Socioeconomic Status and Prognosis of Patients With ST-Elevation Myocardial Infarction Managed by the Emergency-Intervention “Codi IAM” Network

BackgroundDespite the spread of ST-elevation myocardial infarction (STEMI) emergency intervention networks, inequalities in healthcare access still have a negative impact on cardiovascular prognosis. The Family Income Ratio of Barcelona (FIRB) is a socioeconomic status (SES) indicator that is annual...

Descripción completa

Detalles Bibliográficos
Autores: Tizón Marcos, Helena, Vaquerizo, Beatriz, Mauri Ferré, Josepa, Farré, Núria, Lidón, Rosa Maria, Garcia Picart, Joan, Regueiro Cueva, Ander, Ariza Solé, Albert, Carrillo, Xavier, Duran, Xavier, Poirier, Paul, Cladellas Capdevila, Mercè, Camps Vilaró, Anna, Ribas, Núria, Cubero Gallego, Hector, Marrugat, Jaume, 1954-
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/186061
Acceso en línea:https://hdl.handle.net/2445/186061
Access Level:acceso abierto
Palabra clave:Malalts cardíacs
Condicions econòmiques
Cardiac patients
Economic conditions
id ES_024233f930aab0d62804afdb189bb42e
oai_identifier_str oai:diposit.ub.edu:2445/186061
network_acronym_str ES
network_name_str España
repository_id_str
spelling Socioeconomic Status and Prognosis of Patients With ST-Elevation Myocardial Infarction Managed by the Emergency-Intervention “Codi IAM” NetworkTizón Marcos, HelenaVaquerizo, BeatrizMauri Ferré, JosepaFarré, NúriaLidón, Rosa MariaGarcia Picart, JoanRegueiro Cueva, AnderAriza Solé, AlbertCarrillo, XavierDuran, XavierPoirier, PaulCladellas Capdevila, MercèCamps Vilaró, AnnaRibas, NúriaCubero Gallego, HectorMarrugat, Jaume, 1954-Malalts cardíacsCondicions econòmiquesCardiac patientsEconomic conditionsBackgroundDespite the spread of ST-elevation myocardial infarction (STEMI) emergency intervention networks, inequalities in healthcare access still have a negative impact on cardiovascular prognosis. The Family Income Ratio of Barcelona (FIRB) is a socioeconomic status (SES) indicator that is annually calculated. Our aim was to evaluate whether SES had an effect on mortality and complications in patients managed by the Codi IAM network in Barcelona. MethodsThis is a cohort study with 3,322 consecutive patients with STEMI treated in Barcelona from 2010 to 2016. Collected data include treatment delays, clinical and risk factor characteristics, and SES. The patients were assigned to three SES groups according to FIRB score. A logistic regression analysis was conducted to estimate the adjusted effect of SES on 30-day mortality, 30-day composite cardiovascular end point, and 1-year mortality. ResultsThe mean age of the patients was 65 +/- 13% years, 25% were women, and 21% had diabetes mellitus. Patients with low SES were younger, more often hypertensive, diabetic, dyslipidemic (p < 0.003), had longer reperfusion delays (p < 0.03) compared to participants with higher SES. Low SES was not independently associated with 30-day mortality (OR: 0.95;9 5% CI: 0.7-1.3), 30-day cardiovascular composite end point (OR: 1.03; 95% CI: 0.84-1.26), or 1-year all-cause mortality (HR: 1.09; 95% CI: 0.76-1.56). ConclusionAlthough the low-SES patients with STEMI in Barcelona city were younger, had worse clinical profiles, and had longer revascularization delays, their 30-day and 1-year outcomes were comparable to those of the higher-SES patients.Frontiers Media2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/186061Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3389/fcvm.2022.847982Frontiers in Cardiovascular Medicine, 2022, vol. 9https://doi.org/10.3389/fcvm.2022.847982cc by (c) Tizón Marcos, Helena et al, 2022http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1860612026-05-27T06:46:51Z
dc.title.none.fl_str_mv Socioeconomic Status and Prognosis of Patients With ST-Elevation Myocardial Infarction Managed by the Emergency-Intervention “Codi IAM” Network
title Socioeconomic Status and Prognosis of Patients With ST-Elevation Myocardial Infarction Managed by the Emergency-Intervention “Codi IAM” Network
spellingShingle Socioeconomic Status and Prognosis of Patients With ST-Elevation Myocardial Infarction Managed by the Emergency-Intervention “Codi IAM” Network
Tizón Marcos, Helena
Malalts cardíacs
Condicions econòmiques
Cardiac patients
Economic conditions
title_short Socioeconomic Status and Prognosis of Patients With ST-Elevation Myocardial Infarction Managed by the Emergency-Intervention “Codi IAM” Network
title_full Socioeconomic Status and Prognosis of Patients With ST-Elevation Myocardial Infarction Managed by the Emergency-Intervention “Codi IAM” Network
title_fullStr Socioeconomic Status and Prognosis of Patients With ST-Elevation Myocardial Infarction Managed by the Emergency-Intervention “Codi IAM” Network
title_full_unstemmed Socioeconomic Status and Prognosis of Patients With ST-Elevation Myocardial Infarction Managed by the Emergency-Intervention “Codi IAM” Network
title_sort Socioeconomic Status and Prognosis of Patients With ST-Elevation Myocardial Infarction Managed by the Emergency-Intervention “Codi IAM” Network
dc.creator.none.fl_str_mv Tizón Marcos, Helena
Vaquerizo, Beatriz
Mauri Ferré, Josepa
Farré, Núria
Lidón, Rosa Maria
Garcia Picart, Joan
Regueiro Cueva, Ander
Ariza Solé, Albert
Carrillo, Xavier
Duran, Xavier
Poirier, Paul
Cladellas Capdevila, Mercè
Camps Vilaró, Anna
Ribas, Núria
Cubero Gallego, Hector
Marrugat, Jaume, 1954-
author Tizón Marcos, Helena
author_facet Tizón Marcos, Helena
Vaquerizo, Beatriz
Mauri Ferré, Josepa
Farré, Núria
Lidón, Rosa Maria
Garcia Picart, Joan
Regueiro Cueva, Ander
Ariza Solé, Albert
Carrillo, Xavier
Duran, Xavier
Poirier, Paul
Cladellas Capdevila, Mercè
Camps Vilaró, Anna
Ribas, Núria
Cubero Gallego, Hector
Marrugat, Jaume, 1954-
author_role author
author2 Vaquerizo, Beatriz
Mauri Ferré, Josepa
Farré, Núria
Lidón, Rosa Maria
Garcia Picart, Joan
Regueiro Cueva, Ander
Ariza Solé, Albert
Carrillo, Xavier
Duran, Xavier
Poirier, Paul
Cladellas Capdevila, Mercè
Camps Vilaró, Anna
Ribas, Núria
Cubero Gallego, Hector
Marrugat, Jaume, 1954-
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Malalts cardíacs
Condicions econòmiques
Cardiac patients
Economic conditions
topic Malalts cardíacs
Condicions econòmiques
Cardiac patients
Economic conditions
description BackgroundDespite the spread of ST-elevation myocardial infarction (STEMI) emergency intervention networks, inequalities in healthcare access still have a negative impact on cardiovascular prognosis. The Family Income Ratio of Barcelona (FIRB) is a socioeconomic status (SES) indicator that is annually calculated. Our aim was to evaluate whether SES had an effect on mortality and complications in patients managed by the Codi IAM network in Barcelona. MethodsThis is a cohort study with 3,322 consecutive patients with STEMI treated in Barcelona from 2010 to 2016. Collected data include treatment delays, clinical and risk factor characteristics, and SES. The patients were assigned to three SES groups according to FIRB score. A logistic regression analysis was conducted to estimate the adjusted effect of SES on 30-day mortality, 30-day composite cardiovascular end point, and 1-year mortality. ResultsThe mean age of the patients was 65 +/- 13% years, 25% were women, and 21% had diabetes mellitus. Patients with low SES were younger, more often hypertensive, diabetic, dyslipidemic (p < 0.003), had longer reperfusion delays (p < 0.03) compared to participants with higher SES. Low SES was not independently associated with 30-day mortality (OR: 0.95;9 5% CI: 0.7-1.3), 30-day cardiovascular composite end point (OR: 1.03; 95% CI: 0.84-1.26), or 1-year all-cause mortality (HR: 1.09; 95% CI: 0.76-1.56). ConclusionAlthough the low-SES patients with STEMI in Barcelona city were younger, had worse clinical profiles, and had longer revascularization delays, their 30-day and 1-year outcomes were comparable to those of the higher-SES patients.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/186061
url https://hdl.handle.net/2445/186061
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3389/fcvm.2022.847982
Frontiers in Cardiovascular Medicine, 2022, vol. 9
https://doi.org/10.3389/fcvm.2022.847982
dc.rights.none.fl_str_mv cc by (c) Tizón Marcos, Helena et al, 2022
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Tizón Marcos, Helena et al, 2022
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869402642201968640
score 15,301629

Similares en LA Referencia