Document Detail


Physical health status assessed during hospitalization for acute coronary syndrome predicts mortality 12 months later.
MedLine Citation:
PMID:  19027449     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Self-report measures of health status predict mortality in several groups of patients with cardiovascular disease, although overlap with symptoms of depression may reduce or eliminate this relationship. The association between self-reported health status and mortality has not been examined in patients hospitalized for acute coronary syndrome (ACS). The objective was to investigate whether the Physical Component Summary (PCS) and Mental Component Summary (MCS) scores of the SF-12 predicted 12-month all-cause mortality after controlling for cardiac risk factors and symptoms of depression. METHODS: The SF-12 and Beck Depression Inventory were administered 2-5 days after admission to 800 ACS patients from 12 coronary care units. Logistic regression was used to assess the relationship of the PCS and MCS with mortality 12 months later, controlling for age, sex, cardiac diagnosis (acute myocardial infarction vs. unstable angina), Killip class, history of myocardial infarction, and in-hospital depressive symptoms. RESULTS: Lower scores on the SF-12 PCS (worse health) were associated with a significantly higher risk of mortality [odds ratio (OR)=0.94, 95% confidence interval (CI)=0.92-0.97, P<.001]. MCS scores failed to reach significance (OR=0.98, CI=0.95-1.00, P=.053). The PCS significantly predicted mortality even after controlling for other cardiac risk factors and depressive symptoms (OR=0.96, CI=0.93-0.99, P=.008), equivalent to a 34% increase in risk per 10-point (1 SD) decrement in PCS scores. CONCLUSION: The brief SF-12 PCS presents an attractive option for improving risk stratification among hospitalized ACS patients.
Authors:
Brett D Thombs; Roy C Ziegelstein; Donna E Stewart; Susan E Abbey; Kapil Parakh; Sherry L Grace
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2008-10-29
Journal Detail:
Title:  Journal of psychosomatic research     Volume:  65     ISSN:  0022-3999     ISO Abbreviation:  J Psychosom Res     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-25     Completed Date:  2009-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376333     Medline TA:  J Psychosom Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  587-93     Citation Subset:  IM    
Affiliation:
Department of Psychiatry, McGill University and Sir Mortimer B. Davis-Jewish General Hospital, Quebec, Canada. brett.thombs@mcgill.ca
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MeSH Terms
Descriptor/Qualifier:
Acute Coronary Syndrome / diagnosis*,  mortality
Follow-Up Studies
Health Status*
Hospitalization*
Humans
Outcome Assessment (Health Care)
Personality Inventory
Prospective Studies
Questionnaires
Grant Support
ID/Acronym/Agency:
R24AT004641/AT/NCCAM NIH HHS

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