SwePub
Sök i LIBRIS databas

  Utökad sökning

id:"swepub:oai:DiVA.org:lnu-92858"
 

Sökning: id:"swepub:oai:DiVA.org:lnu-92858" > Preventable clinica...

  • Sverre, E.Drammen Hosp, Norway;Univ Oslo, Norway (författare)

Preventable clinical and psychosocial factors predicted two out of three recurrent cardiovascular events in a coronary population

  • Artikel/kapitelEngelska2020

Förlag, utgivningsår, omfång ...

  • 2020-02-05
  • BioMed Central,2020
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:lnu-92858
  • https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-92858URI
  • https://doi.org/10.1186/s12872-020-01368-6DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Background The relative importance of lifestyle, medical and psychosocial factors on the risk of recurrent major cardiovascular (CV) events (MACE) in coronary patients' needs to be identified. The main objective of this study is to estimate the association between potentially preventable factors on MACE in an outpatient coronary population from routine clinical practice. Methods This prospective follow-up study of recurrent MACE, determine the predictive impact of risk factors and a wide range of relevant co-factors recorded at baseline. The baseline study included 1127 consecutive patients 2-36 months after myocardial infarction (MI) and/or revascularization procedure. The primary composite endpoint of recurrent MACE defined as CV death, hospitalization due to MI, revascularization, stroke/transitory ischemic attacks or heart failure was obtained from hospital records. Data were analysed using cox proportional hazard regression, stratified by prior coronary events before the index event. Results During a mean follow-up of 4.2 years from study inclusion (mean time from index event to end of study 5.7 years), 364 MACE occurred in 240 patients (21, 95% confidence interval: 19 to 24%), of which 39 were CV deaths. In multi-adjusted analyses, the strongest predictor of MACE was not taking statins (Relative risk [RR] 2.13), succeeded by physical inactivity (RR 1.73), peripheral artery disease (RR 1.73), chronic kidney failure (RR 1.52), former smoking (RR 1.46) and higher Hospital Anxiety and Depression Scale-Depression subscale score (RR 1.04 per unit increase). Preventable and potentially modifiable factors addressed accounted for 66% (95% confidence interval: 49 to 77%) of the risk for recurrent events. The major contributions were smoking, low physical activity, not taking statins, not participating in cardiac rehabilitation and diabetes. Conclusions Coronary patients were at high risk of recurrent MACE. Potentially preventable clinical and psychosocial factors predicted two out of three MACE, which is why these factors should be targeted in coronary populations.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Peersen, K.Vestfold Hosp, Norway (författare)
  • Weedon-Fekjaer, H.Oslo Univ Hosp, Norway (författare)
  • Perk, Joep,1945-Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV)(Swepub:lnu)jpejo (författare)
  • Gjertsen, E.Drammen Hosp, Norway (författare)
  • Husebye, E.Drammen Hosp, Norway (författare)
  • Gullestad, L.Univ Oslo, Norway;Oslo Univ Hosp Rikshosp, Norway;Oslo Univ Hosp Ulleval, Norway (författare)
  • Dammen, T.Univ Oslo, Norway (författare)
  • Otterstad, J. E.Vestfold Hosp, Norway (författare)
  • Munkhaugen, J.Drammen Hosp, Norway;Univ Oslo, Norway (författare)
  • Drammen Hosp, Norway;Univ Oslo, NorwayVestfold Hosp, Norway (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:BMC Cardiovascular Disorders: BioMed Central20:1, s. 1-91471-22611471-2261

Internetlänk

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy