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Titre : | Musculoskeletal Comorbidities in Cardiac Patients: Prevalence, Predictors, and Health Services Utilization (2012) |
Auteurs : | Susan Marzolini ; Paul Oh ; David Alter ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2012/5, 2012) |
Article en page(s) : | pp. 856-862 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Maladie des artères coronaires ; Rééducation et réadaptation |
Mots-clés: | Coronary artery diseases |
Résumé : |
Objectives To describe the prevalence of musculoskeletal conditions (MSKC) in patients with coronary artery disease (CAD); to examine the sociodemographic, clinical, and psychosocial predictors of these comorbidities; and to describe health care utilization by musculoskeletal comorbidity status. Design This was a cross-sectional, observational study in which patients were administered a questionnaire in the hospital and 1 year later. Setting Eleven hospitals in Ontario, Canada. Participants CAD patients (N=1803). Interventions Not applicable. Main Outcome Measures Sociodemographic, MSKC, clinical, and psychosocial factors were ascertained via questionnaire and in-hospital chart extraction. A health care utilization questionnaire was mailed 1 year later. Results Over half (56%) of the patients with CAD had MSKCs, with arthritis/joint pain accounting for 64.4% of these MSKCs. Patients who were older (odds ratio [OR]=1.03), women (OR=1.87), white (OR=1.80), with higher body mass index (OR=1.05), depressive symptoms (OR=1.92), and lower family income (OR=1.46) were more likely to present with MSKCs. One year posthospitalization, a greater proportion of those with MSKCs reported ≥1 cardiac-related emergency department visit (33.2% vs 28.3%, P=.03), hospital admission (30.7% vs 22%, P=.006), more primary care physician visits (6.6+5.6 vs 5.7+4.6, P<.001 and fewer cardiac rehabilitation referrals vs p after adjusting for depressive symptoms body mass index age income ethnicity sex mskcs predicted only hospital readmissions.> Conclusions Over half of the patients hospitalized for CAD have MSKCs. Those with MSKCs have a physical and psychosocial profile that places them at greater cardiovascular risk than those with CAD only, explaining, in part, their greater health care utilization. Despite a greater need for comprehensive risk factor management in patients with MSKCs, fewer were referred to cardiac rehabilitation. |
Disponible en ligne : | Oui |
En ligne : | http://www.archives-pmr.org/article/S0003-9993%2811%2901068-9/abstract |