Usefulness of a single-item general self-rated health question to predict mortality 12 months after an acute coronary syndrome.
BACKGROUND
A single-item general self-rated health (GSRH) question consistently predicts mortality in community cohort studies, but has not been examined in patients with acute coronary syndrome (ACS). We investigated whether a single-item GSRH question predicted mortality 12 months post-discharge in 800 ACS patients.


METHODS
Logistic regression was used to assess the relationship of the single-item GSRH question with mortality, controlling for cardiac risk factors, including depressive symptoms.


RESULTS
The single-item GSHR question was associated with mortality on a bivariable basis (odds ratio=0.50, 95% confidence interval=0.28-0.92, P=0.027), but was not significant after controlling for other risk factors (odds ratio=0.80, 95% confidence interval=0.40-1.60, P=0.522).
Thombs
Brett D
BD
Department of Psychiatry, McGill University and Sir Mortimer B. Davis - Jewish General Hospital, Montreal, Quebec, Canada. brett.thombs@mcgill.ca
Ziegelstein
Roy C
RC
Stewart
Donna E
DE
Abbey
Susan E
SE
Parakh
Kapil
K
Grace
Sherry L
SL
D054058:Acute Coronary Syndrome / Q000401:mortality / Q000523:psychology*; D000368:Aged; D001294:Attitude to Health; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires