
  Scores derived from the disease severity classification systems were weakly negatively associated with quality of life and health status, ranging from -0.05 to -0.27. The NYHA functional class and ability index were consistently associated with quality of life and perceived health.
  
  
  CONCLUSIONS
  This study showed that the severity of congenital heart disease is marginally associated with patients' quality of life and perceived health. Functional status was more related to patients' assessment of their quality of life than was the initial diagnosis or illness course.
authors.affiliation: Centre for Health Services and Nursing Research, Katholieke Universiteit, Leuven, Belgium. philip.moons@med.kuleuven.ac.be
authors.forename: P
authors.initials: P
authors.lastname: Moons
authors.forename: K
authors.initials: K
authors.lastname: Van Deyk
authors.forename: S
authors.initials: S
authors.lastname: De Geest
authors.forename: M
authors.initials: M
authors.lastname: Gewillig
authors.forename: W
authors.initials: W
authors.lastname: Budts
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006305:Health Status Indicators; D006330:Heart Defects, Congenital / Q000503:physiopathology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012720:Severity of Illness Index