Key result
A single-item general self-rated health question did not significantly predict 12-month mortality in ACS patients after adjusting for cardiac risk factors (OR 0.80; 95% CI 0.40-1.60; P=0.522).
Why the study?
Does a single-item general self-rated health (GSRH) question predict mortality 12 months post-discharge in patients with acute coronary syndrome?
Cohort (n=800)
Does a single-item general self-rated health (GSRH) question predict mortality 12 months post-discharge in patients with acute coronary syndrome?
Odds Ratio: 0.8 (95% CI 0.4–1.6)
p-value: p=0.522
A single-item general self-rated health question does not independently predict 12-month mortality in patients with acute coronary syndrome after adjusting for other cardiac risk factors.
Does not support using single-item self-rated health for post-ACS mortality prediction; leaves open its value in larger cohorts or alternative models.
BACKGROUND: A single-item general self-rated health (GSRH) question consistently predicts mortality in community cohort studies, but has not been examined in patients with acute coronary syndrome (ACS). We investigated whether a single-item GSRH question predicted mortality 12 months post-discharge in 800 ACS patients. METHODS: Logistic regression was used to assess the relationship of the single-item GSRH question with mortality, controlling for cardiac risk factors, including depressive symptoms. RESULTS: The single-item GSHR question was associated with mortality on a bivariable basis (odds ratio=0.50, 95% confidence interval=0.28-0.92, P=0.027), but was not significant after controlling for other risk factors (odds ratio=0.80, 95% confidence interval=0.40-1.60, P=0.522).
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Thombs et al. (2008) conducted a cohort in Acute coronary syndrome (n=800). Single-item general self-rated health (GSRH) question was evaluated on Mortality 12 months post-discharge (OR 0.80, 95% CI 0.40-1.60, p=0.522). A single-item general self-rated health question did not significantly predict 12-month mortality in ACS patients after adjusting for cardiac risk factors (OR 0.80; 95% CI 0.40-1.60; P=0.522).
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