This study analyze change in health-related quality-of-life (HQL) utcome following myocardial infraction (MI) trom a population-based perspective Data came from a representative ample 2812 men and women 65 years and older living in New Haven, CT.
All subjects were interviewed at baseline in 1982, and again in 1985 and 1988.
HQL outcomes included self-rated bealth, depressive symptoms, and physical and social functioning.
Pooled logistic regression models were used to estimate the risk for decline in HQL outcomes due to MI.
Of the 203 MIs during follow-up, 111 (55%) survived until the next interview to provide post-MI data on outcomes.
In bivariate analysis, MI patients were more likely than subjects without MI to show a decline in physical functioning (26.4 vs. 11.9%, P=001) and social functioning (31.4% vs. 20.8%, P=06).
There were no differences in self-rated health (26.3% vs. 26.9%), but MI patients were less likely to show an increase in depression (9.1% vs. 15.8 P=08).
These associations remained mostly unchanged after adjustment for CHD risk factors.
The effect of MI on physical and social functionin was much tronger amon patient with a recent MI (<1 year ago) than those whose MI had occurred more than a vear before post-MI assessment.
While a substantial proportion of MI patients experience a significant decline in quality of life-related outcomes, only some of these declines occur more frequently among MI patients than in the population at large. (...)
Mots-clés Pascal : Infarctus, Myocarde, Qualité vie, Aspect social, Santé, Santé mentale, Epidémiologie, Evaluation, Pronostic, Vieillard, Homme, Etats Unis, Amérique du Nord, Amérique, Appareil circulatoire pathologie, Cardiopathie coronaire, Myocarde pathologie, Santé physique
Mots-clés Pascal anglais : Infarct, Myocardium, Quality of life, Social aspect, Health, Mental health, Epidemiology, Evaluation, Prognosis, Elderly, Human, United States, North America, America, Cardiovascular disease, Coronary heart disease, Myocardial disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0453298
Code Inist : 002B12A03. Création : 25/01/1999.