Perceived Social Isolation and Outcomes in Patients With Heart Failure
BackgroundPerceived social isolation has been shown to have a negative impact on health outcomes, particularly among older adults. However, these relationships have not been fully examined among patients with heart failure. Methods and ResultsResidents from 11 southeast Minnesota counties with a fir...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-06-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.117.008069 |
| _version_ | 1818312236494487552 |
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| author | Sheila M. Manemann Alanna M. Chamberlain Véronique L. Roger Joan M. Griffin Cynthia M. Boyd Thomas K. M. Cudjoe Daniel Jensen Susan A. Weston Matteo Fabbri Ruoxiang Jiang Lila J. Finney Rutten |
| author_facet | Sheila M. Manemann Alanna M. Chamberlain Véronique L. Roger Joan M. Griffin Cynthia M. Boyd Thomas K. M. Cudjoe Daniel Jensen Susan A. Weston Matteo Fabbri Ruoxiang Jiang Lila J. Finney Rutten |
| author_sort | Sheila M. Manemann |
| collection | DOAJ |
| description | BackgroundPerceived social isolation has been shown to have a negative impact on health outcomes, particularly among older adults. However, these relationships have not been fully examined among patients with heart failure. Methods and ResultsResidents from 11 southeast Minnesota counties with a first‐ever International Classification of Diseases, Ninth Revision (ICD‐9) code 428 for heart failure between January 1, 2013, and March 31, 2015 (N=3867), were prospectively surveyed to measure perceived social isolation. A total of 2003 patients returned the survey (response rate, 52%); 1681 patients completed all questions and were retained for analysis. Among these patients (53% men; mean age, 73 years), ≈19% (n=312) had moderate perceived social isolation and 6% (n=108) had high perceived social isolation. After adjustment, patients reporting moderate perceived social isolation did not have an increased risk of death, hospitalizations, or emergency department visits compared with patients reporting low perceived social isolation; however, patients reporting high perceived social isolation had >3.5 times increased risk of death (hazard ratio, 3.74; 95% confidence interval [CI], 1.82–7.70), 68% increased risk of hospitalization (hazard ratio, 1.68; 95% CI, 1.18–2.39), and 57% increased risk of emergency department visits (hazard ratio, 1.57; 95% CI, 1.09–2.27). Compared with patients who self‐reported low perceived social isolation, patients reporting moderate perceived social isolation had a 16% increased risk of outpatient visits (rate ratio, 1.16; 95% CI, 1.03–1.31), whereas those reporting high perceived social isolation had a 26% increased risk (rate ratio, 1.26; 95% CI, 1.04–1.53). ConclusionsIn patients with heart failure, greater perceived social isolation is associated with an increased risk of death and healthcare use. Assessing perceived social isolation during the clinical encounter with a brief screening tool may help identify patients with heart failure at greater risk of poor outcomes. |
| first_indexed | 2024-12-13T08:14:39Z |
| format | Article |
| id | doaj.art-053c89eaa818402e8695d61ff9cdc5d0 |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-12-13T08:14:39Z |
| publishDate | 2018-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-053c89eaa818402e8695d61ff9cdc5d02022-12-21T23:54:08ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802018-06-0171110.1161/JAHA.117.008069Perceived Social Isolation and Outcomes in Patients With Heart FailureSheila M. Manemann0Alanna M. Chamberlain1Véronique L. Roger2Joan M. Griffin3Cynthia M. Boyd4Thomas K. M. Cudjoe5Daniel Jensen6Susan A. Weston7Matteo Fabbri8Ruoxiang Jiang9Lila J. Finney Rutten10Department of Health Sciences Research, Mayo Clinic, Rochester, MNDepartment of Health Sciences Research, Mayo Clinic, Rochester, MNDepartment of Health Sciences Research, Mayo Clinic, Rochester, MNDepartment of Health Sciences Research, Mayo Clinic, Rochester, MNDivision of Geriatric Medicine and Gerontology, Johns Hopkins University, Baltimore, MDDivision of Geriatric Medicine and Gerontology, Johns Hopkins University, Baltimore, MDOlmsted County Public Health Services, Rochester, MNDepartment of Health Sciences Research, Mayo Clinic, Rochester, MNDepartment of Health Sciences Research, Mayo Clinic, Rochester, MNDepartment of Health Sciences Research, Mayo Clinic, Rochester, MNDepartment of Health Sciences Research, Mayo Clinic, Rochester, MNBackgroundPerceived social isolation has been shown to have a negative impact on health outcomes, particularly among older adults. However, these relationships have not been fully examined among patients with heart failure. Methods and ResultsResidents from 11 southeast Minnesota counties with a first‐ever International Classification of Diseases, Ninth Revision (ICD‐9) code 428 for heart failure between January 1, 2013, and March 31, 2015 (N=3867), were prospectively surveyed to measure perceived social isolation. A total of 2003 patients returned the survey (response rate, 52%); 1681 patients completed all questions and were retained for analysis. Among these patients (53% men; mean age, 73 years), ≈19% (n=312) had moderate perceived social isolation and 6% (n=108) had high perceived social isolation. After adjustment, patients reporting moderate perceived social isolation did not have an increased risk of death, hospitalizations, or emergency department visits compared with patients reporting low perceived social isolation; however, patients reporting high perceived social isolation had >3.5 times increased risk of death (hazard ratio, 3.74; 95% confidence interval [CI], 1.82–7.70), 68% increased risk of hospitalization (hazard ratio, 1.68; 95% CI, 1.18–2.39), and 57% increased risk of emergency department visits (hazard ratio, 1.57; 95% CI, 1.09–2.27). Compared with patients who self‐reported low perceived social isolation, patients reporting moderate perceived social isolation had a 16% increased risk of outpatient visits (rate ratio, 1.16; 95% CI, 1.03–1.31), whereas those reporting high perceived social isolation had a 26% increased risk (rate ratio, 1.26; 95% CI, 1.04–1.53). ConclusionsIn patients with heart failure, greater perceived social isolation is associated with an increased risk of death and healthcare use. Assessing perceived social isolation during the clinical encounter with a brief screening tool may help identify patients with heart failure at greater risk of poor outcomes.https://www.ahajournals.org/doi/10.1161/JAHA.117.008069epidemiologyheart failureoutcome |
| spellingShingle | Sheila M. Manemann Alanna M. Chamberlain Véronique L. Roger Joan M. Griffin Cynthia M. Boyd Thomas K. M. Cudjoe Daniel Jensen Susan A. Weston Matteo Fabbri Ruoxiang Jiang Lila J. Finney Rutten Perceived Social Isolation and Outcomes in Patients With Heart Failure Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease epidemiology heart failure outcome |
| title | Perceived Social Isolation and Outcomes in Patients With Heart Failure |
| title_full | Perceived Social Isolation and Outcomes in Patients With Heart Failure |
| title_fullStr | Perceived Social Isolation and Outcomes in Patients With Heart Failure |
| title_full_unstemmed | Perceived Social Isolation and Outcomes in Patients With Heart Failure |
| title_short | Perceived Social Isolation and Outcomes in Patients With Heart Failure |
| title_sort | perceived social isolation and outcomes in patients with heart failure |
| topic | epidemiology heart failure outcome |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.117.008069 |
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