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April 14, 2008Epidemiology

Socioeconomic Disadvantage and Acute Coronary Events

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Key result

The highest quartile of socioeconomic disadvantage was associated with increased mortality from acute myocardial infarction compared to the lowest quartile (RR 1.40; 95% CI 1.27-1.54).

Why the study?

Does socioeconomic disadvantage increase the risk of acute coronary events and related mortality?

Population

All deaths from acute myocardial infarction and hospital admissions for acute coronary syndrome and related…

Comparison

Highest quartile of socioeconomic disadvantage vs Lowest quartile of socioeconomic disadvantage

Design

Cohort

Follow-up

1996 through 2002

Authors

JBJohn BeardColumbia UniversityAEArul EarnestMonash HealthGMGeoffrey MorganThe University of Sydney

Discussion

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Member takes

Overview

Excess AMI mortality in the most disadvantaged quartile warrants equity-focused care; confirms social determinants as key prognostic factors in RCTs.

Study Design

Type

Observational (n=161,579)

Multicenter

Yes

Structured PICO

Does socioeconomic disadvantage increase the risk of acute coronary events and related mortality?

P
Population
161,579 events of death from acute myocardial infarction or hospital admission for acute coronary syndrome in New South Wales, Australia, from 1996 through 2002.
E
Exposure
Highest quartile of socioeconomic disadvantage
C
Comparator
Lowest quartile of socioeconomic disadvantage
O
Outcome
Mortality from acute myocardial infarction and hospital admissions for acute coronary syndromehard clinical

Main Result

Relative Risk: 1.4 (95% CI 1.27–1.54)

Cite This Study

Beard et al. (2008) conducted an observational in Acute myocardial infarction and acute coronary syndrome (n=161,579). Socioeconomic disadvantage vs. Lowest quartile of socioeconomic disadvantage was evaluated on Mortality due to acute myocardial infarction (RR 1.40, 95% CI 1.27-1.54). The highest quartile of socioeconomic disadvantage was associated with increased mortality from acute myocardial infarction compared to the lowest quartile (RR 1.40; 95% CI 1.27-1.54).

synapsesocial.com/papers/6a2216fd00d082f62f97080bhttps://doi.org/10.1097/ede.0b013e3181656d7f
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Also Consider

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