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Quality of Life among Patients with Acute Coronary Syndromes Receiving Care from Public and Private Health Care Systems in Brazil

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Graduation Program in Health Sciences, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
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Federal Institute of Sergipe, São Cristóvão 49100-000, Brazil
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Department of Nutrition, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
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Department of Medicine, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
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São Lucas Clinic and Hospital/Rede D’Or São Luiz, Aracaju 49015-380, Brazil
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Division of Cardiology, University Hospital, Federal University of Sergipe, Aracaju 49060-025, Brazil
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Department of Statistics and Actuarial Sciences, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
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Primavera Hospital, Aracaju 49026-010, Brazil
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Graduate Program in Nutrition Sciences, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
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Division of Nutrition, University Hospital, Federal University of Sergipe, Aracaju 49060-025, Brazil
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Graduate Program in Health and Environment, Tiradentes University, Aracaju 49032-490, Brazil
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Group of Studies and Research in Performance, Sport, Health and Paralympic Sports–GEPEPS, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
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Authors to whom correspondence should be addressed.
Academic Editors: Anna Capasso and Alberto Cordero
Clin. Pract. 2022, 12(4), 513-526; https://doi.org/10.3390/clinpract12040055
Received: 15 May 2022 / Revised: 27 June 2022 / Accepted: 4 July 2022 / Published: 8 July 2022
(1) Background: Quality of life (QOL) is used as a health indicator to assess the effectiveness and impact of therapies in certain groups of patients. This study aimed to analyze the QOL of patients with acute coronary syndrome (ACS) who received medical treatment by a public or private health care system. (2) Methods: This observational, prospective, longitudinal study was carried out in four referral hospitals providing cardiology services in Sergipe, Brazil. QoL was evaluated using the Medical Outcomes Study 36-Item Short-Form Health Survey. The volunteers were divided into two groups (public or private health care group) according to the type of health care provided. Multiple linear regression models were used to evaluate QoL at 180 days after ACS. (3) Results: A total of 581 patients were eligible, including 44.1% and 55.9% for public and private health care, respectively. At 180 days after ACS, the public health care group had lower QoL scores for all domains (functional capacity, physical aspects, pain, general health status, vitality, social condition, emotional profile, and health) (p < 0.05) than the private group. The highest QoL level was associated with male sex (p < 0.05) and adherence to physical activity (p ≤ 0.003) for all assessed domains. (4) Conclusions: This shows that social factors and health status disparities influence QoL after ACS in Sergipe. View Full-Text
Keywords: physical activity; secondary prevention; quality of health care physical activity; secondary prevention; quality of health care
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MDPI and ACS Style

de Carvalho Costa, I.M.N.B.; da Silva, D.G.; Oliveira, J.L.M.; Silva, J.R.S.; de Andrade, F.A.; de Góes Jorge, J.; de Oliveira, L.M.S.M.; de Almeida, R.R.; Oliveira, V.B.; Martins, L.S.; Costa, J.O.; de Souza, M.F.C.; Pereira, L.M.C.; Alves, L.V.S.; Voci, S.M.; Almeida-Santos, M.A.; Aidar, F.J.; Baumworcel, L.; Sousa, A.C.S. Quality of Life among Patients with Acute Coronary Syndromes Receiving Care from Public and Private Health Care Systems in Brazil. Clin. Pract. 2022, 12, 513-526. https://doi.org/10.3390/clinpract12040055

AMA Style

de Carvalho Costa IMNB, da Silva DG, Oliveira JLM, Silva JRS, de Andrade FA, de Góes Jorge J, de Oliveira LMSM, de Almeida RR, Oliveira VB, Martins LS, Costa JO, de Souza MFC, Pereira LMC, Alves LVS, Voci SM, Almeida-Santos MA, Aidar FJ, Baumworcel L, Sousa ACS. Quality of Life among Patients with Acute Coronary Syndromes Receiving Care from Public and Private Health Care Systems in Brazil. Clinics and Practice. 2022; 12(4):513-526. https://doi.org/10.3390/clinpract12040055

Chicago/Turabian Style

de Carvalho Costa, Ingrid Maria Novais Barros, Danielle Góes da Silva, Joselina Luzia Meneses Oliveira, José Rodrigo Santos Silva, Fabrício Anjos de Andrade, Juliana de Góes Jorge, Larissa Marina Santana Mendonça de Oliveira, Rebeca Rocha de Almeida, Victor Batista Oliveira, Larissa Santos Martins, Jamille Oliveira Costa, Márcia Ferreira Cândido de Souza, Larissa Monteiro Costa Pereira, Luciana Vieira Sousa Alves, Silvia Maria Voci, Marcos Antonio Almeida-Santos, Felipe J. Aidar, Leonardo Baumworcel, and Antônio Carlos Sobral Sousa. 2022. "Quality of Life among Patients with Acute Coronary Syndromes Receiving Care from Public and Private Health Care Systems in Brazil" Clinics and Practice 12, no. 4: 513-526. https://doi.org/10.3390/clinpract12040055

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