Socioeconomic Assessment and Impact of Social Security on Outcome in Patients Admitted with Suspected Coronary Chest Pain in the City of Salta, Argentina
Low socioeconomic status is associated with increased mortality from coronary heart disease. We assessed total mortality, cardiac death, and sudden cardiac death (SCD) in relation to socioeconomic class and social security in 982 patients consecutively admitted with suspected coronary chest pain, li...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/807249 |
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| author | Ricardo A. León de la Fuente Patrycja A. Naesgaard Stein Tore Nilsen Leik Woie Torbjoern Aarsland Harry Staines Dennis W. T. Nilsen |
| author_facet | Ricardo A. León de la Fuente Patrycja A. Naesgaard Stein Tore Nilsen Leik Woie Torbjoern Aarsland Harry Staines Dennis W. T. Nilsen |
| author_sort | Ricardo A. León de la Fuente |
| collection | DOAJ |
| description | Low socioeconomic status is associated with increased mortality from coronary heart disease. We assessed total mortality, cardiac death, and sudden cardiac death (SCD) in relation to socioeconomic class and social security in 982 patients consecutively admitted with suspected coronary chest pain, living in the city of Salta, northern Argentina. Patients were divided into three socioeconomic classes based on monthly income, residential area, and insurance coverage. Five-year follow-up data were analyzed accordingly, applying univariate and multivariate analyses. At follow-up, 173 patients (17.6%) had died. In 92 patients (9.4%) death was defined as cardiac, of whom 59 patients (6.0%) were characterized as SCD. In the multivariate analysis, the hazard ratios (HRs) for all-cause and cardiac mortality in the highest as compared to the lowest socioeconomic class were 0.42 (95% confidence interval (CI), 0.22–0.80), P=0.008, and 0.39 (95% CI, 0.15–0.99), P=0.047, respectively. Comparing patients in the upper socioeconomic class to patients without healthcare coverage, HRs were 0.46 (95% CI, 0.23–0.94), P=0.032, and 0.37 (95% CI, 0.14–1.01), P=0.054, respectively. In conclusion, survival was mainly tied to socioeconomic inequalities in this population, and the impact of a social security program needs further attention. |
| format | Article |
| id | doaj-art-b3a117a7acc44a88ab3e6d34c697a741 |
| institution | Kabale University |
| issn | 2090-8016 2090-0597 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-b3a117a7acc44a88ab3e6d34c697a7412025-02-03T06:05:51ZengWileyCardiology Research and Practice2090-80162090-05972013-01-01201310.1155/2013/807249807249Socioeconomic Assessment and Impact of Social Security on Outcome in Patients Admitted with Suspected Coronary Chest Pain in the City of Salta, ArgentinaRicardo A. León de la Fuente0Patrycja A. Naesgaard1Stein Tore Nilsen2Leik Woie3Torbjoern Aarsland4Harry Staines5Dennis W. T. Nilsen6Department of Cardiology, Stavanger University Hospital, Postboks 8100, 4068 Stavanger, NorwayDepartment of Cardiology, Stavanger University Hospital, Postboks 8100, 4068 Stavanger, NorwayDepartment of Research, Stavanger University Hospital, Postboks 8100, 4068 Stavanger, NorwayDepartment of Cardiology, Stavanger University Hospital, Postboks 8100, 4068 Stavanger, NorwayDepartment of Research, Stavanger University Hospital, Postboks 8100, 4068 Stavanger, NorwaySigma Statistical Services, School Road, Balmullo KY16 0BJ, UKDepartment of Cardiology, Stavanger University Hospital, Postboks 8100, 4068 Stavanger, NorwayLow socioeconomic status is associated with increased mortality from coronary heart disease. We assessed total mortality, cardiac death, and sudden cardiac death (SCD) in relation to socioeconomic class and social security in 982 patients consecutively admitted with suspected coronary chest pain, living in the city of Salta, northern Argentina. Patients were divided into three socioeconomic classes based on monthly income, residential area, and insurance coverage. Five-year follow-up data were analyzed accordingly, applying univariate and multivariate analyses. At follow-up, 173 patients (17.6%) had died. In 92 patients (9.4%) death was defined as cardiac, of whom 59 patients (6.0%) were characterized as SCD. In the multivariate analysis, the hazard ratios (HRs) for all-cause and cardiac mortality in the highest as compared to the lowest socioeconomic class were 0.42 (95% confidence interval (CI), 0.22–0.80), P=0.008, and 0.39 (95% CI, 0.15–0.99), P=0.047, respectively. Comparing patients in the upper socioeconomic class to patients without healthcare coverage, HRs were 0.46 (95% CI, 0.23–0.94), P=0.032, and 0.37 (95% CI, 0.14–1.01), P=0.054, respectively. In conclusion, survival was mainly tied to socioeconomic inequalities in this population, and the impact of a social security program needs further attention.http://dx.doi.org/10.1155/2013/807249 |
| spellingShingle | Ricardo A. León de la Fuente Patrycja A. Naesgaard Stein Tore Nilsen Leik Woie Torbjoern Aarsland Harry Staines Dennis W. T. Nilsen Socioeconomic Assessment and Impact of Social Security on Outcome in Patients Admitted with Suspected Coronary Chest Pain in the City of Salta, Argentina Cardiology Research and Practice |
| title | Socioeconomic Assessment and Impact of Social Security on Outcome in Patients Admitted with Suspected Coronary Chest Pain in the City of Salta, Argentina |
| title_full | Socioeconomic Assessment and Impact of Social Security on Outcome in Patients Admitted with Suspected Coronary Chest Pain in the City of Salta, Argentina |
| title_fullStr | Socioeconomic Assessment and Impact of Social Security on Outcome in Patients Admitted with Suspected Coronary Chest Pain in the City of Salta, Argentina |
| title_full_unstemmed | Socioeconomic Assessment and Impact of Social Security on Outcome in Patients Admitted with Suspected Coronary Chest Pain in the City of Salta, Argentina |
| title_short | Socioeconomic Assessment and Impact of Social Security on Outcome in Patients Admitted with Suspected Coronary Chest Pain in the City of Salta, Argentina |
| title_sort | socioeconomic assessment and impact of social security on outcome in patients admitted with suspected coronary chest pain in the city of salta argentina |
| url | http://dx.doi.org/10.1155/2013/807249 |
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