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Quality of Life Assessment in Heart Failure Patients: Insights from a Low- to Middle-Income Country Cover

Quality of Life Assessment in Heart Failure Patients: Insights from a Low- to Middle-Income Country

Open Access
|Mar 2026

Figures & Tables

Table 1

Distribution of clinical characteristics and QoL of patients with heart failure.

TOTAL
Total (N)320
Gender
Male257 (80.3%)
Female63 (19.7%)
Mean Age (years)54.9 ± 12.7
≤50 years109 (34.1%)
51 to 70 years186 (58.1%)
>70 years25 (7.8%)
Median months since heart failure24 (12–60)
1 year or less104 (32.5%)
1 to 3 years101 (31.6%)
More than 3 years115 (35.9%)
Comorbid conditions
Diabetics141 (44.1%)
Hypertensive206 (64.4%)
Dyslipidemia116 (36.3%)
Smokers111 (34.7%)
Heart failure medication adherence status
Adherent184 (57.5%)
Non-adherent136 (42.5%)
Median Physical Limitation Score50 (25–75)
Very Poor (<25)51 (15.9%)
Poor (25 to <50)80 (25%)
Moderate (50 to <75)94 (29.4%)
Good (>75)95 (29.7%)
Median Symptom Frequency Score63 (38–92)
Very Poor (<25)37 (11.6%)
Poor (25 to <50)73 (22.8%)
Moderate (50 to <75)76 (23.8%)
Good (>75)134 (41.9%)
Median Quality of Life Score50 (25–75)
Very Poor (<25)55 (17.2%)
Poor (25 to <50)67 (20.9%)
Moderate (50 to <75)92 (28.8%)
Good (>75)106 (33.1%)
Median Social Limitation Score42 (17–75)
Very Poor (<25)80 (25%)
Poor (25 to <50)78 (24.4%)
Moderate (50 to <75)68 (21.3%)
Good (>75)94 (29.4%)
Median Overall Summary score50.5 (32–75)
Very Poor (<25)57 (17.8%)
Poor (25 to <50)99 (30.9%)
Moderate (50 to <75)83 (25.9%)
Good (>75)81 (25.3%)
Table 2

Association of clinical characteristics and QoL of patients living with heart failure.

TOTALSUMMARY SCOREP-VALUE
POOR (<50)GOOD (≥50)
Total (N)320156164
Gender
Male257119 (46.3%)138 (53.7%)0.077
Female6337 (58.7%)26 (41.3%)
Mean Age (years)54.9 ± 12.756.9 ± 13.253 ± 11.90.006
≤50 years10946 (42.2%)63 (57.8%)0.026
51 to 70 years18692 (49.5%)94 (50.5%)
>70 years2518 (72%)7 (28%)
Median months since heart failure24 (12–60)30 (10–60)24 (12–48)0.903
1 year or less10453 (51%)51 (49%)0.319
1 to 3 years10143 (42.6%)58 (57.4%)
More than 3 years11560 (52.2%)55 (47.8%)
Diabetes mellitus
Non-diabetics17971 (39.7%)108 (60.3%)<0.001
Diabetics14185 (60.3%)56 (39.7%)
Hypertension
Non-hypertensive11463 (55.3%)51 (44.7%)0.083
Hypertensive20693 (45.1%)113 (54.9%)
Dyslipidemia
Non-dyslipidemia204108 (52.9%)96 (47.1%)0.047
Dyslipidemia11648 (41.4%)68 (58.6%)
Smoking
Non-smokers209104 (49.8%)105 (50.2%)0.620
Smokers11152 (46.8%)59 (53.2%)
Heart failure medication adherence status
Adherent18478 (42.4%)106 (57.6%)0.008
Non-adherent13678 (57.4%)58 (42.6%)
Table 3

Multi-variable binary logistic regression analysis for poor QoL of patients living with heart failure.

CHARACTERISTICSINITIAL SOLUTIONFINAL SOLUTION
OR [95% CI]P-VALUEOR [95% CI]P-VALUE
Female1.78 [0.95–3.36]0.0741.75 [0.96–3.17]0.066
Age (years)
≤50 years (reference)11
51 to 70 years1.1 [0.64–1.88]0.7401.09 [0.64–1.86]0.746
>70 years2.75 [1–7.56]0.0502.93 [1.06–8.06]0.037
Months since heart failure
1 year or less (reference)1
1 to 3 years0.61 [0.33–1.11]0.107
More than 3 years0.89 [0.5–1.58]0.689
Diabetes mellitus2.86 [1.7–4.8]<0.0012.76 [1.66–4.61]<0.001
Hypertension0.54 [0.32–0.9]0.0180.53 [0.32–0.89]0.015
Dyslipidemia0.61 [0.37–1.02]0.0570.64 [0.39–1.05]0.077
Smoking0.89 [0.53–1.51]0.672
Non-adherence to HF medications1.72 [1.06–2.78]0.0281.72 [1.07–2.77]0.026
DOI: https://doi.org/10.5334/gh.1538 | Journal eISSN: 2211-8179
Language: English
Submitted on: Oct 30, 2025
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Accepted on: Feb 25, 2026
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Published on: Mar 17, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Muhammad Nauman Khan, Najia Aslam Soomro, Muhammad Navaid Iqbal, Rubina Rauf, Hina Sohail, Khalid Naseeb, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.