Key result
Patients from the lowest socioeconomic status locations presenting with non-traumatic chest pain were 27% more likely to be admitted to a coronary or intensive care unit compared to those from the least disadvantaged locations.
Why the study?
Does socioeconomic disadvantage increase admission to a coronary care unit or intensive care unit in adults presenting with non-traumatic chest pain?
Population
53,177 consecutive adults aged 18 or over presenting with non-traumatic chest pain in three emergency…
Comparison
Lowest socioeconomic status locations based on… vs Least disadvantaged (highest SES) locations
Design
Cohort
Follow-up
5-year study period (2009-2013)
Authors
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Suggests socioeconomic disparities in chest pain triage; hypothesis-generating and should not yet change practice.
Observational (n=53,177)
Yes
Does socioeconomic disadvantage increase admission to a coronary care unit or intensive care unit in adults presenting with non-traumatic chest pain?
Odds Ratio: 1.27 (95% CI 1.17–1.39)
p-value: p=<0.001
Socioeconomic disadvantage is independently associated with a dose-response increase in the likelihood of admission to a coronary or intensive care unit among patients presenting with non-traumatic chest pain.
Mnatzaganian et al. (2018) conducted an observational in Non-traumatic chest pain (n=53,177). Lowest socioeconomic status (SES) vs. Highest socioeconomic status (SES) was evaluated on Admission to a coronary care unit (CCU) or an intensive care unit (ICU) (Adjusted-OR 1.27, 95% CI 1.17-1.39, p=<0.001). Patients from the lowest socioeconomic status locations presenting with non-traumatic chest pain were 27% more likely to be admitted to a coronary or intensive care unit compared to those from the least disadvantaged locations.
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