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A high sense of coherence as protection against adverse health outcomes in patients aged 80 years and older

(2016) ANNALS OF FAMILY MEDICINE. 14(4). p.337-343
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Abstract
PURPOSE: We set out to assess whether a high sense of coherence (SOC) protects from adverse health outcomes in patients aged 80 years and older who have multiple chronic diseases. METHODS: A population-based prospective cohort study in 29 primary care practices throughout Belgium included 567 individuals aged 80 years and older. We plotted the highest tertile of SOC scores in Kaplan-Meier curves representing 3-year mortality and time to first hospitalization. Using Cox proportional hazard regression analyses and multiple logistic regression analyses adjusted for sociodemographic characteristics, depression, cognition, disability, and multimorbidity we examined the relationship between SOC and mortality, hospitalization, and decline in performance of activities of daily living (ADL). RESULTS: Subjects with high SOC scores showed a higher cumulative survival than others (Log rank = 0.004) independent of other prognostic characteristics (adjusted hazard ratio 0.62 (95% CI, 0.38-1.00), P = .049). For ADL decline, a high SOC was shown to be protective, and this effect tended to be independent from the covariates under study (adjusted odds ratio 0.56 (95% CI, .31-1.0), P = .05). CONCLUSION: Even very elderly persons with high SOC scores were shown to have lower mortality rates and less functional decline. These effects were independent of multimorbidity, depression, cognition, disability, and sociodemographic characteristics.
Keywords
sense of coherence, multimorbidity, depression, aged, 80 and over, mortality, functional decline, QUALITY-OF-LIFE, ILLNESS RATING-SCALE, ALL-CAUSE MORTALITY, PROSPECTIVE COHORT, PRIMARY-CARE, GERIATRIC DEPRESSION, ANTONOVSKYS SENSE, NORTHERN SWEDEN, FAMILY-PRACTICE, INNER STRENGTH

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MLA
Boeckxstaens, Pauline, et al. “A High Sense of Coherence as Protection against Adverse Health Outcomes in Patients Aged 80 Years and Older.” ANNALS OF FAMILY MEDICINE, vol. 14, no. 4, 2016, pp. 337–43, doi:10.1370/afm.1950.
APA
Boeckxstaens, P., Vaes, B., De Sutter, A., Aujoulat, I., van Pottelbergh, G., Matheï, C., & Degryse, J.-M. (2016). A high sense of coherence as protection against adverse health outcomes in patients aged 80 years and older. ANNALS OF FAMILY MEDICINE, 14(4), 337–343. https://doi.org/10.1370/afm.1950
Chicago author-date
Boeckxstaens, Pauline, Bert Vaes, An De Sutter, Isabelle Aujoulat, Gijs van Pottelbergh, Catharina Matheï, and Jean-Marie Degryse. 2016. “A High Sense of Coherence as Protection against Adverse Health Outcomes in Patients Aged 80 Years and Older.” ANNALS OF FAMILY MEDICINE 14 (4): 337–43. https://doi.org/10.1370/afm.1950.
Chicago author-date (all authors)
Boeckxstaens, Pauline, Bert Vaes, An De Sutter, Isabelle Aujoulat, Gijs van Pottelbergh, Catharina Matheï, and Jean-Marie Degryse. 2016. “A High Sense of Coherence as Protection against Adverse Health Outcomes in Patients Aged 80 Years and Older.” ANNALS OF FAMILY MEDICINE 14 (4): 337–343. doi:10.1370/afm.1950.
Vancouver
1.
Boeckxstaens P, Vaes B, De Sutter A, Aujoulat I, van Pottelbergh G, Matheï C, et al. A high sense of coherence as protection against adverse health outcomes in patients aged 80 years and older. ANNALS OF FAMILY MEDICINE. 2016;14(4):337–43.
IEEE
[1]
P. Boeckxstaens et al., “A high sense of coherence as protection against adverse health outcomes in patients aged 80 years and older,” ANNALS OF FAMILY MEDICINE, vol. 14, no. 4, pp. 337–343, 2016.
@article{8035492,
  abstract     = {{PURPOSE: We set out to assess whether a high sense of coherence (SOC) protects from adverse health outcomes in patients aged 80 years and older who have multiple chronic diseases. 
METHODS: A population-based prospective cohort study in 29 primary care practices throughout Belgium included 567 individuals aged 80 years and older. We plotted the highest tertile of SOC scores in Kaplan-Meier curves representing 3-year mortality and time to first hospitalization. Using Cox proportional hazard regression analyses and multiple logistic regression analyses adjusted for sociodemographic characteristics, depression, cognition, disability, and multimorbidity we examined the relationship between SOC and mortality, hospitalization, and decline in performance of activities of daily living (ADL).
RESULTS: Subjects with high SOC scores showed a higher cumulative survival than others (Log rank = 0.004) independent of other prognostic characteristics (adjusted hazard ratio 0.62 (95% CI, 0.38-1.00), P = .049). For ADL decline, a high SOC was shown to be protective, and this effect tended to be independent from the covariates under study (adjusted odds ratio 0.56 (95% CI, .31-1.0), P = .05).
CONCLUSION: Even very elderly persons with high SOC scores were shown to have lower mortality rates and less functional decline. These effects were independent of multimorbidity, depression, cognition, disability, and sociodemographic characteristics.}},
  author       = {{Boeckxstaens, Pauline and Vaes, Bert and De Sutter, An and Aujoulat, Isabelle and van Pottelbergh, Gijs and Matheï, Catharina and Degryse, Jean-Marie}},
  issn         = {{1544-1709}},
  journal      = {{ANNALS OF FAMILY MEDICINE}},
  keywords     = {{sense of coherence,multimorbidity,depression,aged,80 and over,mortality,functional decline,QUALITY-OF-LIFE,ILLNESS RATING-SCALE,ALL-CAUSE MORTALITY,PROSPECTIVE COHORT,PRIMARY-CARE,GERIATRIC DEPRESSION,ANTONOVSKYS SENSE,NORTHERN SWEDEN,FAMILY-PRACTICE,INNER STRENGTH}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{337--343}},
  title        = {{A high sense of coherence as protection against adverse health outcomes in patients aged 80 years and older}},
  url          = {{http://dx.doi.org/10.1370/afm.1950}},
  volume       = {{14}},
  year         = {{2016}},
}

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