Table 6.
Demographic and clinical predictors of mortality, rehospitalization, and health status*
Clinical Outcome | Predictors of Increased Mortality, Rehospitalization, or Worse Health Status |
Predictors of Decreased Mortality, Rehospitalization, or Improved Health Status |
---|---|---|
1-Year Mortality |
Demographic and medical history: living in a nursing home or assisted living facility, hypertension, CHF Clinical presentation and treatment: moderate/severe LVSD, elevated creatinine |
Demographic and medical history: obesity |
4-Year Mortality |
Demographic and medical history: increased age, female, Medicaid insurance, prior AMI, CHF Clinical presentation and treatment: moderate/severe LVSD, elevated creatinine |
Demographic and medical history: full-time employment, obesity Baseline health status measures: increased ESSI score |
1-Year Rehospitalization |
Demographic and medical history: female, living in a nursing home or assisted living facility, hypertension, CHF Clinical presentation and treatment: elevated creatinine |
Demographic and medical history: increased age, full-time employment |
1-Year SAQ |
Demographic and medical history: female, homeless or renting home, reported difficulty obtaining medical care, receipt of depression medication or counseling, prior AMI Clinical presentation and treatment: receipt of beta- blockers at discharge |
Demographic and medical history: increased age, commercial or Medicare insurance Baseline health status measures: increased ESSI score |
1-Year SF-PCS |
Demographic and medical history: female, pet ownership, having a usual source of care, reported difficulty obtaining medical care, underweight, obesity, receipt of depression medication or counseling, prior AMI |
Demographic and medical history: part-time employment |
1-Year SF-MCS |
Demographic and medical history: homeless, avoidance of medical care due to cost, receipt of depression medication or counseling |
Demographic and medical history: increased age Clinical presentation and treatment: elevated creatinine Baseline health status measures: increased ESSI score |
Abbreviations: AMI, acute myocardial infarction; BMI, body mass index; CHF, congestive heart failure; ESSI, LVSD, left ventricular systolic dysfunction; SAQ, Seattle Angina Questionnaire; SF-MCS, Short-Form 12 Mental Component Score; SF-PCS, Short-Form 12 Physical Component Score.