F-72 | Impact of Socioeconomic Disparity on In-patient Mortality Following STEMI: A National Inpatient Sample Analysis (2017–2022)

Q: What is the clinical evidence from this study?

Study design: Observational. Population: ST elevation myocardial infarction (STEMI). Intervention: Socioeconomic disparity (income level and insurance type) vs. Higher socioeconomic status. Primary outcome: In-hospital mortality.

Truong An Ngo; Amrita Iyengar; Janelle Muuse; Tam Tran; Minh HN. Le; Vien T. Truong; Alan Wong

doi:10.1016/j.jscai.2026.105184

April 1, 2026Journal of the Society for Cardiovascular Angiography & InterventionsOpen Access

F-72 | Impact of Socioeconomic Disparity on In-patient Mortality Following STEMI: A National Inpatient Sample Analysis (2017–2022)

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Key result

Socioeconomic disadvantage is linked to disproportionately higher in-hospital mortality in STEMI patients.

Why the study?

In-hospital mortality for STEMI remains disproportionately higher among socioeconomically disadvantaged patients despite advances in PCI and medical therapy.

Does socioeconomic status impact in-hospital mortality among patients hospitalized with STEMI?

Key Points

To examine the association between socioeconomic status, specifically income level and insurance type, and in-hospital mortality among patients hospitalized with ST-elevation myocardial infarction (STEMI).
Analyzed hospitalized STEMI patients using the National Inpatient Sample database covering the years 2017 through 2022.
Evaluated the impact of socioeconomic markers, including income quartiles and primary payer status, on inpatient survival following percutaneous coronary intervention and medical therapy.
In-hospital mortality following STEMI remained disproportionately higher among socioeconomically disadvantaged patient cohorts despite contemporary treatment advances.
Lower income levels and adverse insurance status were identified as key factors associated with increased in-hospital mortality risks during STEMI admissions.

Study Design

Type

Observational

Multicenter

Yes

Structured PICO

Does socioeconomic status impact in-hospital mortality among patients hospitalized with STEMI?

P

Population

Patients hospitalized with STEMI between 2017 and 2022, analyzed to determine the impact of socioeconomic disparity on in-hospital mortality.

O

Outcome

In-hospital mortalityhard clinical

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Answers are grounded in this paper and cite their sources.

Implication

This study investigates the association between socioeconomic disparities, such as income level and insurance type, and in-hospital mortality following STEMI.

Abstract

Despite advances in percutaneous coronary intervention (PCI) and optimized medical therapy, in-hospital mortality for ST elevation myocardial infarction (STEMI) remains disproportionately higher among socioeconomically disadvantaged patients. Income level and insurance type are important factors that may contribute to these disparities. This study examines the association between socioeconomic status and in-hospital mortality among patients hospitalized with STEMI.

Discussion

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Cite This Study

Ngo et al. (2026) conducted an observational in ST elevation myocardial infarction (STEMI). Socioeconomic disparity (income level and insurance type) vs. Higher socioeconomic status was evaluated on In-hospital mortality. Socioeconomic disadvantage is associated with disproportionately higher in-hospital mortality among patients hospitalized with STEMI, though specific quantitative results are not reported.

synapsesocial.com/papers/6a025e6293868c48f3093c2b https://doi.org/10.1016/j.jscai.2026.105184

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F-72 | Impact of Socioeconomic Disparity on In-patient Mortality Following STEMI: A National Inpatient Sample Analysis (2017–2022)

Key Points

Study Design

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

F-72 | Impact of Socioeconomic Disparity on In-patient Mortality Following STEMI: A National Inpatient Sample Analysis (2017–2022)

Key Points

Study Design

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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