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Single living predicts a higher mortality in both women and men with chronic heart failure

Shan Mard, Finn Erland Nielsen1

  • 1fien@regionsjaelland.dk.

Danish Medical Journal
|September 3, 2016
PubMed

Insights

Single living increases mortality risk in chronic heart failure patients. This association affects both men and women equally, highlighting social factors in cardiovascular health outcomes.

Area of Science:

  • Cardiology
  • Social Determinants of Health

Background:

  • Chronic heart failure (CHF) is a significant cause of mortality.
  • The impact of social factors, such as living situation, on CHF prognosis is increasingly recognized.

Purpose of the Study:

  • To investigate the association between single living and all-cause mortality in patients with chronic heart failure.
  • To determine if gender modifies the relationship between single living and mortality in this population.

Main Methods:

  • A historical cohort study of 637 chronic heart failure patients admitted between 2005-2007.
  • Data collected from patient records and the Danish Civil Registration System.
  • Cox proportional hazard analysis used to assess mortality risk, controlling for confounders.

Main Results:

  • Median follow-up was 2.8 years, with 50.7% of patients dying.
  • Single living was independently associated with an increased risk of all-cause mortality (HR = 1.53).
  • No significant difference in mortality risk was observed between single-living men and women.

Conclusions:

  • Single living is a significant prognostic factor for all-cause mortality in patients with chronic heart failure.
  • The findings underscore the importance of social support in managing chronic heart failure for both genders.
Abstract

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