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Socioeconomic Assessment and Impact of Social Security on Outcome in Patients Admitted with Suspected Coronary Chest Pain in the City of Salta, Argentina
Joint Authors
Naesgaard, Patrycja A.
León de la Fuente, Ricardo A.
Nilsen, Dennis W. T.
Woie, Leik
Nilsen, Stein Tore
Aarsland, Torbjoern
Staines, Harry
Source
Cardiology Research and Practice
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-05-29
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
León de la Fuente, Ricardo A.& Naesgaard, Patrycja A.& Nilsen, Stein Tore& Woie, Leik& Aarsland, Torbjoern& Staines, Harry…[et al.]. 2013. 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،Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-499636
Modern Language Association (MLA)
León de la Fuente, Ricardo A.…[et al.]. 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 No. 2013 (2013), pp.1-9.
https://search.emarefa.net/detail/BIM-499636
American Medical Association (AMA)
León de la Fuente, Ricardo A.& Naesgaard, Patrycja A.& Nilsen, Stein Tore& Woie, Leik& Aarsland, Torbjoern& Staines, Harry…[et al.]. 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. 2013. Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-499636
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-499636