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Relationship of self-rated health with fatal and non-fatal outcomes in cardiovascular disease: a systematic review and meta-analysis

PloS one, 2014-07, Vol.9 (7), p.e103509-e103509 [Peer Reviewed Journal]

COPYRIGHT 2014 Public Library of Science ;COPYRIGHT 2014 Public Library of Science ;2014 Mavaddat et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2014 Mavaddat et al 2014 Mavaddat et al ;ISSN: 1932-6203 ;EISSN: 1932-6203 ;DOI: 10.1371/journal.pone.0103509 ;PMID: 25076041

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  • Title:
    Relationship of self-rated health with fatal and non-fatal outcomes in cardiovascular disease: a systematic review and meta-analysis
  • Author: Mavaddat, Nahal ; Parker, Richard A ; Sanderson, Simon ; Mant, Jonathan ; Kinmonth, Ann Louise
  • Kiechl, Stefan
  • Subjects: Analysis ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - complications ; Cardiovascular Diseases - mortality ; Cardiovascular Diseases - pathology ; Coronary artery disease ; Databases, Factual ; Depression - complications ; Depression - diagnosis ; Health aspects ; Health risk assessment ; Health risks ; Health Status ; Heart ; Heart diseases ; Humans ; Medicine and Health Sciences ; Mortality ; Proportional Hazards Models ; Quality assessment ; Risk Factors ; Severity of Illness Index ; Social Class ; Studies ; Systematic review
  • Is Part Of: PloS one, 2014-07, Vol.9 (7), p.e103509-e103509
  • Description: People who rate their health as poor experience higher all-cause mortality. Study of disease-specific association with self-rated health might increase understanding of why this association exists. To estimate the strength of association between self-rated health and fatal and non-fatal cardiovascular disease. A comprehensive search of PubMed MEDLINE, EMBASE, CINAHL, BIOSIS, PsycINFO, DARE, Cochrane Library, and Web of Science was undertaken during June 2013. Two reviewers independently searched databases and selected studies. Inclusion criteria were prospective cohort studies or cohort analyses of randomised trials with baseline measurement of self-rated health with fatal or non-fatal cardiovascular outcomes. 20 studies were pooled quantitatively in different meta-analyses. Study quality was assessed using Newcastle-Ottawa scales. 'Poor' relative to 'excellent' self-rated health (defined by most extreme categories in each study, most often' poor' or 'very poor' and 'excellent' or 'good') was associated over a follow-up of 2.3-23 years with cardiovascular mortality in studies: where varying degrees of adjustments had been made for cardiovascular disease risk (HR 1.79 (95% CI 1.50 to 2.14); 15 studies, I2 = 71.24%), and in studies reporting outcomes in people with pre-existing cardiovascular disease or ischaemic heart disease symptoms (HR 2.42 (95% CI 1.32 to 4.44); 3 studies; I2 = 71.83%). 'Poor' relative to 'excellent' self rated health was also associated with the combined outcome of fatal and non-fatal cardiovascular events (HR 1.90 (95% CI 1.26 to 2.87); 5 studies; I2 = 68.61%), Self-rated health was not significantly associated with non-fatal cardiovascular disease outcomes (HR 1.66 (95% CI 0.96 to 2.87); 5 studies; I2 = 83.60%). Poor self rated health is associated with cardiovascular mortality in populations with and without prior cardiovascular disease. Those with current poor self-rated health may warrant additional input from health services to identify and address reasons for their low subjective health.
  • Publisher: United States: Public Library of Science
  • Language: English
  • Identifier: ISSN: 1932-6203
    EISSN: 1932-6203
    DOI: 10.1371/journal.pone.0103509
    PMID: 25076041
  • Source: Public Library of Science (PLoS) Journals Open Access
    Open Access: PubMed Central
    AUTh Library subscriptions: ProQuest Central
    GFMER Free Medical Journals
    MEDLINE
    Directory of Open Access Journals
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