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ISSN (Print): 2359-4802 | ISSN (Online): 2359-5647

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1 result(s) for: Carmelina Ariano

The MacNew questionnaire: a tool to predict unplanned rehospitalization after coronary revascularization

Questionário MacNew: uma ferramenta preditora de reinternação hospitalar não planejada após revascularização coronariana

Renato De Vecchis; Carmelina Ariano

Int J Cardiovasc Sci.2016;29(4):303-313 : Original Article


BACKGROUND: The MacNew questionnaire is a neurobehavioral tool that is easily implementable and immediately usable. This self-reported questionnaire allows physicians to gather helpful information to optimize the patients' therapy and lifestyle.
OBJECTIVE: In this retrospective study, we aimed to assess whether relatively high scores in the MacNew questionnaire in patients undergoing percutaneous or surgical revascularization would be associated with a decreased risk of unscheduled rehospitalization during follow-up.
METHODS: We examined retrospectively the medical charts of 210 patients to gather information using the Italian version of the MacNew questionnaire. This questionnaire is routinely administered during hospitalization in patients recovering from percutaneous or surgical coronary revascularization in our institutions. All patients undergoing this psychological test were followed up for 3 years.
RESULTS: On univariate analysis, increased global score results (above the median obtained in the entire cohort) was associated with a significantly decreased risk of rehospitalization (hazard ratio [HR] 0.0903, 95% confidence interval [95%CI] 0.0324-0.2518, p < 0.0001). In a multivariate Cox proportional hazard regression model adjusted for age, gender, and myocardial infarction as triggering event, the association between increased MacNew scores and risk of rehospitalization remained significant (HR 0.0885, 95%CI 0.0317-0.2472, p < 0.0001).
CONCLUSIONS: A relatively elevated MacNew global score was associated with a significantly decreased risk of unscheduled rehospitalization over 3 years after coronary revascularization. (Int J Cardiovasc Sci. 2016;29(4):303-313)