Evidence map›Paper›PMID 25525504›Full record

ArticleOpen heart

Influence of health-related quality of life on time from symptom onset to hospital arrival and the risk of readmission in patients with myocardial infarction.

Catrin Henriksson, Margareta Larsson, Johan Herlitz, Jan-Erik Karlsson, Lisa Wernroth, Bertil Lindahl

Abstract read
In one paragraph

Article in Open heart. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Catrin HenrikssonDepartment of Medical Sciences , Uppsala Clinical Research Center, Uppsala University , Uppsala , Sweden.
Margareta LarssonDepartment of Women's and Children's Health , Uppsala University , Uppsala , Sweden.
Johan HerlitzThe Center of Prehospital Research in Western Sweden, University of Borås and Sahlgrenska University Hospital , Gothenburg , Sweden.
Jan-Erik KarlssonDepartment of Cardiology , Ryhov Hospital , Jönköping , Sweden.
Lisa WernrothUppsala Clinical Research Center, Uppsala University , Uppsala , Sweden.
Bertil LindahlDepartment of Medical Sciences , Uppsala Clinical Research Center, Uppsala University , Uppsala , Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite increased awareness of the importance of early treatment in acute myocardial infarction (AMI), the delay from symptom onset to hospital arrival is still too long and rehospitalisations are frequent. Little is known about how health-related quality of life (HRQL) affects delay time and the frequency of readmissions.

methodWe used quality registers to investigate whether patients' HRQL has any impact on delay time with a new AMI, and on the rate of readmissions during the first year. Patients with AMI <75 years, with HRQL assessed with EQ-5D at 1-year follow-up, and who thereafter had a new AMI registered, were evaluated for the correlation between HRQL and delay time (n=454). The association between HRQL and readmissions was evaluated among those who had an additional AMI and a new 1-year follow-up registration (n=216).

resultsPatients who reported poor total health status (EQ-VAS ≤50), compared to those who reported EQ-VAS 81-100, had tripled risk to delay ≥2 h from symptom onset to hospital arrival (adjusted OR 3.01, 95% CI 1.43 to 6.34). Patients scoring EQ-VAS ≤50 had also a higher risk of readmissions in the univariate analysis (OR 3.08, 95% CI 1.71 to 5.53). However, the correlation did not remain significant after adjustment (OR 1.99, 95% CI 0.90 to 4.38). EQ-index was not independently associated with delay time or readmissions.

conclusionsAspects of total health status post-AMI were independently associated with delay time to hospital arrival in case of a new AMI. However, the influence of total health status on the risk of readmissions was less clear.

Indexed as

CORONARY ARTERY DISEASEMYOCARDIAL DISEASEMYOCARDIAL ISCHAEMIA AND INFARCTION (IHD)

Identifiers

PMID25525504
PMCPMC4267108

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.