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Self-reported health status in coronary heart disease patients: a comparison with the general population

Delphine De Smedt (UGent) , Els Clays (UGent) , Lieven Annemans (UGent) , Sofie Pardaens (UGent) , Kornelia Kotseva and Dirk De Bacquer (UGent)
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Abstract
Background: The aim of our study was to compare Euroqol-5D (EQ-5D) outcomes in coronary heart disease (CHD) patients with those from the general population. We aimed to identify those dimensions which were mostly impaired. Methods: EQ-5D results (both the dimensions and the EQ-5D visual analogue scale (EQ-VAS)) from a European sample (11 countries) of coronary patients were compared with published age- and gender-specific normative data. Results: EQ-5D outcomes differed across countries and gender. Overall, the age-adjusted EQ-VAS scores were significantly lower in coronary patients compared with the general population, both in males (mean difference (MD)= -5.24(-7.59 to -2.88)) and in females (MD= -8.32 (-11.69 to -4.95)). Coronary patients had a significantly higher risk to report moderate or severe problems related to anxiety/depression (odds ratio (OR) male=1.84 (1.14-2.95); OR female=3.20 (2.32-4.40)). Furthermore, female coronary patients reported more problems on the mobility (OR=2.00 (1.38-2.90)), usual activity (OR= 2.54 (1.81-3.57)) and pain/discomfort dimension (OR=1.73 (1.23-2.43)) whereas in males, a borderline significant OR was found on the mobility (OR=1.43 (0.97-2.11)) and usual activity dimension (OR=1.44 (0.94-2.20)). The difference between the general population and the CHD patients attenuated as age increased. Conclusions: CHD has a negative influence on patient's self-reported health status, both the EQ-VAS as well as the EQ-5D dimensions (with the exception of self-care in both genders and pain/discomfort in males) were impaired. The relative impairment was the greatest in female patients and the differences in the proportion of reported problems diminished with increasing age. The EQ-5D instrument is appropriate in capturing problems related to anxiety/depression, pain/discomfort, mobility and usual activities. Within clinical practice, particular attention should be given to females and younger CHD patients.
Keywords
Coronary heart disease, EQ-5D, ACUTE MYOCARDIAL-INFARCTION, QUALITY-OF-LIFE, ARTERY-BYPASS SURGERY, GENDER-DIFFERENCES, CARDIOVASCULAR-DISEASE, SEX-DIFFERENCES, EUROASPIRE III, SYMPTOMS, RATED HEALTH, DEPRESSION

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MLA
De Smedt, Delphine, Els Clays, Lieven Annemans, et al. “Self-reported Health Status in Coronary Heart Disease Patients: a Comparison with the General Population.” EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING 14.2 (2015): 117–125. Print.
APA
De Smedt, D., Clays, E., Annemans, L., Pardaens, S., Kotseva, K., & De Bacquer, D. (2015). Self-reported health status in coronary heart disease patients: a comparison with the general population. EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 14(2), 117–125.
Chicago author-date
De Smedt, Delphine, Els Clays, Lieven Annemans, Sofie Pardaens, Kornelia Kotseva, and Dirk De Bacquer. 2015. “Self-reported Health Status in Coronary Heart Disease Patients: a Comparison with the General Population.” European Journal of Cardiovascular Nursing 14 (2): 117–125.
Chicago author-date (all authors)
De Smedt, Delphine, Els Clays, Lieven Annemans, Sofie Pardaens, Kornelia Kotseva, and Dirk De Bacquer. 2015. “Self-reported Health Status in Coronary Heart Disease Patients: a Comparison with the General Population.” European Journal of Cardiovascular Nursing 14 (2): 117–125.
Vancouver
1.
De Smedt D, Clays E, Annemans L, Pardaens S, Kotseva K, De Bacquer D. Self-reported health status in coronary heart disease patients: a comparison with the general population. EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING. 2015;14(2):117–25.
IEEE
[1]
D. De Smedt, E. Clays, L. Annemans, S. Pardaens, K. Kotseva, and D. De Bacquer, “Self-reported health status in coronary heart disease patients: a comparison with the general population,” EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, vol. 14, no. 2, pp. 117–125, 2015.
@article{4250226,
  abstract     = {Background: The aim of our study was to compare Euroqol-5D (EQ-5D) outcomes in coronary heart disease (CHD) patients with those from the general population. We aimed to identify those dimensions which were mostly impaired. 
Methods: EQ-5D results (both the dimensions and the EQ-5D visual analogue scale (EQ-VAS)) from a European sample (11 countries) of coronary patients were compared with published age- and gender-specific normative data. 
Results: EQ-5D outcomes differed across countries and gender. Overall, the age-adjusted EQ-VAS scores were significantly lower in coronary patients compared with the general population, both in males (mean difference (MD)= -5.24(-7.59 to -2.88)) and in females (MD= -8.32 (-11.69 to -4.95)). Coronary patients had a significantly higher risk to report moderate or severe problems related to anxiety/depression (odds ratio (OR) male=1.84 (1.14-2.95); OR female=3.20 (2.32-4.40)). Furthermore, female coronary patients reported more problems on the mobility (OR=2.00 (1.38-2.90)), usual activity (OR= 2.54 (1.81-3.57)) and pain/discomfort dimension (OR=1.73 (1.23-2.43)) whereas in males, a borderline significant OR was found on the mobility (OR=1.43 (0.97-2.11)) and usual activity dimension (OR=1.44 (0.94-2.20)). The difference between the general population and the CHD patients attenuated as age increased. 
Conclusions: CHD has a negative influence on patient's self-reported health status, both the EQ-VAS as well as the EQ-5D dimensions (with the exception of self-care in both genders and pain/discomfort in males) were impaired. The relative impairment was the greatest in female patients and the differences in the proportion of reported problems diminished with increasing age. The EQ-5D instrument is appropriate in capturing problems related to anxiety/depression, pain/discomfort, mobility and usual activities. Within clinical practice, particular attention should be given to females and younger CHD patients.},
  author       = {De Smedt, Delphine and Clays, Els and Annemans, Lieven and Pardaens, Sofie and Kotseva, Kornelia and De Bacquer, Dirk},
  issn         = {1474-5151},
  journal      = {EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING},
  keywords     = {Coronary heart disease,EQ-5D,ACUTE MYOCARDIAL-INFARCTION,QUALITY-OF-LIFE,ARTERY-BYPASS SURGERY,GENDER-DIFFERENCES,CARDIOVASCULAR-DISEASE,SEX-DIFFERENCES,EUROASPIRE III,SYMPTOMS,RATED HEALTH,DEPRESSION},
  language     = {eng},
  number       = {2},
  pages        = {117--125},
  title        = {Self-reported health status in coronary heart disease patients: a comparison with the general population},
  url          = {http://dx.doi.org/10.1177/1474515113519930},
  volume       = {14},
  year         = {2015},
}

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