The Association Between Self-Rated Health and Mortality in a Well-Characterized Sample of Coronary Artery Disease Patients

作者: Hayden B. Bosworth , Ilene C. Siegler , Beverly H. Brummett , John C. Barefoot , Redford B. Williams

DOI: 10.1097/00005650-199912000-00006

关键词:

摘要: BACKGROUND The relationship between self-rated health and mortality after adjustment for sociodemographic variables, physician-rated comorbidities, disease severity, health-related quality of life (HRQOL), psychosocial measures (depression, social support, functional ability) was examined in the Mediators Social Support (MOSS) study. SUBJECTS sample consisted 2,885 individuals (mean age, 62.5 years) who had significant heart based upon catheterization. RESULTS. Using Cox proportional survival analysis, rated their as "fair" or "poor" a significantly greater likelihood all-cause (OR = 2.13; CI 1.40-3.23; OR 4.92; 3.24-7.46, respectively) across follow-up (mean, 3.5 than those "very good" considering factors. After HRQOL, factors, demographic only poor risk 2.96, 1.80-4.85). A similar pattern observed coronary artery (CAD)-related mortality; increased variables weakened mortality. Individuals CAD-related did very good (poor vs. 3.58, 2.13-6.02) all available CONCLUSIONS This study indicates that it is important to include when studying factors Not adjusting relevant may provide an overestimation effects on CAD patients.

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