PMID- 11420767
OWN - NLM
STAT- MEDLINE
DCOM- 20010816
LR  - 20071115
IS  - 1071-9164 (Print)
IS  - 1071-9164 (Linking)
VI  - 7
IP  - 2
DP  - 2001 Jun
TI  - A health perception score predicts cardiac events in patients with heart failure: 
      results from the IMPRESS trial.
PG  - 153-7
AB  - BACKGROUND: New York Heart Association (NYHA) class and treadmill exercise test 
      variables are widely used for estimating prognosis and measuring the outcomes of 
      treatment in patients with heart failure, but they do not take patients' 
      perceptions into account. METHODS AND RESULTS: Five hundred forty-five patients 
      enrolled in a multicenter 24-week comparison of the effects of omapatrilat and 
      lisinopril on functional capacity in patients with heart failure reported a 
      visual analog scale (VAS) score of their overall health perception at week 12 of 
      the study. A total of 27 first events, defined as death or worsening heart 
      failure (hospitalization, emergency room visit, or study discontinuation), 
      occurred in the subsequent 12 weeks. The mean (+/-SD) health perception scores 
      were 0.43 +/- 0.31 and 0.68 +/- 0.20 in patients with and without events, 
      respectively (P =.0006). The risk ratio (RR) for an event associated with a 
      decile change in the health perception score was 0.74 (95% confidence interval 
      [CI], 0.61-0.88; P =.001). The RR was unaltered by adjustment for demographic 
      variables, treadmill time, and NYHA functional class. Although the week 12 NYHA 
      functional class was predictive of events (RR = 2.1; 95% CI, 1.2-4.6; P =.04), 
      treadmill time was not (RR = 0.87; 95% CI, 0.73-1.03; P = 0.11). CONCLUSIONS: A 
      patient-reported measure of perceived health predicts events in patients with 
      heart failure.
FAU - Havranek, E P
AU  - Havranek EP
AD  - Division of Cardiology, Denver Health Medical Center, University of Colorado 
      Health Sciences Center, Denver, Colorado 80204-4507, USA.
FAU - Lapuerta, P
AU  - Lapuerta P
FAU - Simon, T A
AU  - Simon TA
FAU - L'Italien, G
AU  - L'Italien G
FAU - Block, A J
AU  - Block AJ
FAU - Rouleau, J L
AU  - Rouleau JL
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PL  - United States
TA  - J Card Fail
JT  - Journal of cardiac failure
JID - 9442138
SB  - IM
MH  - Aged
MH  - Emergency Service, Hospital
MH  - Female
MH  - *Health Status
MH  - Heart Failure/*diagnosis/mortality/*physiopathology
MH  - Hospitalization
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pain Measurement
MH  - Prognosis
MH  - Time Factors
EDAT- 2001/06/23 10:00
MHDA- 2001/08/17 10:01
CRDT- 2001/06/23 10:00
PHST- 2001/06/23 10:00 [pubmed]
PHST- 2001/08/17 10:01 [medline]
PHST- 2001/06/23 10:00 [entrez]
AID - S1071-9164(01)82106-0 [pii]
AID - 10.1054/jcaf.2001.24121 [doi]
PST - ppublish
SO  - J Card Fail. 2001 Jun;7(2):153-7. doi: 10.1054/jcaf.2001.24121.