Prescription Medication Use and Baseline Health Status of Women with Live Birth Deliveries in a National Data Network

2021 ◽  
pp. 100512
Author(s):  
Elizabeth A SUAREZ ◽  
Nicole HAUG ◽  
Aaron HANSBURY ◽  
Danijela STOJANOVIC ◽  
Catherine COREY
Keyword(s):  
Health Status ◽  
Live Birth ◽  
Medication Use ◽  
Prescription Medication ◽  
National Data ◽  
Data Network ◽  
Baseline Health ◽  
Baseline Health Status ◽  
Status Of Women

scholarly journals Long-Term Exercise Therapy Resolves Ethnic Differences in Baseline Health Status in Older Adults with Knee Osteoarthritis

2005 ◽  
Vol 53 (9) ◽  
pp. 1469-1475 ◽  
Author(s):  
Capri Gabrielle Foy ◽  
Brenda W. H. Penninx ◽  
Sally A. Shumaker ◽  
Stephen P. Messier ◽  
Marco Pahor
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Knee Osteoarthritis ◽  
Ethnic Differences ◽  
Exercise Therapy ◽  
Baseline Health ◽  
Baseline Health Status

scholarly journals Site-Level Variability in 30-Day Patient Outcomes After Transcatheter Mitral Valve Repair in the United States

2020 ◽  
Vol 13 (12) ◽  
Author(s):  
Ali O. Malik ◽  
Adnan K. Chhatriwalla ◽  
John Saxon ◽  
Vittal Hejjaji ◽  
Amanda Stebbins ◽  
...  
Keyword(s):  
Health Status ◽  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Odds Ratio ◽  
Mitral Valve Regurgitation ◽  
Valve Regurgitation ◽  
Valve Repair ◽  
Transcatheter Mitral Valve Repair ◽  
Baseline Health ◽  
Baseline Health Status

Background: Clinical trials have demonstrated health status benefit of transcatheter mitral valve repair (TMVr) with MitraClip in patients with mitral valve regurgitation. Real-world site-level variability in health status outcomes for TMVr, and factors associated with this variability, are unknown. Methods: All patients undergoing TMVr procedure with MitraClip between November 2013 and March 2019 in the Transcatheter Valve Therapy Registry were included. Health status was measured at baseline and 30 days with the Kansas City Cardiomyopathy Questionnaire (KCCQ) Overall Summary (OS) score. Site-level variability in 30-day change in KCCQ-OS was examined by calculating the median odds ratio from a hierarchical logistic regression model, with ≥20-point improvement as the dependent variable. To define the extent to which patient characteristics, procedural characteristics (residual mitral valve regurgitation, periprocedural bleeding), site volume, and patients’ baseline health status accounted for variability in outcomes, the proportion of variability ( R 2 ) explained by sequentially adding these variables to the model was quantified. Results: Across 339 sites, 12 415 patients (mean age 79.0±9.5 years, 46.1%. females, 89.5% White) completed baseline and 30-day health status assessments. Mean KCCQ-OS score was 43.0±24.4 at baseline and 67.0±24.9 at 30-day follow-up. Across sites, the proportion of patients achieving a ≥20-point improvement in KCCQ-OS ranged from 12.5% to 100% and the adjusted median odds ratio was 1.58 (95% CI, 1.46–1.69). The greatest contribution to the variability in health status outcomes was from patients’ baseline KCCQ-OS score ( R 2 =25%) with <1% of the variability explained by patient and procedural characteristics, and annual site volume. Conclusions: There is moderate variation across sites in their patients’ achievement of health status benefits from TMVr, with patient’s baseline health status accounting for the largest proportion of this variation. This underscores the importance of patient selection in supporting more consistent health status benefit from TMVr.

scholarly journals Baseline health status and setting impacted minimal clinically important differences in COPD: an exploratory study

2019 ◽  
Vol 116 ◽  
pp. 49-61 ◽  
Author(s):  
Harma Alma ◽  
Corina de Jong ◽  
Danijel Jelusic ◽  
Michael Wittmann ◽  
Michael Schuler ◽  
...  
Keyword(s):  
Health Status ◽  
Exploratory Study ◽  
Baseline Health ◽  
Baseline Health Status

Abstract 104: The Effect of Low Perceived Social Support on Health Outcomes in Young Patients with Acute Myocardial Infarction: Results from the VIRGO Study

2014 ◽  
Vol 7 (suppl_1) ◽  
Author(s):  
Emily M Bucholz ◽  
Kelly M Strait ◽  
Rachel P Dreyer ◽  
Mary Geda ◽  
Judith H Lichtman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Depressive Symptoms ◽  
Health Status ◽  
Perceived Social Support ◽  
Young Patients ◽  
Men And Women ◽  
Baseline Health ◽  
Baseline Health Status

Background: Social support is an important predictor of health outcomes after acute myocardial infarction (AMI), but significant variability in social support exists by sex and age. Most studies have been conducted in populations of predominately older, male patients; little is known about the impact of social support on outcomes after AMI in young patients, who may have unique demands and resources. Methods: We used data from the VIRGO study, an observational study of patients aged ≤55 years with AMI in the US and Spain, to examine the association of low perceived social support (LPSS) with baseline and 1-year health status, depression, and quality of life. Patients were categorized as having low vs. moderate/high social support using the ENRICHD Social Support Inventory (ESSI), which was collected during the index AMI hospitalization. A modified 5-item version of the 7-item ESSI was used for this study in order to examine marital status and instrumental support separately from perceived social support. Outcomes included health status (assessed by the Short Form-12 (SF-12) physical and mental component scores (PCS and MCS)), depressive symptoms (Patient Health Questionnaire (PHQ-9)), and angina-related quality of life (Seattle Angina Questionnaire (SAQ)) evaluated at baseline and 1-year. We used linear regression to compare 1-year health status between social support categories, adjusting for baseline health status, socio-demographics, comorbidities, severity of disease, and therapies used. Results: Among 3,432 patients, 728 (21.2%) were classified as having LPSS. Men and women had comparable levels of social support at baseline. On average, patients with LPSS reported lower functional status (PCS and MCS), lower quality of life, and more depressive symptoms at baseline and 1-year post-AMI. After multivariable adjustment, including baseline health status, LPSS was associated with lower mental functioning (mean MCS -2.34 (95% confidence interval [CI] -3.35, -1.34) p<0.001), lower quality of life (mean SAQ -4.58 (95% CI -4.58, -2.57), p<0.001), and more depressive symptoms (1.01 (95% CI 0.52, 1.51), p<0.001) at 1 year. The relationship between LPSS and worse physical functioning was not significant after adjustment (mean PCS -0.28 (95% CI -1.33, 0.77), p=0.6). We observed no interactions between social support, sex or country. Conclusion: Lower social support is associated with worse health status and more depressive symptoms 1-year after AMI in both young men and women recovering from an AMI.

The Association Between Medication Usage and Dropout Status Among Participants of an Exercise Study for People With Osteoarthritis

2005 ◽  
Vol 85 (2) ◽  
pp. 142-149 ◽  
Author(s):  
Frances V Wilder ◽  
John P Barrett
Keyword(s):  
Body Mass Index ◽  
Health Status ◽  
Confidence Interval ◽  
Body Mass ◽  
Odds Ratio ◽  
Exercise Program ◽  
Medication Usage ◽  
Baseline Health ◽  
Baseline Health Status

Abstract Background and Purpose. Little is known about predictors of dropout status in exercise studies for people with osteoarthritis. Losses to follow-up can pose serious threats to study validity. The purpose of this study was to assess the ability of arthritis medication usage the month prior to enrollment to predict dropout status among participants in an exercise study for people with osteoarthritis. Subjects and Methods. Men and women who participated in an exercise study for people with osteoarthritis (N=143) were followed. Participants who completed 24+ months of the exercise program were considered retained, whereas individuals who withdrew prior to 24 months were considered dropouts. Results. Of the 143 participants analyzed, 78 (55%) completed 24+ months of the exercise program and 65 (45%) dropped out. Among those who reported arthritis medication usage, 54% were lost to follow-up. The group reporting no usage of arthritis medication had a 20% dropout rate (odds ratio=3.5, 95% confidence interval=1.6–7.6). The final adjusted model controlling for baseline health status, body mass index, and the interaction between baseline health status and body mass index indicated that those individuals who reported arthritis medication usage were more than 4 times more likely to drop out than were those who reported no arthritis medication usage (odds ratio=4.5, 95% confidence interval=1.8–11.4). Discussion and Conclusion. The results showed that self-reported arthritis medication usage the month prior to study enrollment was associated with subsequent dropout status among this group of exercisers with osteoarthritis. Further identification of baseline characteristics predictive of participant dropout status may benefit future exercise studies. A priori knowledge of “at-risk” exercise study participants will afford the opportunity for the timely allocation of appropriate resources aimed at reducing losses to follow-up.

Integrating Baseline Health Status Data Collection into the Process of Care

2001 ◽  
Vol 27 (7) ◽  
pp. 369-380 ◽  
Author(s):  
John A. Spertus ◽  
Brent D. Bliven ◽  
Michelle Farner ◽  
Amy Gillen ◽  
Traci Hewitt ◽  
...  
Keyword(s):  
Health Status ◽  
Data Collection ◽  
Process Of Care ◽  
Status Data ◽  
Baseline Health ◽  
Baseline Health Status
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