Predictors of quality of life after hospital admission for heart attack or angina

Int J Cardiol. 1997 Apr 18;59(2):161-6. doi: 10.1016/s0167-5273(97)02946-x.


This study tests the hypothesis that it is possible to predict people who will have a low quality of life (QOL) 6 months after hospital admission for acute myocardial infarction (AMI) or angina. Among 424 patients discharged from hospital in the Hunter Region of New South Wales with a diagnosis of AMI or angina, follow-up questionnaires were received from 303 at 6 months. Baseline data collected during hospitalisation included demographic variables and the 'emotional' factor of a disease-specific QOL measure using a modified and validated self-administered questionnaire. The full QOL measure comprises 'emotional', 'physical' and 'social' factors, each factor being assessed at the 6-month follow-up. Only baseline 'emotional' QOL score and sex predicted 6-month QOL scores in patients with AMI. Scores were consistently lower in patients with angina, in whom marital and employment status, having had a previous AMI, current cigarette smoking, the presence of cardiac failure and baseline emotional QOL were all significantly associated with the 6-month QOL scores. The assessment of simple measures during hospitalisation for angina can be helpful in predicting those who will have a low QOL 6 months later. They may represent a high-risk group at whom counselling could be directed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Analysis of Variance
  • Angina Pectoris / physiopathology
  • Angina Pectoris / psychology*
  • Cardiac Output, Low / physiopathology
  • Cardiac Output, Low / psychology
  • Counseling
  • Demography
  • Emotions
  • Employment
  • Female
  • Follow-Up Studies
  • Forecasting
  • Hospitalization*
  • Humans
  • Male
  • Marital Status
  • Middle Aged
  • Myocardial Infarction / physiopathology
  • Myocardial Infarction / psychology*
  • New South Wales
  • Patient Admission*
  • Patient Discharge
  • Quality of Life*
  • Recurrence
  • Regression Analysis
  • Risk Factors
  • Self Concept
  • Sex Factors
  • Smoking / physiopathology
  • Social Adjustment
  • Surveys and Questionnaires