| Titre : | The relation between socioeconomic status and short-term mortality after acute myocardial infarction persists in the elderly : results from a nationwide study. (2012) |
| Auteurs : | Aloysia-Am VAN OEFFELEN ; Charles AGYEMANG ; Michiel-L BOTS ; Carla KOOPMAN ; Lenie-Van ROSSEM ; Karien STRONKS ; Ilonca VAARTJES ; Department of Public Health. Academic Medical Center Amsterdam. Amsterdam. NLD ; Julius Center for Health Sciences and Primary Care. University Medical Center Utrecht. GA Utrecht. NLD |
| Type de document : | Article |
| Dans : | European journal of epidemiology (vol. 27, n° 8, 2012) |
| Pagination : | 605-613 |
| Langues: | Anglais |
| Mots-clés : | Facteur socioéconomique ; Court terme ; Mortalité ; Epidémiologie ; Personne âgée ; Résultat ; Homme ; Cardiopathie coronaire |
| Résumé : | [BDSP. Notice produite par INIST-CNRS I7R0xlqF. Diffusion soumise à autorisation]. We assessed whether the previously observed relationship between socioeconomic status (SES) and short-term mortality (pre-hospital mortality and 28-day case-fatality) after a first acute myocardial infarction (AMI) in persons<75 years, are also observed in the elderly (i.e.>75 years), and whether these relationships vary by sex. A nationwide register based cohort study was conducted. Between January 1st 1998 and December 31st 2007,76,351 first AMI patients were identified, of whom 60,498 (79.2%) were hospitalized. Logistic regression analyses were performed to measure SES differences in pre-hospital mortality after a first AMI and 28-day case-fatality after a first AMI hospitalization. All analyses were stratified by sex and age group (<55,55-64,65-74,75-84,>85), and adjusted for age, ethnic origin, marital status, and degree of urbanization. There was an inverse relation between SES and pre-hospital mortality in both sexes. There was also an inverse relation between SES and 28-day case-fatality after hospitalization, but only in men. Compared to elderly men with the highest SES, elderly men with the lowest SES had a higher pre-hospital mortality in both 75-84 year-olds (OR=1.26 ; 95% CI 1.09-1.47) and>=85 year-olds (OR=1.26 ; 1.00-1.58), and a higher 28-day case-fatality in both 75-84 year-olds (OR=1.26 ; 1.06-1.50) and>=85 year-olds (OR=1.36 ; 0.99-1.85). Compared to elderly women with the highest SES, elderly women with the lowest SES had a higher pre-hospital mortality in>=85 year-olds (OR=1.20 ; 0.99-1.46). To conclude, in men there are SES inequalities in both pre-hospital mortality and case-fatality after a first AMI, in women these SES inequalities are only shown in pre-hospital mortality. The inequalities persist in the elderly (>75 years of age). Clinicians and policymakers need to be more vigilant on the population with a low SES background, including the elderly. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact