Key result
Being on disability pension at the time of first coronary revascularisation was associated with an approximately twofold higher five-year mortality risk across all subgroups, including men undergoing PCI (HR 1.95).
Why the study?
Does disability pension at the time of first coronary revascularisation predict higher five-year mortality in patients aged 30-64 years?
Cohort (n=70,040)
Yes
Does disability pension at the time of first coronary revascularisation predict higher five-year mortality in patients aged 30-64 years?
Hazard Ratio: 1.95 (95% CI 1.72–2.21)
Absolute Event Rate: 7% vs 2.6%
Disability pension at the time of first coronary revascularisation is a strong independent predictor of five-year mortality, highlighting a vulnerable patient group that may require intensified secondary prevention.
May flag high-risk patients for intensified secondary prevention post-revascularisation; leaves open whether targeted interventions improve survival.
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Zetterström et al. (2015) conducted a cohort in First coronary revascularisation (CABG or PCI) (n=70,040). Disability pension at the time of intervention vs. Not on disability pension at the time of intervention was evaluated on Five-year all-cause mortality (PCI men subgroup) (HR 1.95, 95% CI 1.72-2.21). Being on disability pension at the time of first coronary revascularisation was associated with an approximately twofold higher five-year mortality risk across all subgroups, including men undergoing PCI (HR 1.95).
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