Format

Send to

Choose Destination
Neuropsychiatr Dis Treat. 2008 Apr;4(2):425-32.

Marital status, depressive episodes, and short-term prognosis of patients with acute coronary syndrome: Greek study of acute coronary syndrome (GREECS).

Author information

1
Office of Biostatistics - Epidemiology, Department of Nutrition - Dietetics, Harokopio University Athens, Greece. d.b.panagiotakos@usa.net

Abstract

The association between marital status and short-term prognosis of patients hospitalized for acute coronary syndrome (ACS) was evaluated. From October 2003 to September 2004, a sample of 6 hospitals located in Greek regions was selected, and almost all survivors after an ACS were enrolled into the study (2172 patients were included in the study; 76% were men). The in-hospital mortality rate was 3.2% in male patients and 5.7% in female patients (p = 0.009). Never-married patients had 2.8-times higher risk of dying during hospitalization compared with married, after adjusting for various confounders (p < 0.01, attributable risk = 64%). Furthermore, never-married had 2.7-times higher risk of dying during the first 30-days following hospitalization compared with married (p < 0.01, attributable risk = 62%). Moderate depressive symptoms 3.26-fold (95% CI 1.40-7.11) the risk of recurrent events, while severe depressive symptoms were associated with 8.2-fold (95% CI 3.98-17.1) higher risk of events. No interaction was observed between marital status and depression on 30-day prognosis of ACS patients (p > 0.5). People who were not-married and depressed at the time of an acute cardiac episode were at higher risk of fatal events than people who were married, irrespective of depression status and other characteristics.

KEYWORDS:

acute coronary syndromes; marital status; risk

PMID:
18728739
PMCID:
PMC2518381

Supplemental Content

Full text links

Icon for Dove Medical Press Icon for PubMed Central
Loading ...
Support Center