6533b873fe1ef96bd12d4b8a

RESEARCH PRODUCT

Patients' sex and emotional support as predictors of death and clinical deterioration in the Waiting for a New Heart Study: results from the 1-year follow-up

Armin ZittermannNancy R. MendellGerdi WeidnerMario C. DengJacqueline M. SmitsHeike SpadernaDaniela Zahn

subject

Transplantationmedicine.medical_specialtyPediatricsbusiness.industryProportional hazards modelMEDLINESurgeryTransplantationSocial supportMedicineObservational studybusinessProspective cohort studySurvival ratePsychosocial

description

Context—Little is known about the role of patient's sex and emotional support in the prognosis of heart transplant candidates.Objective—To examine patient's sex and emotional support as predictors of outcomes in the Waiting for a New Heart Study.Design, Setting, and Participants—The Waiting for a New Heart Study is a prospective observational study of 318 patients (18% female) newly added to the waiting list for a heart transplant. Demographic, medical, psychosocial characteristics (including social support [ENRICHD Social Support Index; high vs low support]) were assessed at the time of wait-listing.Main Outcomes—Time until death/delisting due to deteriorated health, considering competing outcomes (eg, transplantation) during the first 12 months after waitlisting were analyzed via cause-specific Cox proportional hazard models.Results—By 12 months, 32 men (12%) and 10 women (17%) had died/deteriorated. Medical risk was comparable across sexes. More men than women reported low emotional support (20.4% vs 8...

yearjournalcountryeditionlanguage
2011-06-01Progress in Transplantation
https://doi.org/10.7182/prtr.21.2.j779w1q6k61k0jk4