Feelings of being disabled as a prognostic factor formortality inmen and women post-PCI up to 12 years
| Autor: | Michael J. Bergmann, Karolijn Dulfer, Sumant P Radhoe, Joost Daemen, Tom A.J. de Jager, Elisabeth M. W. J. Utens, Mattie J. Lenzen, Ron T. van Domburg |
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| Přispěvatelé: | Child Psychiatry, Developmental Psychopathology (RICDE, FMG), Child and Adolescent Psychiatry / Psychology, Cardiology |
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Prognostic factor Time Factors media_common.quotation_subject medicine.medical_treatment Emotions Coronary Artery Disease 030204 cardiovascular system & hematology 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine Internal medicine medicine Humans Disabled Persons Prospective Studies Registries 030212 general & internal medicine Mortality Risk factor Aged media_common business.industry Percutaneous coronary intervention Middle Aged Prognosis Treatment Outcome Increased risk Feeling Conventional PCI Physical therapy Population study Female Cardiology and Cardiovascular Medicine business Psychosocial |
| Zdroj: | International journal of cardiology, 249, 107-111. Elsevier Ireland Ltd International Journal of Cardiology, 249, 107-111. Elsevier International Journal of Cardiology, 249, 107-111. Elsevier Ireland Ltd |
| ISSN: | 1874-1754 0167-5273 |
| Popis: | BackgroundIt remains unclear whether feelings of being disabled are a relevant psychological factor that determines long term outcome after percutaneous coronary intervention (PCI). Therefore, we evaluated ‘feelings of being disabled’ as an independent risk factor for mortality 12 years post-PCI.MethodsThe study population comprised a consecutive series of CAD patients (n = 845) treated with PCI as part of the Taxus-Stent Evaluated At Rotterdam Cardiology Hospital (T-SEARCH) registry. Of these patients n = 646 (age 63 years, 75% male) completed the subscale ‘feelings of being disabled’ of the Heart Patients Psychological Questionnaire (HPPQ), within the first month after PCI.ResultsAt 12 year follow-up, n = 209 patients (32%) died. Of the 162 females n = 73 (45%) experienced high feelings of being disabled (High-FOBD) and of the 484 males, n = 134 (28%) reported high-FOBD. Patients with high feelings of being disabled had a two-fold increased risk of mortality at 12-year follow-up (HR = 1.86, 95% CI = 1.41–2.45). After adjusting, high feelings of being disabled remained a predictor of 12-year mortality (HR = 2.53, 95% CI = 1.30–4.90).ConclusionsThis study confirms that psychosocial variables like feelings of being disabled influence cardiac morbidity and mortality. Furthermore, there is no difference in mortality between men and women with high feelings of being disabled 12 years post-PCI. It is important that clinicians are aware that PCI-patients who feel disabled have a less favorable survival and that the difference in survival is even greater for women who feel disabled. |
| Databáze: | OpenAIRE |
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