TAILIEUCHUNG - báo cáo khoa học:" Patient-reported outcomes as predictors of 10-year survival in women after acute myocardial infarction"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Patient-reported outcomes as predictors of 10-year survival in women after acute myocardial infarction | Norekvảl et al. Health and Quality of Life Outcomes 2010 8 140 http content 8 1 140 HEALTH AND QUALITY of life outcomes RESEARCH Open Access Patient-reported outcomes as predictors of 10-year survival in women after acute myocardial infarction 3 2 5 16 Tone M Norekvẵl 1 Bengt Fridlund Berit Rokne Leidulf Segadal 1 Tore Wentzel-Larsen Jan Erik Nordrehaug 1 Abstract Background Patient-reported outcomes are increasingly seen as complementary to biomedical measures. However their prognostic importance has yet to be established particularly in female long-term myocardial infarction MI survivors. We aimed to determine whether 10-year survival in older women after MI relates to patient-reported outcomes and to compare their survival with that of the general female population. Methods We included all women aged 60-80 years suffering MI during 1992-1997 and treated at one university hospital in Norway. In 1998 145 60 of those alive completed a questionnaire package including sociodemographics the Sense of Coherence Scale SOC-29 the World Health Organization Quality of Life Instrument Abbreviated WHOQOL-BREF and an item on positive effects of illness. Clinical information was based on selfreports and hospital medical records data. We obtained complete data on vital status. Results The all-cause mortality rate during the 1998-2008 follow-up of all patients was 41 . In adjusted analysis the conventional predictors s-creatinine HR per 10 increase and left ventricular ejection fraction below 30 HR as well as patient-reported outcomes like living alone HR dissatisfaction with self-rated health HR impaired psychological quality of life HR per 10 points difference and experience of positive effects of illness HR predicted all-cause death. Major adverse cardiac and cerebral events were also significantly associated with both conventional predictors and patient-reported outcomes. Sense of coherence did not predict adverse events. .

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