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Financial Stress and Outcomes after Acute Myocardial Infarction 英文参考文献
FinancialStressandOutcomesafterAcuteMyocardial
Infarction
SachinJ.Shah1,HarlanM.Krumholz2,3,8,KimberlyJ.Reid4,SaifS.Rathore1,AdityaMandawat5,
JohnA.Spertus4,6,JosephS.Ross2,7,8
*
1Department of Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America, 2Robert Wood Johnson Foundation Clinical
Scholars Program, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, United States of America, 3Section of Health Policy and
Administration,DepartmentofEpidemiologyandPublicHealthandSectionofCardiovascularMedicine,DepartmentofMedicine,YaleUniversitySchoolofMedicine,New
Haven, Connecticut, United States of America, 4Department of Cardiology, Mid America Heart Institute of St. Luke’s Hospital, Kansas City, Missouri, United States of
America,5DepartmentofInternalMedicine,BrighamandWomen’sHospital,Boston,Massachusetts,UnitedStatesofAmerica,6DepartmentofCardiology,Universityof
Missouri-KansasCity,KansasCity,Missouri,UnitedStatesofAmerica,7SectionofGeneralInternalMedicine,DepartmentofMedicine,YaleUniversitySchoolofMedicine,
NewHaven,Connecticut,UnitedStatesofAmerica,8CenterforOutcomesResearchandEvaluation,Yale-NewHavenHospital,NewHaven,Connecticut,UnitedStatesof
America
Abstract
Background:Littleisknownabouttheassociationbetweenfinancialstressandhealthcareoutcomes.Ourobjectivewasto
examinetheassociationbetweenself-reportedfinancialstressduringinitialhospitalizationandlong-termoutcomesafter
acutemyocardialinfarction(AMI).
MaterialsandMethods:WeusedProspectiveRegistryEvaluatingMyocardialInfarction:EventandRecovery(PREMIER)data,
anobservational,multicenterUSstudyofAMIpatientsdischargedbetweenJanuary2003andJune2004.Primaryoutcomes
weredisease-specificandgenerichealthstatusoutcomesat1year(symptoms,function,andqualityoflife(QoL)),assessed
bytheSeattleAnginaQuestionnaire[SAQ]andShortForm[SF]-12.Secondaryoutcomesincluded1-yearrehospitalization
and4-yearmortality.Hierarchicalregressionmodelsaccountedforpatientsocio-de
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