GW28-e0927 The influence of social support on health outcomes in patients with acute coronary syndrome: a prospective study from China

Methods 778 patients with ACS were consecutively enrolled in the study within 7 days after admission from 5 hospitals in Beijing China.Social support(ENRICHD Social Support Inventory),health status(Short Form-12 physical and mental component scores),anxiety(Anxiety Disorder-7 scale),depressive sympt...

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Bibliographic Details
Published in:Journal of the American College of Cardiology Vol. 70; no. 16; p. C75
Main Authors: Lei, Sha, DayiHu, LiWang, RongjingDing
Format: Journal Article
Language:English
Published: New York Elsevier Inc 17-10-2017
Elsevier Limited
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Summary:Methods 778 patients with ACS were consecutively enrolled in the study within 7 days after admission from 5 hospitals in Beijing China.Social support(ENRICHD Social Support Inventory),health status(Short Form-12 physical and mental component scores),anxiety(Anxiety Disorder-7 scale),depressive symptoms(Patients Health Questionnaire),and angina-related quality of life(Seattle Angina Questionnaire) were investigated at baseline and 12 months.Mortality,recurrent angina,non-fatal myocardial infarction and re-hospitalization were observed during 12 months follow-up. Results Patients with low social support at baseline presented more anxiety,worse mental functioning and angina-related quality of life than patients with moderate/high social support(all P<0.05).Mortality and non-fatal myocardial infarction were low in the overall cohort and not differ by social support(P>0.05).Whereas,patients with low social support at baseline were at greater risk of a recurrent angina(HR1.16,95%CI1.06-2.62,P<0.05) and rehospitalization(HR2.16,95%CI1.16-4.05,P<0.05) than those who had moderate/high social support over follow-up period.In average social support and health-related quality of life had been significantly improved regardless of baseline social support level at 12 month(all P<0.01).
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2017.07.260