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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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07. Syncope and Bradycardia
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Quality of life assessment in self-reported myocardial infarction patients
Session:
Posters 5 - Écran 10 - Economia na Saúde / Saúde Pública
Speaker:
Ana Teresa Timóteo
Congress:
CPC 2019
Topic:
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
Theme:
34. Public Health and Health Economics
Subtheme:
34.1 Public Health
Session Type:
Posters
FP Number:
---
Authors:
Ana Teresa Timóteo; Sara S. Dias; Ana M. Rodrigues; Maria J. Gregório; Rute Sousa; Helena Canhão
Abstract
<p>Introduction: Quality of life (QOL) assessment is very important in chronic diseases, because it can be used to assess quality of care and the social and economic burden of those diseases. It was our objective to assess health-related quality of life in patients with a previous myocardial infarction (MI) and to translate that information into an econometric index for subsequent economic analysis.</p> <p>Methods: The study was conducted in a very large database representative of the Portuguese population developed for epidemiological studies that included individuals aged 18 or more. Chronic diseases, including MI in the past, were self-reported in a standardized questionnaire that was applied in every individual. Sociodemographic characteristics were also included in the questionnaire. QOL was assessed with EuroQol (EQ-5D-3L). Descriptive statistics, Student’s t test and chi-square test were used in statistical analysis. Linear regression analysis was used to identify factors associated with QOL. Comparisons were also made with normative data from the Portuguese population.</p> <p>Results: In our sample, 1.1% of patients reported a previous MI, 9.3 ± 8.3 years before the interview. These patients were older, less often females, with lower income and lower levels of education and more often from urban areas. Respondents with self-reported MI assigned a lower self-perception of their health status in all domains, but more significant in self-care, daily activities and pain/discomfort. These results were significantly worst when compared to the Portuguese population. The EQ-5D-3L mean index in patients with MI is 0.73 ± 0.34, significantly lower compared to patients without MI (0.78 ± 0.29, p<0.001). Also, the number of chronic diseases is significantly higher in patients with MI (5.0 ± 2.2 vs. 1.7 ± 1.8 diseases, p<0.001). In multivariate analysis, previous MI was not independently associated with QOL (Standardized coefficient ß = 0.004, p=0.742), being strictly related to age (p<0.001), gender (p<0.001) and number of associated co-morbidities (p<0.001).</p> <p>Conclusions: The presence of self-reported MI in the past has a significant impact on self-perceived health status and on the quality of life, that is however associated with age, gender and associated co-morbidities.</p>
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