Diet quality of patients with acute coronary syndrome receiving public and private health care

Costa, Ingrid Maria Novais Barros de Carvalho; Silva, Daniele Góes da; Filho, José Augusto Soares Barreto; Oliveira, Joselina Luzia Menezes; Buarque, Mirella Dornelas Batalha Moreira; Nascimento, Thiago; Jorge, Juliana de Goes; Almeida, Andreza Santos; Almeida-Santos, Marcos Antônio; Sousa, Antônio Carlos Sobral

doi:10.1016/j.nut.2018.07.111

Cited by 9 publications

(9 citation statements)

References 12 publications

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“…Considering these differences in the assistance received and the socioeconomic characteristics intrinsic to patients from the SUS, these factors had a negative influence on the results, culminating in worse QoL scores for this group. These data are consistent with the literature in showing that health care quality and socioeconomic context can influence treatment adherence [16,17], prognosis, and patients' QoL [13,15].…”

Section: Discussionsupporting

confidence: 92%

“…In Brazil, the Brazilian Unified Health System (SUS in Portuguese), with universal coverage for 150 million Brazilians, coexists with the Supplementary Health Care, which is predominantly a private system, with 50 million beneficiaries. SUS was developed to meet the principles of universality, equality, and integrality [ 15 , 16 ]. However, there are reports of existing disparities between private and public health care with regard to the appropriate treatment of patients with ACS [ 4 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

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Quality of Life among Patients with Acute Coronary Syndromes Receiving Care from Public and Private Health Care Systems in Brazil

Costa

Silva

Oliveira

et al. 2022

Clinics and Practice

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(1) Background: Quality of life (QOL) is used as a health indicator to assess the effectiveness and impact of therapies in certain groups of patients. This study aimed to analyze the QOL of patients with acute coronary syndrome (ACS) who received medical treatment by a public or private health care system. (2) Methods: This observational, prospective, longitudinal study was carried out in four referral hospitals providing cardiology services in Sergipe, Brazil. QoL was evaluated using the Medical Outcomes Study 36-Item Short-Form Health Survey. The volunteers were divided into two groups (public or private health care group) according to the type of health care provided. Multiple linear regression models were used to evaluate QoL at 180 days after ACS. (3) Results: A total of 581 patients were eligible, including 44.1% and 55.9% for public and private health care, respectively. At 180 days after ACS, the public health care group had lower QoL scores for all domains (functional capacity, physical aspects, pain, general health status, vitality, social condition, emotional profile, and health) (p < 0.05) than the private group. The highest QoL level was associated with male sex (p < 0.05) and adherence to physical activity (p ≤ 0.003) for all assessed domains. (4) Conclusions: This shows that social factors and health status disparities influence QoL after ACS in Sergipe.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Quality of Life among Patients with Acute Coronary Syndromes Receiving Care from Public and Private Health Care Systems in Brazil

Costa

Silva

Oliveira

et al. 2022

Clinics and Practice

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“…All participants were evaluated at three time points throughout the study: at hospital admission, and 30 days and 180 days after the ACS event. 4…”

Section: Methodsmentioning

confidence: 99%

“…Patients' personal data were retrieved from the database of first admitted ACS patients during the period from October 2013 to September 2015. 4 A semi-structured questionnaire was used at the time of admission for ACS. Data of age (adults and elderly patients), sex (female and male), self-referred race (white, pardo, black), educational attainment (more or less 9 years of schooling), per capita income (less than 1 salary/person, 1-3 salaries/person, 3-5 salaries/person and more than 5 salaries/person), type of health care (public or private), life habits - alcohol consumption and smoking, reported by the patient or caregiver, and physical activity (classified by the international physical activity questionnaire, IPAQ) - nutritional status according to the body mass index (BMI) and waist circumference (WC).…”

Section: Methodsmentioning

confidence: 99%

Readmission of Patients with Acute Coronary Syndrome and Determinants

Oliveira

Costa

Silva

et al. 2019

Arquivos Brasileiros De Cardiologia

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Background Acute coronary syndrome (ACS) is responsible for high rates of hospital admission and readmission, which are associated with increased costs for the patient and the health system, and increased in-hospital mortality rates. Objective To evaluate readmission in patients with ACS and its determinants. Methods This was a retrospective cohort study of adult and elderly patients with ACS, readmitted to public and private referral cardiology hospitals within one year after the first hospitalization for ACS. The occurrence of readmissions, the time elapsed from the first to the second admission, and the use of medications at admission were collected from the medical records. Associations between categorical variables were evaluated by the chi-square test or the Fisher's exact test. Multiple logistic regression was used to evaluate predictors for readmissions. A p < 0.05 was set as statistically significant. Results Readmission rate was 21.5% (n = 115) and mean time between admissions was 122.7 ± 112.1 days. The patients were mostly men (64.0%), mean age of 63.15 ± 12.3 years. Among readmitted patients, 7% had a prognosis of "death", and 68.7% were readmitted more than once within a one-year period. The main reasons of readmission were cardiovascular diseases including ACS. Private health care and the diagnosis of congestive heart failure were associated with multiple logistic regression. Conclusion ACS was the main cause of readmission, with higher prevalence among users of supplemental health care. Readmissions were associated with previous diagnosis of congestive heart failure and the type of health care provided.

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“…part of the research entitled "Adherence to drug treatment and lifestyle changes in patients with acute coronary syndrome" conducted in four renowned hospitals for cardiac treatments (three private and one public) in Aracaju, Sergipe, Brazil. 11…”

mentioning

confidence: 99%

Influence of Factors Affecting Quality of Life on in-Hospital Cardiovascular Events of Patients with Acute Myocardial Infarction with and without ST-segment Elevation

Jesus¹,

Costa²,

Silva³

et al. 2021

International Journal of Cardiovascular Sciences

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Background: Acute myocardial infarction (AMI), with and without ST-segment elevation (STEMI and NSTEMI, respectively), is the principal cause of cardiovascular morbidity and mortality in Brazil and around the world. Modifiable risk factors (RF) and quality of life (QOL) may correlate with the type of AMI.Objective: To evaluate the influence of QOL and RF on the type of AMI and in-hospital cardiovascular events in STEMI and NSTEMI patients. Methods:This was an observational, cross-sectional study. Patients with AMI attending four referral hospitals (three private and one public) for cardiovascular disease treatment were assessed for QOL using the Brazilian version of the 36-item short form survey. A p < 0.05 was considered statistically significant.Results: We evaluated 480 volunteers; 51% were treated in one of the private hospitals. In total, 55.6% presented with STEMI, and 44.4% with NSTEMI. Patients from the public hospital were 8.56 times more likely to have STEMI compared to those from the private hospitals. There was a higher prevalence of smokers in STEMI (p < 0.028) patients. QOL was not associated with the type of AMI. A negative patient perception of the physical health and pain domains was observed. Although a significant difference between the physical and the mental health domains was not observed, individual domains were correlated with some in-hospital outcomes. Conclusion:There was a higher prevalence of smokers among individuals with STEMI. Domains of QOL showed a statistically significant relationship with the occurrence of in-hospital cardiovascular events, with no difference between the types of AMI.

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Diet quality of patients with acute coronary syndrome receiving public and private health care

Cited by 9 publications

References 12 publications

Quality of Life among Patients with Acute Coronary Syndromes Receiving Care from Public and Private Health Care Systems in Brazil

Quality of Life among Patients with Acute Coronary Syndromes Receiving Care from Public and Private Health Care Systems in Brazil

Readmission of Patients with Acute Coronary Syndrome and Determinants

Influence of Factors Affecting Quality of Life on in-Hospital Cardiovascular Events of Patients with Acute Myocardial Infarction with and without ST-segment Elevation

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