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

Demosthenes B Panagiotakos1,3, Christos Pitsavos2,3, Yannis Kogias3, Yannis Mantas3, Spyros Zombolos3, Antonis Antonoulas3, George Giannopoulos2, Christina Chrysohoou2, Christodoulos Stefanadis11Office of Biostatistics &ndash; Epidemiology, Department of Nutrition &ndash; Dietetics,...

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Autores principales:	Demosthenes B Panagiotakos, Christos Pitsavos, Yannis Kogias, Yannis Mantas, Spyros Zombolos, et al
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/c117c2a5cb90447ba4d5f45fa8eab62a
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spelling	oai:doaj.org-article:c117c2a5cb90447ba4d5f45fa8eab62a2021-12-02T08:37:28ZMarital status, depressive episodes, and short-term prognosis of patients with acute coronary syndrome: Greek study of acute coronary syndrome (GREECS)1176-63281178-2021https://doaj.org/article/c117c2a5cb90447ba4d5f45fa8eab62a2008-04-01T00:00:00Zhttp://www.dovepress.com/marital-status-depressive-episodes-and-short-term-prognosis-of-patient-a1031https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Demosthenes B Panagiotakos1,3, Christos Pitsavos2,3, Yannis Kogias3, Yannis Mantas3, Spyros Zombolos3, Antonis Antonoulas3, George Giannopoulos2, Christina Chrysohoou2, Christodoulos Stefanadis11Office of Biostatistics &ndash; Epidemiology, Department of Nutrition &ndash; Dietetics, Harokopio University, Athens, Greece; 2First Cardiology Clinic, School of Medicine, University of Athens, Greece; 3The GREECS Study Investigators, GreeceAbstract: 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 &lt; 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 &lt; 0.01, attributable risk = 62%). Moderate depressive symptoms 3.26-fold (95% CI 1.40&ndash;7.11) the risk of recurrent events, while severe depressive symptoms were associated with 8.2-fold (95% CI 3.98&ndash;17.1) higher risk of events. No interaction was observed between marital status and depression on 30-day prognosis of ACS patients (p&nbsp;&gt; 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: marital status, acute coronary syndromes, risk Demosthenes B PanagiotakosChristos PitsavosYannis KogiasYannis MantasSpyros Zomboloset alDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2008, Iss Issue 2, Pp 425-432 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Demosthenes B Panagiotakos Christos Pitsavos Yannis Kogias Yannis Mantas Spyros Zombolos et al Marital status, depressive episodes, and short-term prognosis of patients with acute coronary syndrome: Greek study of acute coronary syndrome (GREECS)
description	Demosthenes B Panagiotakos1,3, Christos Pitsavos2,3, Yannis Kogias3, Yannis Mantas3, Spyros Zombolos3, Antonis Antonoulas3, George Giannopoulos2, Christina Chrysohoou2, Christodoulos Stefanadis11Office of Biostatistics &ndash; Epidemiology, Department of Nutrition &ndash; Dietetics, Harokopio University, Athens, Greece; 2First Cardiology Clinic, School of Medicine, University of Athens, Greece; 3The GREECS Study Investigators, GreeceAbstract: 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 &lt; 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 &lt; 0.01, attributable risk = 62%). Moderate depressive symptoms 3.26-fold (95% CI 1.40&ndash;7.11) the risk of recurrent events, while severe depressive symptoms were associated with 8.2-fold (95% CI 3.98&ndash;17.1) higher risk of events. No interaction was observed between marital status and depression on 30-day prognosis of ACS patients (p&nbsp;&gt; 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: marital status, acute coronary syndromes, risk
format	article
author	Demosthenes B Panagiotakos Christos Pitsavos Yannis Kogias Yannis Mantas Spyros Zombolos et al
author_facet	Demosthenes B Panagiotakos Christos Pitsavos Yannis Kogias Yannis Mantas Spyros Zombolos et al
author_sort	Demosthenes B Panagiotakos
title	Marital status, depressive episodes, and short-term prognosis of patients with acute coronary syndrome: Greek study of acute coronary syndrome (GREECS)
title_short	Marital status, depressive episodes, and short-term prognosis of patients with acute coronary syndrome: Greek study of acute coronary syndrome (GREECS)
title_full	Marital status, depressive episodes, and short-term prognosis of patients with acute coronary syndrome: Greek study of acute coronary syndrome (GREECS)
title_fullStr	Marital status, depressive episodes, and short-term prognosis of patients with acute coronary syndrome: Greek study of acute coronary syndrome (GREECS)
title_full_unstemmed	Marital status, depressive episodes, and short-term prognosis of patients with acute coronary syndrome: Greek study of acute coronary syndrome (GREECS)
title_sort	marital status, depressive episodes, and short-term prognosis of patients with acute coronary syndrome: greek study of acute coronary syndrome (greecs)
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/c117c2a5cb90447ba4d5f45fa8eab62a
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Marital status, depressive episodes, and short-term prognosis of patients with acute coronary syndrome: Greek study of acute coronary syndrome (GREECS)

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