| Titre : | Influence of socioeconomic status on clinical outcomes and quality of life after percutaneous coronary intervention. (2006) |
| Auteurs : | M.A. DENVIR ; H. ETEIBA ; LEE (A.J.) : GBR. Medical Statistics Unit. University of Edinburgh. ; J.P. PELL ; J. RYSDALE ; I.R. STARKEY ; WALKER (A.) : GBR. Department of Statistics and Health Economics. University of Glasgow. Glasgow. ; Glasgow Royal Infirmary. Department of Medical Cardiology. Glasgow. GBR ; University of Edinburgh. Centre for Cardiovascular Research. Edinburgh. GBR |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 60, n° 12, 2006) |
| Pagination : | 1085-1088 |
| Langues: | Anglais |
| Mots-clés : | Cardiopathie coronaire ; Facteur socioéconomique ; Pronostic ; Evolution ; Qualité vie ; Homme ; Appareil circulatoire [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST-CNRS o416R0xw. Diffusion soumise à autorisation]. Objectives : To determine whether socioeconomic status (SES) influences clinical outcomes and quality of life after percutaneous coronary intervention (PCI). Design : Prospective observational study. Setting : Two interventional cardiac centres. Participants : 1346 consecutive patients undergoing PCI over a 12-month period. Outcomes : Self reported health-related quality of life (HRQoL ; EuroQol-5 Dimensions (EQ-5D) ; EuroQol Visual Analogue Scale (EQ-VAS)), repeat angiography, revascularisation, hospital admission, myocardial infarction and death within 12 months, by SES derived using postal address code. Main results : No significant differences were found between patients with high and low SES in the occurrence of repeat angiography (p=0.55), repeat revascularisation (PCI, p=0.81, CAEG, p=0.27), total cardiac hospitalisation (p=0.10), myocardial infarction (p=0.97) or death 12 months after PCI (p=0.88). Non-procedure-related readmissions were higher in patients with low SES (18.6% v 13.7% ; p=0.025). After adjustment for confounding factors, patients with low SES had lower HRQoL scores at baseline (95% Cl for difference 0.01 to 0.14 ; p=0.003) and at 12 months (95% Cl 0.07 to 0.17 ; p<0.001) compared with those with high SES. Conclusions : Clinical outcomes were similar for patients in different SES groups. Patients with low SES had considerably more non-procedure-related readmissions and lower quality-of-life scores. Future studies on HRQoL after coronary revascularisation should take account of these important differences related to SES. |
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