Neighborhood Socioeconomic Disadvantage and Care After Myocardial Infarction in the National Cardiovascular Data Registry

Circulation. Cardiovascular Quality and Outcomes
Jacob A UdellDeepak L Bhatt

Abstract

Patients living in disadvantaged neighborhoods are at high risk for adverse outcomes after acute myocardial infarction (MI). Whether residential socioeconomic status (SES) is associated with quality of in-hospital care among patients presenting with MI is unclear. Multivariable logistic regression was used to examine the relationship between SES, quality of care, and in-hospital cardiovascular outcomes among patients with MI from diverse SES neighborhoods from July 2008 to December 2013, at 586 participating hospitals in the Acute Coronary Treatment and Intervention Outcomes Network Registry-Get With The Guidelines quality improvement program. Patients were categorized according to which SES summary measure group they resided in through linkage with US census block data. Outcomes were in-hospital mortality and major adverse cardiovascular events. Quality of MI care was assessed with the defect-free care measure that delineates the proportion of eligible patients who received all acute and discharge guideline-recommended therapies. Among 390 692 patients, there was a substantially longer median arrival-to-angiography time in lower SES neighborhoods (lowest 8.0 hours, low 5.5 hours, medium 4.8 hours, high 4.5 hours, highest 3.4 h...Continue Reading

References

Aug 30, 1984·The New England Journal of Medicine·W RubermanB S Chaudhary
Jul 14, 2001·The New England Journal of Medicine·A V Diez RouxR L Watson
Mar 5, 2004·JAMA : the Journal of the American Medical Association·David A AlterUNKNOWN SESAMI Study Group
May 26, 2004·Archives of Internal Medicine·Sunil V RaoJames G Jollis
Jul 22, 2005·The New England Journal of Medicine·Ashish K JhaArnold M Epstein
Jan 19, 2006·Annals of Internal Medicine·David A AlterUNKNOWN SESAMI Study Group
Jun 7, 2007·JAMA : the Journal of the American Medical Association·Seth W GlickmanEric D Peterson
Aug 30, 2008·Medical Care·Nancy J O BirkmeyerJohn D Birkmeyer
Jan 10, 2009·International Journal of Cardiology·Samip Vasaiwala, Mladen Vidovich
Jun 19, 2009·The New England Journal of Medicine·Michael Spivey, Arthur L Kellermann
Jan 13, 2010·Circulation·Yariv GerberUNKNOWN Israel Study Group on First Acute Myocardial Infarction
Sep 9, 2010·Circulation·Abhinav GoyalUNKNOWN Reduction of Atherothrombosis for Continued Health (REACH) Registry Investigators
Jun 20, 2012·Archives of Internal Medicine·Jacob A UdellUNKNOWN REduction of Atherothrombosis for Continued Health (REACH) Registry Investigators
Mar 14, 2014·JAMA Surgery·Bradley N ReamesAmir A Ghaferi
May 16, 2014·Circulation. Cardiovascular Quality and Outcomes·Alexander B BlumSalomeh Keyhani
Jul 10, 2014·Circulation. Cardiovascular Quality and Outcomes·Erin UngerNorrina B Allen
Dec 2, 2014·Annals of Internal Medicine·Amy J H KindMaureen Smith
Oct 29, 2015·Circulation. Cardiovascular Quality and Outcomes·Abhinav GoyalTracy Y Wang
Aug 10, 2016·Health Affairs·Susannah M BernheimHarlan M Krumholz
Dec 28, 2016·Journal of the American College of Cardiology·Frederick A MasoudiJohn A Spertus
Feb 27, 2017·The American Journal of Cardiology·Amy Leigh MillerDeepak L Bhatt
Oct 13, 2017·Journal of the American Heart Association·Justin M BachmannMatthew S Freiberg
Nov 15, 2017·Medical Care·Lok Wong SamsonKaren E Joynt

❮ Previous
Next ❯

Citations

Jan 30, 2020·Circulation·Salim S ViraniUNKNOWN American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee
Jan 28, 2021·Circulation·Salim S ViraniUNKNOWN American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee
Aug 13, 2021·Circulation. Cardiovascular Quality and Outcomes·Piotr JankowskiŁukasz Szumowski

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

© 2022 Meta ULC. All rights reserved