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Published on: December 9, 2022
Self-rated health in venous thromboembolism survivors: a prevalence study
Jakob Hansen Viuff1, Søren Korsgaard Martiny1, Cecilia Hvitfeldt Fuglsang1
1Department of Clinical Epidemiology, Center for Population Medicine, Aarhus University Hospital, Aarhus University, Aarhus, Denmark.
Background:
Venous thromboembolism (VTE) has both short- and long-term health impacts. Knowledge about self-rated health (SRH) in survivors of VTE remains scarce.
Objectives:
We examined the prevalence of poor SRH in VTE survivors compared with that in persons without VTE.
Methods:
We conducted a prevalence study using the Better Health in Late Life cohort of Danish residents aged 50 to 65 years, enrolled between 2021 and 2022. Participants completed an online questionnaire, and the data were linked to Danish population-based health registries. Information on previous VTE diagnosis was retrieved from the Danish National Patient Registry. Using modified Poisson regression models, we estimated adjusted prevalence proportion ratios (PRs) and prevalence proportion differences to quantify differences in the prevalence of poor SRH among VTE survivors and persons without VTE.
Results:
Our study included 113 658 individuals, among whom 2633 (2.3%) were VTE survivors. The prevalence of poor SRH was 31.6% in VTE survivors and 16.2% in participants without VTE, corresponding to a 1.85 (95% CI, 1.75-1.96) times higher prevalence of poor SRH. Compared with people without VTE, the PR was highest in VTE survivors with pulmonary embolism or provoked VTE. The PR remained elevated in comorbidity strata and in those diagnosed with VTE >10 years before questionnaire completion.
Conclusion:
VTE survivors had nearly a 2-fold increased prevalence of poor SRH compared with those without VTE. This association persisted across VTE subtypes, comorbidity strata, and in those with a distant VTE diagnosis, suggesting long-term implications of VTE on SRH.
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