Cross-classification of physical and affective symptom clusters and 180-day event-free survival in moderate to advanced heart failure.
Heart Lung
; 49(2): 151-157, 2020.
Article
em En
| MEDLINE
| ID: mdl-31753526
ABSTRACT
BACKGROUND:
The relationship between physical and affective symptom clusters in heart failure (HF) is unclear.OBJECTIVES:
To identify associations between physical and affective symptom clusters in HF and to quantify outcomes and determinants of symptom subgroups.METHODS:
This was a secondary analysis of data from two cohort studies among adults with HF. Physical and affective symptom clusters were compared using cross-classification modeling. Cox proportional hazards modeling and multinomial logistic regression were used to identify outcomes and determinants of symptom subgroups, respectively.RESULTS:
In this young, mostly male sample (nâ¯=â¯274), physical and affective symptom clusters were cross-classified in a model with acceptable fit. Three symptom subgroups were identified congruent-mild (69.3%), incongruent (13.9%), and congruent-severe (16.8%). Compared to the congruent-mild symptom group, the incongruent symptom group had significantly worse 180-day event-free survival.CONCLUSION:
Congruence between physical and affective symptom clusters should be considered when identifying patients at higher risk for poor outcomes.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Sintomas Afetivos
/
Insuficiência Cardíaca
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Heart Lung
Ano de publicação:
2020
Tipo de documento:
Article