PMID- 21071279 OWN - NLM STAT- MEDLINE DCOM- 20121009 LR - 20211020 IS - 1873-1953 (Electronic) IS - 1474-5151 (Print) IS - 1474-5151 (Linking) VI - 11 IP - 2 DP - 2012 Jun TI - Social status, health-related quality of life, and event-free survival in patients with heart failure. PG - 141-9 LID - 10.1016/j.ejcnurse.2010.10.003 [doi] AB - BACKGROUND: Social status may impact health-related quality of life (HRQOL), hospitalization, and mortality in patients with heart failure (HF). PURPOSE: To determine if social status was associated with HRQOL and event-free survival. HYPOTHESES: Higher social status (quality of perceived support, emotional support, marital status, and economic status) is related to better HRQOL and event-free survival after controlling covariates (New York Heart Association [NYHA] functional class, comorbidity status, and age). METHODS: Patients (N = 147, 61 +/- 11 years old, 70% male, 62% NYHA class III/IV) provided data on HRQOL (measured by the Minnesota Living with Heart Failure questionnaire) and social status. Event-free survival data were collected by medical record reviews and patient or family interviews. Hierarchical regression analysis and survival analysis were used to test the hypothesis. RESULTS: Better quality of perceived support, better economic status, better functional status, older age, and less comorbidity were related to better HRQOL (R2 = .365, p = <.001). Only economic status predicted event-free survival. CONCLUSION: Attention should be given to those who have lower social support to improve HRQOL and those who have lower economic status to improve event-free survival. FAU - Heo, Seongkum AU - Heo S AD - Indiana University, School of Nursing, Indianapolis, IN 46202, United States. heo2@iupui.edu FAU - Moser, Debra K AU - Moser DK FAU - Chung, Misook L AU - Chung ML FAU - Lennie, Terry A AU - Lennie TA LA - eng GR - M01 RR000034/RR/NCRR NIH HHS/United States GR - R01 NR008567/NR/NINR NIH HHS/United States GR - R01 NR009280/NR/NINR NIH HHS/United States GR - P20 NR010679/NR/NINR NIH HHS/United States GR - 1P20NR010679/NR/NINR NIH HHS/United States GR - M01 RR002602/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20120313 PL - England TA - Eur J Cardiovasc Nurs JT - European journal of cardiovascular nursing JID - 101128793 SB - IM MH - Aged MH - Disease-Free Survival MH - Female MH - Heart Failure/*mortality/nursing/*psychology MH - Hospitalization/*statistics & numerical data MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Morbidity MH - Outcome Assessment, Health Care MH - Proportional Hazards Models MH - *Quality of Life MH - Social Class MH - *Social Support PMC - PMC4084695 MID - NIHMS246811 EDAT- 2010/11/13 06:00 MHDA- 2012/10/10 06:00 PMCR- 2014/07/07 CRDT- 2010/11/13 06:00 PHST- 2010/11/13 06:00 [entrez] PHST- 2010/11/13 06:00 [pubmed] PHST- 2012/10/10 06:00 [medline] PHST- 2014/07/07 00:00 [pmc-release] AID - S1474-5151(10)00142-8 [pii] AID - 10.1016/j.ejcnurse.2010.10.003 [doi] PST - ppublish SO - Eur J Cardiovasc Nurs. 2012 Jun;11(2):141-9. doi: 10.1016/j.ejcnurse.2010.10.003. Epub 2012 Mar 13.