{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:25:51Z","timestamp":1760660751095,"version":"build-2065373602"},"reference-count":54,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["R01HL109388"],"award-info":[{"award-number":["R01HL109388"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["1K23DK1297742"],"award-info":[{"award-number":["1K23DK1297742"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Adults hospitalized for cardiovascular events are at high risk for postdischarge mortality. Screening of psychosocial risk is prioritized by the Joint Commission. We tested whether key patient\u2010reported psychosocial and behavioral measures could predict posthospitalization mortality in a cohort of adults hospitalized for a cardiovascular event.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a prospective cohort study to test the prognostic utility of validated patient\u2010reported measures, including health literacy, social support, health behaviors and disease management, and socioeconomic status. Cox survival analyses of mortality were conducted over a median of 3.5 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 2977 adults hospitalized for either acute coronary syndrome or acute decompensated heart failure, the mean age was 53 years, and 60% were male. After adjusting for demographic, clinical, and other psychosocial factors, mortality risk was greatest among patients who reported being unemployed (hazard ratio [HR]:\u00a01.99, 95% confidence interval [CI]):\u00a01.30\u20133.06), retired (HR: 2.14, 95% CI: 1.60\u20132.87), or unable to work due to disability (HR: 2.36, 95% CI: 1.73\u20133.21), as compared to those who were employed. Patient\u2010reported perceived health competence (PHCS\u20102) and exercise frequency were also associated with mortality risk after adjusting for all other variables (HR: 0.86, 95% CI: 0.73\u20131.00 per four\u2010point increase in PHCS\u20102; HR: 0.86, 95% CI: 0.77\u20130.96 per 3\u2010day increase in exercise frequency, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patient\u2010reported measures of employment status, perceived health competence, and exercise frequency independently predict mortality after a cardiac hospitalization. Incorporating these brief, valid measures into hospital\u2010based screening may help with prognostication and targeting patients for resources during post\u2010discharge transitions of care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhm.13336","type":"journal-article","created":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T07:03:27Z","timestamp":1711955007000},"page":"475-485","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient\u2010reported predictors of postdischarge mortality after cardiac hospitalization"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7164-715X","authenticated-orcid":false,"given":"Devika","family":"Nair","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Nephrology and Hypertension Vanderbilt University Medical Center Nashville Tennessee USA"},{"name":"Vanderbilt Center for Health Services Research Vanderbilt University 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