Document Detail

Change in disability status as a predictor of long-term survival after myocardial infarction in the elderly.
MedLine Citation:
PMID:  7270326     Owner:  NLM     Status:  MEDLINE    
Seventy-five consecutive patients discharged from a geriatric medical ward after a proven myocardial infarction and still alive at three months were followed for three years. Twenty-two died. Sixty-five patients replied to a postal questionnaire designed to assess their degree of psychological impairment and disability sent at the end of the first and third month after discharge. The predictive value of an increased independency rating between the two administrations of the questionnaire for survival was 77%. The predictive value of a decreased independency rating for mortality was 52%. The only clinical feature noted on admission, whose frequency differed significantly between the group who died and those who survived, was a systolic blood pressure of 160 mmHg or more on admission but this was a less satisfactory predictor than change in disability status. Patients who improve their disability status in the few months after a myocardial infarction also have a low long-term mortality and can safely be excluded from out-patient follow-up.
M S Pathy; H Peach
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Age and ageing     Volume:  10     ISSN:  0002-0729     ISO Abbreviation:  Age Ageing     Publication Date:  1981 Aug 
Date Detail:
Created Date:  1981-10-25     Completed Date:  1981-10-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375655     Medline TA:  Age Ageing     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  174-8     Citation Subset:  IM    
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MeSH Terms
Dependency (Psychology)*
Follow-Up Studies
Myocardial Infarction / mortality*,  psychology
Social Adjustment

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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