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October 29, 2024European Journal of Preventive Cardiology

Compared with urban patients, rural patients had higher mortality rates for both AMI (15.5% vs. 13.4%; OR 1.18, 95% CI 1.13-1.24) and HF (12.3% vs. 11.6%; OR 1.11, 95% CI 1.11-1.12).

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Why the study?

It was unclear whether rural-urban disparities have an impact on mortality in patients presenting with acute myocardial infarction and heart failure.

Does living in rural areas increase mortality in patients presenting with acute myocardial infarction and heart failure compared to living in urban areas?

Population

21 107 886 AMI patients and 18 434 270 HF patients across 37 studies

Comparison

Rural patients vs urban patients presenting to hospital

Design

Systematic review and meta-analysis of 37 studies

Follow-up

0 days to 24 months

Authors

BFBabar FaridiSDSteven DaviesRNRashmi Narendrula

Discussion

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Member takes

Overview

Rural residence links to higher AMI/HF mortality; supports disparity-reduction efforts and extends calls for causal and interventional studies.

Structured PICO

Does living in rural areas increase mortality in patients presenting with acute myocardial infarction and heart failure compared to living in urban areas?

P
Population
39,542,156 patients from 37 studies (21,107,886 with acute myocardial infarction [AMI] and 18,434,270 with heart failure [HF]) presenting to hospital. AMI cohort: rural mean age 69.8, 43.2% female; urban mean age 67.5, 38.5% female. HF cohort: rural mean age 77.1, 56.4% female; urban mean age 76.5, 49.5% female.
I
Intervention
Living in rural areas
C
Comparator
Living in urban areas
O
Outcome
All-cause mortalityhard clinical

Patients presenting with acute myocardial infarction or heart failure in rural areas face a significantly higher risk of mortality compared to those in urban areas, highlighting the need for targeted clinical and policy efforts to reduce these disparities.

Cite This Study

Faridi et al. (2024) studied this question.

synapsesocial.com/papers/69fa87880c0301fc6f7a1d34https://doi.org/10.1093/eurjpc/zwae351
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