Inequity of access to ACE inhibitors in Swedish heart failure patients: a register-based study
Why the study?
Do sociodemographic factors affect access to ACE inhibitors in Swedish adults hospitalized for heart failure?
Population
93,258 Swedish adults hospitalised for heart failure in 2005-2010
Comparison
Sociodemographic risk factors vs Male sex, younger age, employed status, higher…
Design
Cohort
Follow-up
1 year
Authors
Discussion
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Member takes
Implication
May indicate inequitable ACEI access by sex, age and employment in HF; leaves open whether interventions can close gaps.
Structured PICO
Do sociodemographic factors affect access to ACE inhibitors in Swedish adults hospitalized for heart failure?
P
Population
93,258 Swedish adults hospitalised for heart failure in 2005-2010
I
Intervention
Sociodemographic risk factors (female sex, high age, low employment status, low income level, low educational level, or foreign country of birth)
C
Comparator
Male sex, younger age, employed status, higher income/education, native-born
O
Outcome
Lack of an ACE inhibitor dispensation within 1 year of hospitalisation
Access to ACE inhibitors is inequitable among Swedish heart failure patients, with women, older patients, and unemployed patients having significantly reduced access.
Limitations
- Lack of clinical data
- Lack of mortality outcomes
Cite This Study
Ohlsson et al. (2015) studied this question.