Comparison of self-reported and Medicare claims-identified acute myocardial infarction.

Circulation
Laura C YasaitisAmitabh Chandra

Abstract

Cardiovascular disease is often studied through patient self-report and administrative data. However, these 2 sources provide different information, and few studies have compared them. We compared data from a longitudinal, nationally representative survey of older Americans with matched Medicare claims. Self-reported heart attack in the previous 2 years was compared with claims-identified acute myocardial infarction (AMI) and acute coronary syndrome. Among the 3.1% of respondents with self-reported heart attack, 32.8% had claims-identified AMI, 16.5% had non-AMI acute coronary syndrome, and 25.8% had other cardiac claims; 17.3% had no inpatient visits in the previous 2.5 years. Claims-identified AMIs were found in 1.4% of respondents; of these, 67.8% reported a heart attack. Self-reports were less likely among respondents >75 years of age (62.7% versus 74.6%; P=0.006), with less than high school education (61.6% versus 71.4%; P=0.015), with at least 1 limitation in activities of daily living (59.6% versus 74.7%; P=0.001), or below the 25th percentile of a word recall memory test (60.7% versus 71.3%; P=0.019). Both self-reported and claims-identified cardiac events were associated with increased mortality; the highest mortality ...Continue Reading

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Citations

Sep 25, 2015·Journal of Alzheimer's Disease : JAD·Tobias LuckSteffi G Riedel-Heller
Jun 16, 2017·Medical Care·Patricia St ClairDana P Goldman
Nov 13, 2018·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Brittanny M PolankaJesse C Stewart
Feb 7, 2020·Journal of the American Medical Informatics Association : JAMIA·Frank W RockholdEmily C O'Brien
Dec 30, 2016·International Journal of Clinical Practice·John P MulhallAaron Galaznik
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Jun 24, 2017·Depression and Anxiety·Stephanie M CaseJesse C Stewart
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