Patient and Spousal Health and Outcomes in Heart Failure

Shannon M Dunlay, Veronique Lee Roger, Susan A. Weston, Lauren R. Bangerter, Jill M. Killian, Joan Griffin

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

BACKGROUND: A diagnosis of heart failure (HF) often requires a comprehensive lifestyle change to maintain disease stability. When patients with HF are married, the spouse frequently assumes the caregiving role. Our objectives were to describe the health of spouses of married patients with HF, and examine whether the health of a spouse impacts patient outcomes.

METHODS AND RESULTS: We identified 905 patients that were married at the time of incident HF diagnosis in Olmsted County, MN, from 2000 to 2012. Using Rochester Epidemiology Project resources, the patient and their spouse's comprehensive longitudinal health histories were linked. Spousal health at patient HF diagnosis was assessed by comorbidity burden, self-reported difficulty with activities of daily living and prior hospitalizations. The associations of spousal health with patient outcomes and patient death with spousal outcomes were examined using Cox and Andersen-Gill models. Spouses of patients with HF were elderly (mean age, 71 years), often had comorbid conditions, and 16% had difficulty with ≥1 activities of daily living. After adjustment for patient age, sex, and comorbidity, there were no independent associations of spousal health and patient risk of death or hospitalization after HF diagnosis. However, the risk of hospitalization (adjusted hazard ratio, 1.34; 95% confidence interval, 1.11-1.60; P=0.002) and death (hazard ratio, 2.10; 95% confidence interval, 1.60-2.75; P<0.001) increased in the surviving spouse after patient death.

CONCLUSIONS: We found no evidence that the health of a spouse impacts patient outcomes after HF diagnosis. However, after a patient with HF dies, their surviving spouse's risk of hospitalization and death increases.

Original languageEnglish (US)
JournalCirculation. Heart failure
Volume10
Issue number10
DOIs
StatePublished - Oct 1 2017

Fingerprint

Heart Failure
Spouses
Health
Hospitalization
Activities of Daily Living
Comorbidity
Confidence Intervals
Life Style
Epidemiology

Keywords

  • activities of daily living
  • comorbidity
  • heart failure
  • hospitalization
  • spouses

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Patient and Spousal Health and Outcomes in Heart Failure. / Dunlay, Shannon M; Roger, Veronique Lee; Weston, Susan A.; Bangerter, Lauren R.; Killian, Jill M.; Griffin, Joan.

In: Circulation. Heart failure, Vol. 10, No. 10, 01.10.2017.

Research output: Contribution to journalArticle

Dunlay, Shannon M ; Roger, Veronique Lee ; Weston, Susan A. ; Bangerter, Lauren R. ; Killian, Jill M. ; Griffin, Joan. / Patient and Spousal Health and Outcomes in Heart Failure. In: Circulation. Heart failure. 2017 ; Vol. 10, No. 10.
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