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Cited by 525Cardiac Health and Mental HealthReligion, Spirituality, and PsychologyFrailty in Older Adults

Lack of Social Participation or Religious Strength and Comfort as Risk Factors for Death After Cardiac Surgery in the Elderly

Oxman, Thomas E., Freeman, Daniel H., Manheimer, Eric D.·1995·Psychosomatic Medicine
DOI 10.1097/00006842-199501000-00002
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Abstract

The purpose of this study was to examine the relationship of social support and religion to mortality after elective open heart surgery in older patients. Of the 232 patients included in the study, 21 died within 6 months of surgery. Three biomedical variables were significant predictors of mortality and selected as adjustment variables for a multivariate analysis: history of previous cardiac surgery; greater impairment in presurgery basic activities of daily living; and older age. Among the social support and religion variables, two were consistent predictors of mortality in the multivariate analyses: lack of participation in social or community groups and absence of strength and comfort from religion. These results suggest that in older persons lack of participation in groups and absence of strength and comfort in religion are independently related to risk for death during the 6-month period after cardiac surgery.

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  • Of the 13 most rigorous CHD studies, nine (69%) found inverse relationships with CHD and one found a positive one.

    “Of the 13 studies with the most rigorous methodology, nine (69%) found inverse relationships with CHD [357–365] and one found a positive one [366].”

    From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [361]

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Authors
Oxman, T. E., Freeman, D. H., & Manheimer, E. D.
Affiliations
The University of Texas Medical Branch at Galveston (US)
ORCID
Manheimer, Eric D.
Venue
Psychosomatic Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1995-01
Volume
57
Issue
1
Pages
5-15
ISSN
0033-3174 (ISSN-L)
DOI
10.1097/00006842-199501000-00002
OpenAlex
W1973842167
Cited by
525
References
69
Citations by year
2026: 3 · 2025: 2 · 2024: 1 · 2023: 45 · 2022: 8 · 2021: 6 · 2020: 7 · 2019: 6 · 2018: 9 · 2017: 9 · 2016: 12 · 2015: 11 · 2014: 14 · 2013: 18 · 2012: 26
FWCI
13.06
Type
journal article
Language
en
Open access
closed
Locations
  • Psychosomatic Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01mh045779-05)
  • National Institute of Mental Health (MH45779)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Social Sciences › Health › Religion, Spirituality, and Psychology
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Keywords
cardiac surgery, postoperative mortality, elderly patients, social participation (health and rehabilitation), social support, religious comfort, community participation, risk factors, activities of daily living
MeSH terms
Aged, Aortic Valve Stenosis, Coronary Artery Bypass, Coronary Disease, Depressive Disorder, Female, Follow-Up Studies, Heart Valve Prosthesis, Humans, Male, Middle Aged, Postoperative Complications, Religion and Medicine, Risk Factors, Sick Role, Social Support, Stroke Volume, Survival Rate, Cost of Illness

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