Key result
Poor self-rated health was associated with a 3.3-fold increased risk of incident fatal and non-fatal cardiovascular disease events compared to excellent self-rated health.
Why the study?
Does poor self-rated health predict incident cardiovascular disease events or death in middle-aged adults without prevalent CVD?
Population
20,941 men and women aged 39-74 years without prevalent cardiovascular disease at baseline
Comparison
Self-rated health assessment vs Excellent self-rated health
Design
Cohort
Follow-up
mean 11 years
Authors
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SRH independently predicts incident CVD after risk-factor adjustment; leaves open its added value for clinical risk stratification.
Cohort (n=20,914)
Does poor self-rated health predict incident cardiovascular disease events or death in middle-aged adults without prevalent CVD?
Hazard Ratio: 3.3 (95% CI 2.4–4.4)
Absolute Event Rate: 21.2% vs 7%
Self-rated health is a strong, independent predictor of incident fatal and non-fatal CVD events over a decade of follow-up, serving as a useful patient-centered risk indicator.
Linde et al. (2013) conducted a cohort in Healthy individuals without prevalent cardiovascular disease (n=20,914). Poor self-rated health vs. Excellent self-rated health was evaluated on Incident fatal and non-fatal cardiovascular disease events (HR 3.3, 95% CI 2.4-4.4). Poor self-rated health was associated with a 3.3-fold increased risk of incident fatal and non-fatal cardiovascular disease events compared to excellent self-rated health.
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