Variation in coronary angiography and revascularisation procedures in relation to psychological distress among patients admitted to hospital with myocardial infarction or angina

Cardiac patients with psychological distress have a poorer prognosis than patients without distress; which may in part reflect differences in treatment. We quantified variation in coronary angiography and revascularisation procedures according to psychological distress among patients admitted with i...

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Bibliographic Details
Published in:Journal of psychosomatic research 2019-10, Vol.125, p.109794-109794, Article 109794
Main Authors: Welsh, Jennifer, Korda, Rosemary J., Joshy, Grace, Greaves, Kim, Banks, Emily
Format: Article
Language:English
Subjects:
Aged
Angina
Angina pectoris
Angina Pectoris - psychology
Angina Pectoris - surgery
Angiography
Cardiac surgery
Coronary angiography
Coronary Angiography - methods
Coronary Angiography - psychology
Coronary artery
Coronary artery disease
Coronary revascularisation
Female
Functional impairment
Heart attacks
Heart disease
Heart diseases
Hospitalization
Hospitals
Humans
Male
Medical imaging
Medical prognosis
Middle Aged
Myocardial infarction
Myocardial Infarction - psychology
Myocardial Infarction - surgery
Patient admissions
Patients
Percutaneous Coronary Intervention - methods
Percutaneous Coronary Intervention - psychology
Personal characteristics
Physical ability
Psychological Distress
Questionnaires
Service use
Stents
Variation
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Summary:Cardiac patients with psychological distress have a poorer prognosis than patients without distress; which may in part reflect differences in treatment. We quantified variation in coronary angiography and revascularisation procedures according to psychological distress among patients admitted with incident acute myocardial infarction (AMI) or angina. Questionnaire data (collected 2006–09) from 45 and Up Study participants were linked to hospitalisation and mortality data, to 30 June 2016. Among patients free from ischaemic heart disease at baseline and subsequently hospitalised with AMI or angina, Cox regression was used to model the association between distress (Kessler-10 scores: low [10–
ISSN:0022-3999
1879-1360
DOI:10.1016/j.jpsychores.2019.109794