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Self-rated health and mortality in patients with chronic heart failure

Cleland, John G F; Cleland, John G.F.; Farkas, Jerneja; Nabb, Samantha; Cleland, John; Zaletel-Kragelj, Lijana; Cleland, John G. F.; Lainscak, Mitja


John G F Cleland

John G.F. Cleland

Jerneja Farkas

Samantha Nabb

John Cleland

Lijana Zaletel-Kragelj

John G. F. Cleland

Mitja Lainscak


AimsIn patients with chronic heart failure (CHF), there is limited information on self-rated health (SRH). We aimed to examine the distribution of SRH and whether SRH is associated with mortality in patients with stable CHF.Methods and resultsWe enrolled 100 patients (71 ± 11 years, 54 men, left ventricular ejection fraction 47 ± 11) in a prospective study with 48 months of follow-up. Self-rated health was assessed using a seven-grade descriptive scale: very good, good, quite good, average, quite poor, poor, and very poor. Median SRH was quite poor and the most frequent SRH (31 patients) was average. During an average follow-up of 1005 ± 507 days, 58 patients died. More patients in the group that rated their health as quite poor or worse died (70 vs. 43, P = 0.008). In a Cox proportional hazard model, SRH as a seven-grade descriptive scale [hazard ratios (HR) 1.39, 95 CI 1.10-1.74] or as a median value (HR 2.13, 95 CI 1.23-3.69) predicted mortality. The association remained significant after adjustment for patient characteristics and biomarkers (P < 0.05 for both).ConclusionIn patients with stable CHF, SRH independently predicts mortality. This suggests that SRH could be used in everyday clinical practice to obtain important prognostic information beyond clinical examination and laboratory work-up.


Farkas, J., Nabb, S., Zaletel-Kragelj, L., Cleland, J. G. F., & Lainscak, M. (2009). Self-rated health and mortality in patients with chronic heart failure. European journal of heart failure, 11(5), 518-524.

Journal Article Type Article
Acceptance Date Feb 6, 2009
Online Publication Date Mar 28, 2009
Publication Date 2009-05
Deposit Date Nov 13, 2014
Journal European Journal Of Heart Failure
Print ISSN 1388-9842
Electronic ISSN 1879-0844
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 11
Issue 5
Pages 518-524
Keywords Chronic heart failure, Mortality, Self-rated health,
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