Relationship between the place of living and mortality in patients with advanced heart failure

Social and environmental factors in advanced heart failure (HF) patients may be crucial to cope with the end stages of the disease. This study analyzes health inequalities and mortality according to place of residence (rural vs urban) in HF patients at advanced stages of the disease. Population-base...

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Detalles Bibliográficos
Autores: Muñoz, Miguel-Angel|||0000-0002-4083-3248, Garcia, Raquel, Navas, Elena|||0000-0001-5823-5847, Duran, Julio, Del Val García, José Luis|||0000-0002-0391-9368, Verdú Rotellar, Jose María|||0000-0003-4225-8504
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:252761
Acceso en línea:https://ddd.uab.cat/record/252761
https://dx.doi.org/urn:doi:10.1186/s12875-020-01213-x
Access Level:acceso abierto
Palabra clave:Advanced heart failure
Rural health
Community healthcare
Health inequalities
Descripción
Sumario:Social and environmental factors in advanced heart failure (HF) patients may be crucial to cope with the end stages of the disease. This study analyzes health inequalities and mortality according to place of residence (rural vs urban) in HF patients at advanced stages of the disease. Population-based cohort study including 1148 adult patients with HF attended in 279 primary care centers. Patients were followed for at least 1 year after reaching New York Heart Association IV functional class, between 2010 and 2014. Data came from primary care electronic medical records. Cox regression models were applied to determine the hazard ratios (HR) of mortality. Mean age was 81.6 (SD 8.9) years, and 62% were women. Patients in rural areas were older, particularly women aged.