Table 4.
Quality of life | Heart function | Status of assistance | |||||||
EQ-5DIndex | Five EQ-5D dimensions | ||||||||
(1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | |
EQ-5DIndex | Mobility | Looking after myself | Doing usual activities | Having pain or discomfort | Feeling worried, sad or unhappy | NYHA score | CCS score | Status of assistance | |
Point estimate | Odds ratios from the ordered logistic regression model | ||||||||
Value at baseline | 0.350*** | 14.19*** | 34.09*** | 10.96*** | 1.671* | 2.751*** | 2.457*** | 1.398*** | 10.82** |
ASB life threatening/disabling | −0.0463 | 12.68** | 0.680 | 0.199 | 2.860 | 0.771 | 0.123 | 0.188 | 0.104 |
ASB major/minor | 0.0985* | 0.587 | 0.499 | 0.201** | 0.182* | 0.121* | 0.762 | 0.673 | 0.342 |
NASB life threatening/disabling | −0.447*** | 584.6** | 54.93 | 7.752 | 0.739 | 47.86* | 1.410 | 1.591 | 86.32* |
NASB major/minor | −0.0199 | 1.188 | 0.688 | 0.597 | 1.311 | 0.573 | 1.180 | 0.813 | 4.088 |
VASC major/minor | −0.00695 | 0.282 | 0.971 | 2.029 | 0.833 | 2.110 | 1.422 | 0.660 | 6.198 |
Stroke/TIA | −0.161* | 8.298** | 1.358 | 4.179 | 6.661 | 2.561 | 0.343 | 0.380 | 0.958 |
AKIN 1 | 0.0659 | 1.270 | 1.104 | 0.357 | 0.430 | 0.742 | 0.547 | 0.601 | 0.718 |
AKIN 2 | −0.158* | 1.297 | 7.126 | 102.2** | 0.814 | 0.340 | 81.36* | 104.2** | 21.79 |
AKIN 3 | −0.177** | 15.75*** | 21.53** | 7.419* | 2.908 | 3.495 | 1.243 | 1.404 | 1.955 |
Arrhythmia | −0.0377 | 2.393 | 3.153 | 1.954 | 1.817 | 2.200 | 3.490 | 0.234* | 1.270 |
Other complications | 0.0330 | 2.617 | 0.933 | 0.457 | 0.366 | 0.402 | 1.380 | 5.237* | 1.057 |
Last follow-up before death | −0.493*** | 81.93*** | 154.9*** | 48.14** | 29.90*** | 32.98*** | 2.877 | 1.335 | 144.8** |
Second last follow-up before death | −0.270*** | 11.50** | 23.04*** | 5.949 | 15.13*** | 11.13*** | 1.542 | 1.786 | 12.95 |
Third from last follow-up before death | −0.204*** | 8.142 | 17.64** | 4.509 | 1.996 | 3.602 | 3.855* | 1.377 | 66.29** |
Fourth from last follow-up before death | −0.176*** | 7.797* | 11.09** | 5.952 | 2.471 | 7.750** | 1.581 | 2.016 | 23.22* |
Fifth from last follow-up before death | −0.150*** | 4.843 | 13.36** | 8.091 | 1.600 | 2.446 | 0.926 | 1.217 | 25.23* |
Sixth from last follow-up before death | −0.104* | 1.800 | 3.205 | 2.907 | 3.803 | 2.932 | 1.259 | 1.081 | 35.30* |
Overall trend | −0.00165 | 1.085*** | 1.045 | 0.966 | 1.044*** | 0.983 | 1.056*** | 1.020 | 1.088** |
Month 1 post-discharge | −0.0233 | 1.602 | 1.433 | 2.066* | 1.465 | 1.130 | 1.370 | 1.599 | 2.774 |
Constant | 0.528*** | ||||||||
N | 2212 | 2246 | 2256 | 2254 | 2254 | 2219 | 2182 | 2022 | 1357 |
* p < 0.05, ** p < 0.01, *** p < 0.001
The EQ-5DIndex is a continuous variable between 0 and 1 (0 = worst state, 1 = best state). The 5 EQ-5D dimensions as shown in Model (2) to model (6) are order categorical variables (1 = no problems, 2 = some problems, 3 = extreme problems). Canadian Cardiovascular Society (CCS) Angina Grading Scale is an order categorical variable between 1 (angina only during strenuous or prolonged physical activity) and 4 (inability to perform any activity without angina). New York Heart Association (NYHA) Functional Classification is an order categorical variable between 1 (cardiac disease, but no symptoms and no limitation in ordinary physical activity) and 4 (severe limitations, experiences symptoms even while at rest). The current state of assistance is an order categorical variable with 1 (no external help or intra-familial help only), 2 (assisted living and/or home care services) and 3 (short or long-term care or temporal hospitalization). ASB access site bleeding, NASB non-access site bleeding, VASC vascular complication, AKIN acute kidney injury