Clinical and echocardiographic correlates of health status in patients with acute chest pain

Journal of General Internal Medicine
K E FleischmannT H Lee

Abstract

To assess the ability of echocardiographic data to predict important functional status outcomes in patients with chest pain. Prospective cohort study. A large, urban teaching hospital. Three hundred thirty-three patients admitted from the Emergency Department for evaluation of chest pain. Patients underwent two-dimensional and Doppler echocardiography as well as a face-to-face interview during their initial hospitalization and a telephone interview 1 year thereafter. The interview included the Medical Outcomes Study 36-Item Short Form (SF-36) health inventory, a generic health status instrument with a physical function subscale. The relation between clinical and echocardiographic factors and functional status was explored by univariable and multivariable linear regression and logistic regression analyses. Multiple clinical and echocardiographic factors correlated significantly with functional status measures at 1 year. For the SF-36 score at 1 year, age, male gender, white race, the presence of rales, and a comorbidity score were independently predictors in multivariate analysis; echocardiographic findings of severe left ventricular dysfunction (parameter estimate [PE] -27.6; 95% confidence interval [CI] -43.1, -12.2) and aorti...Continue Reading

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Citations

Apr 2, 2003·Journal of Cardiopulmonary Rehabilitation·Holli A DeVon, Carol Estwing Ferrans
Oct 15, 2005·Journal of Clinical Epidemiology·Harald BaumeisterMartin Härter
Jun 29, 1999·Cardiology Clinics·D F KongC M O'Connor

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