{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T10:36:26Z","timestamp":1789468586667,"version":"build-2803163510"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"ABSTRACT<\/jats:title>\n \n Background:<\/jats:title>\n The factors associated with mortality following acute coronary syndrome (ACS) based on patient satisfaction are unknown. The objective was to describe and compare factors associated with 1-year mortality following ACS according to high versus low patient satisfaction with hospital stay, doctors, and nurses.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n In a registry of 3565 patients presenting with ACS to 29 hospitals across 4 countries, we grouped patients by self-reported satisfaction with hospital stay reported at 1-month following ACS. The primary outcome was all-cause 1-year mortality following ACS, excluding patients with mortality before the initial 30-day follow-up. We examined associations of patient and hospitalization factors with risk of 1-year all-cause mortality in logistic regression models, unadjusted and adjusted for Global Registry of Acute Coronary Event (GRACE) risk score, reported as odds ratio (OR; 95% confidence interval).<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n In models adjusting for GRACE risk score, in the low satisfaction category, women, compared with men, had statistically similar odds of mortality (adjusted OR: 1.43 [0.99\u20132.04]). Lack of formal education (vs. any education) was associated with higher odds of mortality in the low satisfaction (aOR: 1.99 [1.33\u20133.04];\n P<\/jats:italic>\n < 0.01) and high satisfaction (aOR: 3.06 [1.93\u20135.00];\n P<\/jats:italic>\n < 0.001) categories (\n P<\/jats:italic>\n interaction<\/jats:sub>\n = 0.30). Lack of employment (vs. employment) was associated with similar higher odds of mortality in the low satisfaction (aOR: 6.37 [2.83\u201318.25];\n P<\/jats:italic>\n < 0.001) and high satisfaction (aOR: 2.58 [1.40\u20135.21];\n P<\/jats:italic>\n < 0.01) categories (\n P<\/jats:italic>\n interaction<\/jats:sub>\n = 0.08). Generally comparable results were obtained when analyzed by patient satisfaction with doctors and with nurses.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Education and employment were major factors associated with higher 1-year mortality following ACS, independent of patient satisfaction, and may inform tailored educational and outreach interventions to reduce mortality.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/heartviews.heartviews_16_26","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T09:02:44Z","timestamp":1789462964000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated with Mortality following Acute Coronary Syndrome According to Patient Satisfaction"],"prefix":"10.4103","volume":"27","author":[{"given":"Sagar B.","family":"Dugani","sequence":"first","affiliation":[{"name":"Division of Hospital Internal Medicine, Mayo Clinic, Minnesota, USA"},{"name":"Division of Health Care Delivery Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujaytha S.","family":"Paknikar","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Mayo Clinic, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlene E.","family":"Girardo","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Sciences, Mayo Clinic, Scottsdale, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanieh Sadat Tabatabaei","family":"Yeganeh","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes and Metabolism, Mayo Clinic, Rochester, Minnesota, USA"},{"name":"Department of Internal Medicine, Texas Tech University Health Sciences Center, Midland, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samia","family":"Mora","sequence":"additional","affiliation":[{"name":"Center for Lipid Metabolomics, Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA"},{"name":"Divisions of Preventive and Cardiovascular Medicine, Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alawi A.","family":"Alsheikh-Ali","sequence":"additional","affiliation":[{"name":"College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Zubaid","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine, Kuwait University, Kuwait City, 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