%0 Journal Article
%A Failde, I
%A Soto, M
%T Changes in health related quality of life 3 months after an acute coronary syndrome
%D 2006
%U http://hdl.handle.net/10668/682
%X BACKGROUNDThe aim of the study was to identify the changes in Health Related Quality of Life (HRQL) 3 months after discharge from hospital, in patients who have had an acute coronary episode, and to determine the clinical and sociodemographic variables that explain those changes.METHODSHRQL was assessed in 132 patients while they were admitted to the hospital and at 3 months after discharge, using the SF-36 health questionnaire. To identify the variables associated with the change, multiple linear regression models were constructed for two summary dimensions of the SF-36 (PCS and MCS) taking the change in the score of the dimension as dependent variable.RESULTSThere were no significant differences between the patients who completed the monitoring (n = 76) and those who were dropped out. After three months, a significant decrease was observed in the dimensions of physical functioning, general health, vitality, and Physical Summary Component (PCS). The variables revascularisation, age, and the interaction between previous history of coronary heart disease (CHD) and the presence of one or more risk factors explained 16.6% of the decrease in the PCS. The decrease in the PCS was 6.4 points less in the patients who had undergone revascularisation, 0.2 points less for each year of age, and 4.7 points less in the patients who had antecedents of the illness as well as one or more risk factors.CONCLUSIONThe dimensions most affected at three months after an acute coronary episode were those related to the physical component. Undergoing revascularisation improved the PCS in patients, but in the younger patients and those without personal antecedents or risk factors, the PCS was affected more, perhaps due to greater expectations for recovery in these patients.
%K Adulto
%K Enfermedad aguda
%K Angina, inestable
%K Estudios de seguimiento
%K Infarto de miocardio
%K Alta del paciente
%K Condición física
%K Calidad de vida
%K Cuestionarios
%K Perfil de impacto de la enfermedad
%K España
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