Hawa O. Abu|Kate L. Lapane|Molly E. Waring|Christine M. Ulbricht|Randolph S. Devereaux|David D. McManus|Jeroan J. Allison|Catarina I. Kiefe|Robert J. Goldberg
Religious practices and long-term survival after hospital discharge for an acute coronary syndrome
University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Connecticut|University of Massachusetts Chan Medical School|Mercer University|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School
background prior studies healthy populations found religious practices associated survival however contemporary studies examined whether religiosity influences survival among patients discharged hospital acute coronary syndrome acs present study examined relationship religious practices 2year allcause mortality among hospital survivors acs methods patients hospitalized acs recruited 6 medical centers massachusetts georgia 2011 2013 study participants selfreported three items assessing religiosity strengthcomfort religion petition prayers health awareness intercessory prayers others causemortality within 2years hospital discharge ascertained review medical records participating study hospitals death certificates cox proportional hazards models used estimate multivariable adjusted risk 2year allcause mortality results participants n 2068 average 61 years old 34 women 81 nonhispanic white approximately 85 derived strengthcomfort religion 61 prayed health 89 aware intercessions overall 6 died within 2 years postdischarge adjusting sociodemographic variables age sex raceethnicity petition prayers associated increased risk 2year allcause mortality hr 164 95 ci 101266 adjustment several clinical psychosocial measures association longer statistically significant strength comfort religion intercessory prayers significantly associated mortality conclusions acs survivors acknowledge deriving strength comfort religion praying health intercessions made others health although reported religious practices associated postdischarge survival multivariable adjustment acknowledging patients utilize religious beliefs practices strategies improve health would ensure holistic approach patient management promote cultural competence healthcare