Marital status and outcomes in chronic heart failure: Does it make a difference of being married, widow or widower?

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dc.contributor.authorŞentürk, Bihter
dc.contributor.authorKaya, Hakkı
dc.contributor.authorÇelik, Ahmet
dc.contributor.authorBekar, Lütfü
dc.contributor.authorGüngör, Hasan
dc.contributor.authorZoghi, Mehdi
dc.contributor.authorYılmaz, Mehmet Birhan
dc.date.accessioned2021-11-01T18:15:04Z
dc.date.available2021-11-01T18:15:04Z
dc.date.issued2021
dc.department[Belirlenecek]
dc.description.abstractOBJECTIVE: We aimed to compare the outcomes of chronic heart failure (HF) patients with reduced ejection fraction (CHFrEF) in the Turkish Research Team in HF (TREAT-HF) registry according to marital status with a specific focus on being the widowed (widow/widower) versus the married.METHODS: TREAT-HF is a network, enrolling CHFrEF with a follow up for HF-related hospitalization (HFrH) and all-cause mortality (ACM). In this cohort, the widowed patients were compared with patients who were married before and after propensity score (PS) matching analysis.RESULTS: There were 723 cHFrEF patients with a complete dataset, including reported marital status at baseline for this analysis. Out of 723 patients with HF, 37 “never-married” and “divorced” patients were excluded from the analysis. Then, out of 686 remaining patients with HF, who had at least one reported marriage in the database, widowed patients with HF (n=124) were compared with married patients (n=562). The mean follow up period was 21±12 months up to 48 months. The widowed patients had a higher risk of HFrH (p=0.047), although ACM remained similar compared to married patients (p=0.054). After PS matching, HFrH remained more frequent among the widowed compared with the married (p=0.039) although ACM yielded similar rates. Of note, it was shown that being a widower (p=0.419) was not linked to increased risk of HFrH during follow up contrary to being a widow (p=0.037) despite similar age, ejection fraction, creatinine, NYHA functional class distribution and a similar rate of life-saving medications.CONCLUSION: PS matching analysis yielded that the widowed had increased the risk for HFrH. Of note, widowers did not seem to have an increased risk for HFrH, contrary to widows.
dc.identifier.doi10.14744/nci.2020.88003
dc.identifier.endpage70en_US
dc.identifier.issn2148-4902
dc.identifier.issn2536-4553
dc.identifier.issue1en_US
dc.identifier.pmid33623875
dc.identifier.startpage63en_US
dc.identifier.urihttps://doi.org10.14744/nci.2020.88003
dc.identifier.urihttps://app.trdizin.gov.tr/makale/TkRJME5ERTVPUT09
dc.identifier.urihttps://hdl.handle.net/11491/7668
dc.identifier.volume8en_US
dc.identifier.wosWOS:000619599000010
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.institutionauthor[Belirlenecek]
dc.language.isoen
dc.relation.ispartofİstanbul Kuzey Klinikleri
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subject[No Keywords]en_US
dc.titleMarital status and outcomes in chronic heart failure: Does it make a difference of being married, widow or widower?
dc.typeArticle

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