What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Myocardial Infarction (n=270). Intervention: Financial burden vs. No financial burden. Primary outcome: Quality of life (EQ-5D index value) at 1 month post-discharge (p=0.002).

September 19, 2017BMC Cardiovascular DisordersOpen Access

Financial burden of survivors of medically-managed myocardial infarction and its association with selected social determinants and quality of life in a lower middle income country

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Key result

Experiencing a financial burden was significantly associated with a lower quality of life (EQ-5D index score p=0.002) among survivors of medically-managed myocardial infarction at one month post-discharge.

Population

270 survivors of myocardial infarction managed medically, median age 58, 68.9% male, in Sri Lanka.

Design

Cross-sectional

Follow-up

1 month post-discharge

Authors

PMPasyodun Koralage Buddhika MaheshWestern Cape Department of Health MGM. W. GunathungaUniversity of Colombo SJSaroj JayasingheUniversity of Colombo

Discussion

Member takes

Implication

Financial burden may impair early QoL after medically managed MI; leaves open whether interventions improve outcomes.

Study Design

Type

Cross-Sectional (n=270)

Multicenter

Yes

Structured PICO

Population

270 survivors of medically-managed myocardial infarction in Sri Lanka, assessed at 1 month post-discharge to evaluate financial burden and its impact on quality of life.

Outcome

Financial burden (defined as actual or potential financial loss causing worry) and Quality of Life (measured by EQ-5D-3L index and VAS scores) at 1 month post-dischargepatient reported

Main Result

Absolute Event Rate: 0.486% vs 0.671%

p-value: p=0.002

Among medically managed myocardial infarction survivors in a lower-middle-income country, financial burden is common and significantly impairs 1-month post-discharge quality of life.

Limitations

Financial burden was assessed categorically without monetary quantification.
Out-of-pocket expenditure may have been influenced by temporary scarcities of medicines in particular hospitals.
Exclusion of patients managed with invasive interventions limits generalizability.
Left ventricular ejection fraction analysis was only available for approximately one fourth of the respondents.
The financial burden was in categorical form and the quantification with a monetary value was not done
Out-of-pocket expenditure in some patients may be due to the temporary scarcities of certain medicines in particular hospitals
Only recruited the medically-managed survivors of MI
Total participants who were screened for eligibility was not documented
Left ventricular ejection fraction analysis was done for only one fourth of the respondents

Cite This Study

Mahesh et al. (2017) conducted a cross-sectional in Myocardial Infarction (n=270). Financial burden vs. No financial burden was evaluated on Quality of life (EQ-5D index value) at 1 month post-discharge (p=0.002). Experiencing a financial burden was significantly associated with a lower quality of life (EQ-5D index score p=0.002) among survivors of medically-managed myocardial infarction at one month post-discharge.

synapsesocial.com/papers/6a915e9335eca4d44dab5690 https://doi.org/10.1186/s12872-017-0687-y

Topics

STEMI management

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Financial burden of survivors of medically-managed myocardial infarction and its association with selected social determinants and quality of life in a lower middle income country

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Topics

Financial burden of survivors of medically-managed myocardial infarction and its association with selected social determinants and quality of life in a lower middle income country

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Also Consider

Topics

Also Consider