Usefulness of a single-item general self-rated health question to predict mortality 12 months after an acute coronary syndrome.
ABSTRACT A single-item general self-rated health (GSRH) question consistently predicts mortality in community cohort studies, but has not been examined in patients with acute coronary syndrome (ACS). We investigated whether a single-item GSRH question predicted mortality 12 months post-discharge in 800 ACS patients.
Logistic regression was used to assess the relationship of the single-item GSRH question with mortality, controlling for cardiac risk factors, including depressive symptoms.
The single-item GSHR question was associated with mortality on a bivariable basis (odds ratio=0.50, 95% confidence interval=0.28-0.92, P=0.027), but was not significant after controlling for other risk factors (odds ratio=0.80, 95% confidence interval=0.40-1.60, P=0.522).
- SourceAvailable from: Thomas Rutledge[Show abstract] [Hide abstract]
ABSTRACT: To determine the association between self-rated health and major cardiovascular events in a sample of women with suspected myocardial ischemia. Previous studies showed that self-rated health is a predictor of objective health outcomes, such as mortality. At baseline, 900 women rated their health on a 5-point scale ranging from poor to excellent as part of a protocol that included quantitative coronary angiography, cardiovascular disease (CVD) risk factor assessment, cardiac symptoms, psychotropic medication use, and functional impairment. Participants were followed for a maximum of 9 years (median, 5.9 years) to determine the prevalence of major CVD events (myocardial infarction, heart failure, stroke, and CVD-related death). A total of 354 (39.3% of sample) participants reported their health as either poor or fair. After adjusting for demographic factors, CVD risk factors, and coronary artery disease severity, women who rated their health as poor (hazard ratio, 2.1 [1.1-4.2]) or fair (hazard ratio, 2.0 [1.2-3.6]) experienced significantly shorter times to major CVD events compared with women who rated their health as excellent or very good. Further adjustment for functional impairment, however, attenuated the self-rated health relationships with major CVD events. Among women with suspected myocardial ischemia, self-rated health predicted major CVD events independent of demographic factors, CVD risk factors, and angiogram-defined disease severity. However, functional impairment seemed to explain much of the self-rated health association. These results support the clinical utility of self-rated health scores in women and encourage a multidimensional approach to conceptualizing these measures.Psychosomatic Medicine 07/2010; 72(6):549-55. · 4.09 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: The purpose of this study was to investigate the risk factor level awareness in coronary patients and to assess its associations with health-related quality of life (HRQoL)/psychological distress. Data on 8,743 coronary patients from 22 European countries, interviewed and examined at least 6 months after their acute event was available. 81.7 % of patients indicated to be aware of their own blood pressure level, whereas only 46.6 % of patients indicated to be aware of their cholesterol level. Furthermore, 43.7 % of patients were aware of their blood glucose level, whereas in diabetes patients blood glucose level awareness reached 81.8 %. Risk factor level awareness was significantly associated with HRQoL/psychological distress, with patients being unaware of their risk factor levels having worse outcomes. The relationship between awareness and HRQoL/psychological distress seemed to be partly mediated by the attempt of patients to adopt a healthier behaviour. Health care workers should be encouraged to inform their patients about the importance of their coronary risk factors, the actual level and their personal target.International Journal of Public Health 04/2014; · 1.99 Impact Factor