Association of Socioeconomic Status With Outcomes and Care Quality in Patients Presenting With Undifferentiated Chest Pain in the Setting of Universal Health Care Coverage.


Journal

Journal of the American Heart Association
ISSN: 2047-9980
Titre abrégé: J Am Heart Assoc
Pays: England
ID NLM: 101580524

Informations de publication

Date de publication:
05 04 2022
Historique:
pubmed: 25 3 2022
medline: 8 4 2022
entrez: 24 3 2022
Statut: ppublish

Résumé

BACKGROUND This study aimed to assess whether there are disparities in incidence rates, care, and outcomes for patients with chest pain attended by emergency medical services according to socioeconomic status (SES) in a universal health coverage setting. METHODS AND RESULTS This was a population-based cohort study of individually linked ambulance, emergency, hospital admission, and mortality data in the state of Victoria, Australia, from January 2015 to June 2019 that included 183 232 consecutive emergency medical services attendances for adults with nontraumatic chest pain (mean age 62 [SD 18] years; 51% women) and excluded out-of-hospital cardiac arrest and ST-segment-elevation myocardial infarction. Age-standardized incidence of chest pain was higher for patients residing in lower SES areas (lowest SES quintile 1595 versus highest SES quintile 760 per 100 000 person-years;

Identifiants

pubmed: 35322681
doi: 10.1161/JAHA.121.024923
pmc: PMC9075482
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e024923

Références

Eur J Prev Cardiol. 2020 Jun 2;:2047487320931309
pubmed: 32484046
BMC Health Serv Res. 2017 Jun 24;17(1):436
pubmed: 28646876
Circ Cardiovasc Qual Outcomes. 2009 Sep;2(5):491-9
pubmed: 20031882
Eur Heart J. 2018 Nov 7;39(42):3766-3776
pubmed: 30239671
JAMA Cardiol. 2020 Aug 1;5(8):899-908
pubmed: 32459344
JACC Heart Fail. 2019 Jul;7(7):537-546
pubmed: 31078475
Emerg Med J. 2006 Dec;23(12):948-52
pubmed: 17130609
CJC Open. 2019 Apr 12;1(3):141-146
pubmed: 32159097
BMC Public Health. 2015 Dec 29;15:1312
pubmed: 26715537
Circ Cardiovasc Qual Outcomes. 2018 Jun;11(6):e004054
pubmed: 29848476
Emerg Med Australas. 2020 Apr;32(2):295-302
pubmed: 31707761
Circ Cardiovasc Qual Outcomes. 2019 Jan;12(1):e004979
pubmed: 30606051
Circ Heart Fail. 2015 May;8(3):473-80
pubmed: 25747700
N Engl J Med. 2001 Jul 12;345(2):99-106
pubmed: 11450679
JAMA. 2007 Jun 6;297(21):2373-80
pubmed: 17551130
Heart. 2010 Jul;96(13):1043-9
pubmed: 20483906
Am J Cardiol. 2020 Aug 15;129:10-18
pubmed: 32576369
BMC Health Serv Res. 2021 Mar 6;21(1):202
pubmed: 33676497
CJC Open. 2021 Feb 12;3(7):950-964
pubmed: 34401702
BMJ Open. 2020 Apr 9;10(4):e036088
pubmed: 32276957
Arch Intern Med. 2006 Nov 27;166(21):2348-55
pubmed: 17130388
Eur Heart J Qual Care Clin Outcomes. 2019 Oct 1;5(4):292-297
pubmed: 31050720
Eur Heart J. 2021 Feb 21;42(8):861-869
pubmed: 33345270
Eur J Prev Cardiol. 2019 Nov;26(17):1816-1823
pubmed: 31067128
Circulation. 2010 Sep 21;122(12):1167-75
pubmed: 20823388
Eur J Cardiovasc Prev Rehabil. 2008 Oct;15(5):526-32
pubmed: 18622301
Circulation. 2018 May 15;137(20):2166-2178
pubmed: 29760227
Heart. 2019 Apr;105(8):632-638
pubmed: 30327393
Circulation. 2002 Dec 10;106(24):3018-23
pubmed: 12473545
Circ Cardiovasc Qual Outcomes. 2014 Jul;7(4):540-9
pubmed: 24895450
Int J Cardiol. 2016 Jan 1;202:776-81
pubmed: 26474468
JAMA Intern Med. 2016 Aug 1;176(8):1146-54
pubmed: 27367969
Int J Cardiol. 2014 Mar 1;172(1):82-7
pubmed: 24444479
Emerg Med J. 2015 Nov;32(11):876-81
pubmed: 25678574
Eur Heart J. 2003 Aug;24(15):1414-24
pubmed: 12909070
Heart Lung Circ. 2018 Apr;27(4):451-463
pubmed: 29291960
Med J Aust. 2015 May 4;202(8):427-32
pubmed: 25929506
Circulation. 2010 Jan 26;121(3):375-83
pubmed: 20065165
Scand J Trauma Resusc Emerg Med. 2019 Aug 29;27(1):84
pubmed: 31464622
J Hosp Med. 2013 Dec;8(12):689-95
pubmed: 24227707

Auteurs

Luke P Dawson (LP)

Department of Cardiology The Alfred Hospital Melbourne Victoria Australia.
Department of Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia.
Department of Cardiology The Royal Melbourne Hospital Melbourne Victoria Australia.

Emily Andrew (E)

Department of Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia.
Ambulance Victoria Melbourne Victoria Australia.

Ziad Nehme (Z)

Department of Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia.
Ambulance Victoria Melbourne Victoria Australia.
Department of Paramedicine Monash University Melbourne Victoria Australia.

Jason Bloom (J)

Department of Cardiology The Alfred Hospital Melbourne Victoria Australia.
The Baker Institute Melbourne Victoria Australia.

Sinjini Biswas (S)

Department of Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia.

Shelley Cox (S)

Department of Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia.
Ambulance Victoria Melbourne Victoria Australia.

David Anderson (D)

Ambulance Victoria Melbourne Victoria Australia.
Department of Intensive Care Medicine The Alfred Hospital Melbourne Victoria Australia.

Michael Stephenson (M)

Department of Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia.
Ambulance Victoria Melbourne Victoria Australia.
Department of Paramedicine Monash University Melbourne Victoria Australia.

Jeffrey Lefkovits (J)

Department of Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia.
Department of Cardiology The Royal Melbourne Hospital Melbourne Victoria Australia.

Andrew J Taylor (AJ)

Department of Cardiology The Alfred Hospital Melbourne Victoria Australia.
Department of Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia.
Department of Medicine Monash University Melbourne Victoria Australia.

David Kaye (D)

Department of Cardiology The Alfred Hospital Melbourne Victoria Australia.
The Baker Institute Melbourne Victoria Australia.

Karen Smith (K)

Department of Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia.
Ambulance Victoria Melbourne Victoria Australia.
Department of Paramedicine Monash University Melbourne Victoria Australia.

Dion Stub (D)

Department of Cardiology The Alfred Hospital Melbourne Victoria Australia.
Department of Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia.
The Baker Institute Melbourne Victoria Australia.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH