RT Journal Article
SR Electronic
T1 A High Sense of Coherence as Protection Against Adverse Health Outcomes in Patients Aged 80 Years and Older
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 337
OP 343
DO 10.1370/afm.1950
VO 14
IS 4
A1 Pauline Boeckxstaens
A1 Bert Vaes
A1 An De Sutter
A1 Isabelle Aujoulat
A1 Gijs van Pottelbergh
A1 Catharina Matheï
A1 Jean-Marie Degryse
YR 2016
UL http://www.annfammed.org/content/14/4/337.abstract
AB PURPOSE We set out to assess whether a high sense of coherence (SOC) protects from adverse health outcomes in patients aged 80 years and older who have multiple chronic diseases.METHODS A population-based prospective cohort study in 29 primary care practices throughout Belgium included 567 individuals aged 80 years and older. We plotted the highest tertile of SOC scores in Kaplan-Meier curves representing 3-year mortality and time to first hospitalization. Using Cox proportional hazard regression analyses and multiple logistic regression analyses adjusted for sociodemographic characteristics, depression, cognition, disability, and multimorbidity we examined the relationship between SOC and mortality, hospitalization, and decline in performance of activities of daily living (ADL).RESULTS Subjects with high SOC scores showed a higher cumulative survival than others (Log rank = 0.004) independent of other prognostic characteristics (adjusted hazard ratio 0.62 (95% CI, 0.38–1.00), P = .049). For ADL decline, a high SOC was shown to be protective, and this effect tended to be independent from the covariates under study (adjusted odds ratio 0.56 (95% CI, 0.31–1.0), P = .05).CONCLUSION Even very elderly persons with high SOC scores were shown to have lower mortality rates and less functional decline. These effects were independent of multimorbidity, depression, cognition, disability, and sociodemographic characteristics.