TY - JOUR
T1 - Qualidade de vida em doentes em comunidade, com enfarte miocárdio prévio autorreportado
AU - Timóteo, Ana Teresa
AU - Dias, Sara Simões
AU - Rodrigues, Ana Maria
AU - Gregório, Maria João
AU - Sousa, Rute Dinis
AU - Canhão, Helena
N1 - Funding: No specific funding was obtained for the present manuscript. However, the original EpiDoC study received several sources of financial support. EpiDoC 1 and 2 were supported by grants from the Portuguese Directorate-General for Health and sponsorships from Fundação Calouste Gulbenkian, Fundação Champalimaud, Fundação AstraZeneca, Abbot, Merck Sharp & Dohme, Pfizer, Roche, Servier, Bial, D3A Medical Systems, Happybrands, Centro de Medicina Laboratorial Germano de Sousa, CAL-Clínica, Galp Energia, Ac¸oreana Seguros and individual rheumatologists. EpiDoC 3 was supported by the Public Health Initiatives Programme (PT06) financed by the EEA Grants Financial Mechanism 2009-2014.
PY - 2020/7
Y1 - 2020/7
N2 - Aim: Quality of life (QoL) is one of the most important patient-reported outcomes in chronic diseases. Using a population-based cohort, our objective was to assess health-related QoL in individuals with a previous myocardial infarction (MI). Methods: This study was conducted on a large database representative of the adult Portuguese population aged 18 years or over, living in the community. Participants were assessed through telephone interview. A standardized questionnaire was applied to every individual about self-reported chronic diseases, including previous MI. QoL was assessed with the EQ-5D-3L version of EuroQol. The prevalence of previous MI was calculated and linear regression analysis was performed. Results: The estimated prevalence of previous MI in the adult Portuguese population was 1.1%. These patients were older and more often male, had lower income and lower education levels, and were more often from urban areas. Respondents with self-reported MI assigned a lower self-perception to their health status in all domains, particularly in mobility and anxiety/depression. The mean EQ-5D-3L score in patients with MI was 0.73±0.34, significantly lower than in patients without MI (0.78±0.29). Also, the number of chronic diseases was significantly higher in patients with MI (5.0±2.2 vs. 1.7±1.8). Previous MI was not independently associated with QoL, which was related to age, gender and number of comorbidities. Conclusions: Adults with previous MI have a worse self-perceived health status and QoL. Previous MI was not an independent predictor of health-related QoL after controlling for age, gender and associated chronic diseases.
AB - Aim: Quality of life (QoL) is one of the most important patient-reported outcomes in chronic diseases. Using a population-based cohort, our objective was to assess health-related QoL in individuals with a previous myocardial infarction (MI). Methods: This study was conducted on a large database representative of the adult Portuguese population aged 18 years or over, living in the community. Participants were assessed through telephone interview. A standardized questionnaire was applied to every individual about self-reported chronic diseases, including previous MI. QoL was assessed with the EQ-5D-3L version of EuroQol. The prevalence of previous MI was calculated and linear regression analysis was performed. Results: The estimated prevalence of previous MI in the adult Portuguese population was 1.1%. These patients were older and more often male, had lower income and lower education levels, and were more often from urban areas. Respondents with self-reported MI assigned a lower self-perception to their health status in all domains, particularly in mobility and anxiety/depression. The mean EQ-5D-3L score in patients with MI was 0.73±0.34, significantly lower than in patients without MI (0.78±0.29). Also, the number of chronic diseases was significantly higher in patients with MI (5.0±2.2 vs. 1.7±1.8). Previous MI was not independently associated with QoL, which was related to age, gender and number of comorbidities. Conclusions: Adults with previous MI have a worse self-perceived health status and QoL. Previous MI was not an independent predictor of health-related QoL after controlling for age, gender and associated chronic diseases.
KW - Myocardial infarction
KW - Outcome
KW - Portugal
KW - Quality of life
UR - http://www.scopus.com/inward/record.url?scp=85087128870&partnerID=8YFLogxK
U2 - 10.1016/j.repc.2019.09.013
DO - 10.1016/j.repc.2019.09.013
M3 - Article
C2 - 32616368
AN - SCOPUS:85087128870
SN - 0870-2551
VL - 39
SP - 367
EP - 373
JO - Revista Portuguesa de Cardiologia
JF - Revista Portuguesa de Cardiologia
IS - 7
ER -