Key result
Absence of a regional interventional cardiology center and greater distance link to ~21% higher IHD mortality.
Why the study?
Ischemic heart disease mortality rates remain high despite advances in interventional cardiology, with unclear influence of socioeconomic, demographic, and geographic factors in Brazil.
Cross-Sectional (n=29,351)
Absolute Event Rate: 109.16% vs 90.46%
p-value: p=<0.001
Geographic distance to interventional cardiology referral centers is significantly associated with higher ischemic heart disease mortality rates, highlighting the need for better geographic distribution of cardiac care networks.
Geographic access gaps may contribute to IHD mortality differences; leaves open causality and whether expanding networks improves survival.
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Andrade et al. (2013) conducted a cross-sectional in Ischemic Heart Disease (n=29,351). Absence of a Reference Interventional Cardiology Center within the Regional Health Unit vs. Presence of a Reference Interventional Cardiology Center was evaluated on Average specific mortality rate by IHD (deaths per 100,000 inhabitants) (p=<0.001). The absence of a regional reference interventional cardiology center and greater geographic distances to care were significantly associated with higher ischemic heart disease mortality rates.
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