Factors associated with study completion in patients with premature acute coronary syndrome

PLoS One. 2017 Mar 16;12(3):e0173594. doi: 10.1371/journal.pone.0173594. eCollection 2017.

Abstract

Background: Factors associated with study completion in younger adults are not well understood. This study sought to describe psychosocial, clinical, and demographic features associated with completion of a study of men and women with premature acute coronary syndrome.

Methods: As part of the GENdEr and Sex determInantS of cardiovascular disease: From bench to beyond-Premature Acute Coronary Syndrome (GENESIS-PRAXY) study, demographic, psychosocial, and clinical variables were assessed in 1213 patients hospitalized for acute coronary syndrome (≤ 55 years; 30% women). Patients were followed for 12 months. Dropouts withdrew from the study or were lost to follow-up after 12 months; completers were still enrolled after 12 months.

Results: Of 1213 patients initially enrolled, 777 (64.1%) completed 12-month follow-up. Fully adjusted models suggested that being older (OR = 1.04, 95% CI [1.01, 1.06]), higher subjective social status within one's country (OR = 1.11, 95% CI [1.01, 1.22]), being free of type II diabetes, (OR = 0.66, 95% CI [0.45, 0.97]), non-smoking status (OR = 0.70, 95% CI [0.51, 0.95]) and being free of depression (OR = 1.52, 95% CI [1.11, 2.07]) were independently associated with study completion.

Conclusions: Recruitment/retention strategies targeting individuals who smoke, are younger, have low subjective social status within one's country, have diabetes, or have depression may improve participant follow-up in cardiovascular cohort studies.

MeSH terms

  • Acute Coronary Syndrome / psychology*
  • Adult
  • Female
  • Humans
  • Male
  • Middle Aged

Grants and funding

This work was supported by the Canadian Institutes of Health Research [grant number 200804MOP-190260-GSH-CFAC-40513; http://www.cihr-irsc.gc.ca/e/193.html] and Heart and Stroke Foundations of Québec, Nova Scotia, Alberta, Ontario, Yukon, and British Columbia, Canada (http://www.heartandstroke.com). Dr. Austin and Dr. Pelletier were supported by the Canadian Institutes of Health Research [grant number OR-201303 to A.W.A. and grant number CFE-113622 to R.P.; http://www.cihr-irsc.gc.ca/e/193.html]. Dr. Pilote was supported by the Fonds de recherche du Québec - Santé (FRQS) award (http://www.frqs.gouv.qc.ca/en/). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.