The Association of Socioeconomic Status with Three-Year Clinical Outcomes in Patients with Acute Myocardial Infarction Who Underwent Percutaneous Coronary Intervention.
10.3346/jkms.2014.29.4.536
- Author:
Jeong Hun KIM
1
;
Myung Ho JEONG
;
In Hyae PARK
;
Jin Soo CHOI
;
Jung Ae RHEE
;
Doo Hwan LEE
;
Soo Hwan PARK
;
In Soo KIM
;
Hae Chang JEONG
;
Jae Yeong CHO
;
Soo Young JANG
;
Ki hong LEE
;
Keun Ho PARK
;
Doo Sun SIM
;
Kye Hun KIM
;
Young Joon HONG
;
Hyung Wook PARK
;
Ju Han KIM
;
Youngkeun AHN
;
Jeong Gwan CHO
;
Jong Chun PARK
Author Information
1. The Heart Center of Chonnam National University Hospital, Gwangju, Korea. myungho@chollian.net
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Social Class;
Acute Myocardial Infarction;
Mortality
- MeSH:
Acute Disease;
Age Factors;
Aged;
*Angioplasty, Balloon, Coronary;
Cohort Studies;
Demography;
Female;
Follow-Up Studies;
Humans;
Male;
Middle Aged;
Myocardial Infarction/economics/mortality/*therapy;
*Percutaneous Coronary Intervention;
Proportional Hazards Models;
Retrospective Studies;
Risk Factors;
Sex Factors;
Social Class;
Socioeconomic Factors;
Treatment Outcome
- From:Journal of Korean Medical Science
2014;29(4):536-543
- CountryRepublic of Korea
- Language:English
-
Abstract:
The aim of this study was to evaluate whether the clinical outcomes were associated with socioeconomic status (SES) in patients with acute myocardial infarction (AMI) who underwent percutaneous coronary intervention (PCI). The author analyzed 2,358 patients (64.9 +/- 12.3 yr old, 71.5% male) hospitalized with AMI between November 2005 and June 2010. SES was measured by the self-reported education (years of schooling), the residential address (social deprivation index), and the national health insurance status (medical aid beneficiaries). Sequential multivariable modeling assessed the relationship of SES factors with 3-yr major adverse cardiovascular events (MACEs) and mortality after the adjustment for demographic and clinical factors. During the 3-yr follow-up, 630 (26.7%) MACEs and 322 (13.7%) all-cause deaths occurred in 2,358 patients. In multivariate Cox proportional hazards regression modeling, the only lower education of SES variables was associated with MACEs (hazard ratio [HR], 1.41; 95% confidence interval [CI], 1.04-1.91) and mortality (HR, 1.93; 95% CI, 1.16-3.20) in the patients with AMI who underwent PCI. The study results indicate that the lower education is a significant associated factor to increased poor clinical outcomes in patients with AMI who underwent PCI.
