Self-rated health predicts outcome in patients with type 2 diabetes and myocardial infarction: A DIGAMI 2 quality of life sub-study

Venskutonytė, Laura; Brismar, Kerstin; Öhrvik, John; Rydén, Lars; Kjellström, Barbro

doi:10.1177/1479164113482694

Cited by 21 publications

(10 citation statements)

References 32 publications

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“…Quality of life (QoL) measures are frequently utilized tools for outcomes analysis post-stroke, but may also serve as an important independent predictor of major diseases. Health-related QoL has been reported to independently predict mortality following Coronary Artery Bypass Grafting (CABG) 3 , Myocardial Infarction (MI) 4,5 , heart failure 6 , Diabetes Mellitus 78 , and Hemodialysis 9 . Egido et al found that psychosocial stress predicted stroke in a small case-control study, implying that QoL is a significant causative role 1011 .…”

Section: Introductionmentioning

confidence: 99%

Baseline Quality of Life and Risk of Stroke in the ALLHAT Study (Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial)

Shams

Auchus

Oparil

et al. 2017

Stroke

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Background and Purpose The visual analogue scale (VAS) is a self-reported, validated tool to measure quality of life (QoL). Our purpose was to determine whether baseline QoL predicted strokes in the ALLHAT study and evaluate determinants of post-stroke change in QoL. In the ALLHAT study, among the 33,357 patients randomized to treatment arms, 1,525 suffered strokes; 1,202 (79%) strokes were non-fatal. This study cohort includes 32,318 (97%) subjects who completed the baseline VAS QoL estimate. Methods QoL was measured on a VAS and adjusted using a Torrance transformation (TQoL). Kaplan-Meier curves and adjusted proportional hazards analyses were used to estimate the effect of TQoL on the risk of stroke, on a continuous scale (0–1) and by quartiles (≤0.81, >0.81 ≤0.89, >0.89≤0.95, >0.95). We analyzed the change from baseline to first post-stroke TQoL using adjusted linear regression. Results After adjusting for multiple stroke risk factors, the hazard ratio for stroke events for baseline TQoL was 0.93 (95% CI 0.89–0.98) per 0.1 unit increase. The lowest baseline TQoL quartile had a 20% increased stroke risk (HR =1.20 [CI 1.00–1.44]) compared to the reference highest quartile TQoL. Post-stroke TQoL change was significant within all treatment groups (p≤.001). Multivariate regression analysis revealed that baseline TQoL was the strongest predictor of post-stroke TQoL with similar results for the untransformed QoL. Conclusions The lowest baseline TQoL quartile had a 20% higher stroke risk than the highest quartile. Baseline TQoL was the only factor that predicted post-stroke change in TQoL. Clinical Trials Registration https://clinicaltrials.gov/ct2/show/NCT00000542?term=allhat&rank=3 Unique Identifier: NCT00000542

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Section: Introductionmentioning

confidence: 99%

Baseline Quality of Life and Risk of Stroke in the ALLHAT Study (Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial)

Shams

Auchus

Oparil

et al. 2017

Stroke

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“…According to the GRACE score, the median (interquartile range [IQR]) risk of post-discharge death in the next 6 months was 5%. [3][4][5][6][7][8][9] Per study design, the average level of perceived acute distress during MI was substantial, whereas the average level of cognitive depressive symptoms was low.…”

Section: Resultsmentioning

confidence: 96%

“…Low self-rated health (SRH), assessed with a single-item question, is a robust predictor of all-cause mortality over a follow-up of 1 to 25 years 1 and of cardiovascular mortality in individuals with and without cardiovascular disease (CVD) after 2 to 23 years of follow-up. 2 In patients with coronary heart disease, SRH predicted recurrent coronary events and death, 3 as well as all-cause mortality, death from CVD, nonfatal myocardial infarction (MI) and stroke, 4 all after 2 years of follow-up. When assessed within a few days after acute coronary syndrome (ACS), SRH predicted mortality at 1-year follow-up, 5 whereas improvement in SRH from 1 year before to 3 to 6 months after MI lowered the risk of recurrent cardiac ischemic events during 13 years of follow-up.…”

Section: Introductionmentioning

confidence: 99%

Low Self-rated Health Is Related to Blood Hypercoagulability in Patients Admitted with Acute Myocardial Infarction

et al. 2018

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Self-rated health (SRH) is independently associated with all-cause mortality and adverse cardiovascular outcomes in individuals with and without cardiovascular disease. We examined whether SRH relates to haemostatic factors of a hypercoagulable state with prognostic impact in patients admitted with acute myocardial infarction (MI). We assessed 190 patients (median age: 59 years; all Caucasian; 83% men) within 48 hours of an acute coronary intervention in terms of demographic factors, medical and psychiatric comorbidity, health behaviours, cardiac-related variables and psychosocial characteristics. Patients rated their health state before MI retrospectively with the EuroQol Visual Analogue Scale ranging from 0 ('worst imaginable health state') to 100 ('best imaginable health state'). Circulating levels of fibrinogen, fibrin D-dimer and von Willebrand factor (VWF) antigen were measured the morning after hospital referral. The median score of SRH was 75 (range: 20-100). SRH was inversely associated with fibrinogen ( = - 0.25, = 0.001) and D-dimer ( = - 0.17, = 0.021) levels in the bivariate analysis. Stronger relationships emerged for fibrinogen ( = - 0.33, < 0.001), D-dimer ( = - 0.25, = 0.001) and also VWF ( = - 0.19, = 0.015) levels in fully adjusted linear regression models. As for SRH, the Global Registry of Acute Coronary Events (GRACE) risk score was the only covariate showing an independent association with all haemostatic factors (fibrinogen: = 0.31, D-dimer: = 0.29, VWF: = 0.30; all -values< 0.001). Lower SRH was associated with greater coagulability in patients with acute MI, independent of covariates and comparable with the GRACE risk score. The findings provide a novel psychobiological mechanism that may potentially link SRH with cardiovascular outcome in patients with an acute coronary syndrome.

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“…The impact that these generate in the physical, mental and social well-being of individuals, being important in the analysis of individual and population health by health professionals. (11) Understanding the health subjectively creates relationships with other factors involving the individual's life (such as access to information), in addition to the physical condition, which reinforces its importance as an indicator of health needs.…”

Section: Discussionmentioning

confidence: 99%

Fatores associados aos indicadores de necessidades em saúde de homens adultos

2014

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Objective: To identify associated factors as indicators of health needs of adult men. Methods: Cross-sectional study, type of population-based household survey, conducted with 421 men aged between 20 and 59 years selected at random and systematic way. The research instrument was structured in a form based on the variables of study. For the analysis, we used multiple logistic regression models. Results: Unemployed men, aged between 30 and 39 years and with lower levels of education reported a greater proportion of self-perceived health as fair/poor, being economic class, an important variable, adjusted for the multiple model. Retired men or on sick leave, aged between 40 and 49 years old and white, had higher frequency of morbidity. Conclusion: The age group and occupational status were associated with self-perceived health and morbidity, the latter being also associated with skin color. ResumoObjetivo: Identificar fatores associados aos indicadores das necessidades em saúde de homens adultos. Métodos: Estudo transversal, tipo inquérito domiciliar de base populacional, realizado junto a 421 homens com idade entre 20 e 59 anos selecionados de forma aleatória e sistemática. O instrumento de pesquisa foi um formulário estruturado com base nas variáveis de estudo. Para a análise utilizaram-se Modelos de Regressão Logística Múltipla. Resultados: Homens desempregados, com idade entre 30 e 39 anos e com menores níveis de escolaridade referiram, em maior proporção, a autopercepção de saúde regular/ruim, sendo a classe econômica, uma variável importante, pois ajustou o modelo múltiplo. Homens aposentados ou em licença médica, com idade entre 40 e 49 anos e de cor branca, apresentaram maior freqüência de morbidade. Conclusão: A faixa etária e o status ocupacional estiveram associados à autopercepção da saúde e à morbidade referida, sendo esta última também associada à cor da pele. KeywordsNursing in public health; Nursing in primary care; Men's health; Needs and demands of health services; Adults Descritores Enfermagem em saúde pública; Enfermagem em atenção primária; Saúde do homem; Necessidades e demandas de serviços de saúde; Adulto

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Self-rated health predicts outcome in patients with type 2 diabetes and myocardial infarction: A DIGAMI 2 quality of life sub-study

Cited by 21 publications

References 32 publications

Baseline Quality of Life and Risk of Stroke in the ALLHAT Study (Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial)

Baseline Quality of Life and Risk of Stroke in the ALLHAT Study (Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial)

Low Self-rated Health Is Related to Blood Hypercoagulability in Patients Admitted with Acute Myocardial Infarction

Fatores associados aos indicadores de necessidades em saúde de homens adultos

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