Key result
Highest socioeconomic status was associated with a lower risk of 1-year all-cause mortality compared to lowest socioeconomic status (8.1% vs 16.1%; HR 0.64; 95% CI 0.61-0.68) in AF patients.
Why the study?
The study aimed to examine socioeconomic differences in care and outcomes in a 1-year period beginning 30 days after hospital discharge for first-time atrial fibrillation or flutter hospitalization.
Does socioeconomic status affect 1-year mortality and care outcomes in 30-day survivors of first-time hospitalization for atrial fibrillation or flutter?
Population
150 544 AF 30-day discharge survivors in Denmark during 2005-2014
Comparison
Four socioeconomic status groups based on equivalized income
Design
Nationwide register-based follow-up cohort study
Follow-up
1 year
Authors
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Highlights disparities in post-hospitalization AF care; leaves open how targeted health policy interventions might.
Cohort (n=150,544)
Yes
Does socioeconomic status affect 1-year mortality and care outcomes in 30-day survivors of first-time hospitalization for atrial fibrillation or flutter?
Hazard Ratio: 0.64 (95% CI 0.61–0.68)
Absolute Event Rate: 8.1% vs 16.1%
Lower socioeconomic status is associated with increased 1-year mortality and reduced access to AF-specific interventions such as cardioversion and ablation following first-time AF hospitalization.
Hagengaard et al. (2019) conducted a cohort in First-time atrial fibrillation or flutter (AF) hospitalization (n=150,544). Highest socioeconomic status vs. Lowest socioeconomic status was evaluated on All-cause mortality (HR 0.64, 95% CI 0.61-0.68). Highest socioeconomic status was associated with a lower risk of 1-year all-cause mortality compared to lowest socioeconomic status (8.1% vs 16.1%; HR 0.64; 95% CI 0.61-0.68) in AF patients.
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