Perceiving one's heart condition to be cured following hospitalization for acute coronary syndromes: Implications for patient-provider communication
Department of Quantitative Health Sciences; Division of Cardiovascular Medicine, Department of Medicine; Division of Preventive and Behavioral Medicine, Department of Medicine; Meyers Primary Care Institute; UMass Worcester Prevention Research Center
Cardiology | Cardiovascular Diseases | Health Services Research | Psychiatry and Psychology | Public Health Education and Promotion | Translational Medical Research
OBJECTIVE: We examined the proportion of patients perceiving their heart condition to be cured following hospitalization for ACS and identified characteristics associated with these perceptions.
METHODS: We conducted a prospective cohort study of adults hospitalized with ACS (N=396). Patient interviews during hospitalization and one week post-discharge provided demographic and psychosocial characteristics. Medical records provided clinical characteristics. At one week, patients who rated "My heart condition is cured" as "definitely true" or "mostly true" were considered to perceive their heart condition cured.
RESULTS: Participants were aged 60.7 (SD:11.0) years, 26.5% female, and 89.0% non-Hispanic white; 16.7% had unstable angina, 59.6% NSTEMI, and 23.7% STEMI. One week post-discharge, 30.3% perceived their heart condition to be cured. Characteristics associated with cure perceptions were older age (OR=2.2; 95% CI: 1.2-4.0 for > /=65 years vs < 55 years), male sex (OR=2.4; 95%CI: 1.3-4.2), history of hypertension (OR=1.8; 95%CI: 1.1-3.1), history of stroke (OR=4.2; 95%CI: 1.1-16.7), no history of CHD (OR=2.8; 95%CI: 1.6-4.9), and receipt of CABG during hospitalization (OR=4.8, 95%CI: 1.9-12.0 vs medical management).
CONCLUSION: One week post-discharge, 3 in 10 patients perceived their heart condition to be cured.
PRACTICE IMPLICATIONS: Conversations with patients should frame ACS as a chronic disease and dispel cure perceptions.
Waring, Molly E.; McManus, David D.; Lemon, Stephenie C.; Gore, Joel M.; Anatchkova, Milena D.; McManus, Richard H.; Ash, Arlene S.; Goldberg, Robert J.; Kiefe, Catarina I.; and Saczynski, Jane S., "Perceiving one's heart condition to be cured following hospitalization for acute coronary syndromes: Implications for patient-provider communication" (2015). UMass Center for Clinical and Translational Science Supported Publications. 58.