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Myocardial infarction in an urban population: worse long term prognosis for patients from less affluent residential areas.

Tydén, Patrik LU ; Hansen, Ole LU ; Engström, Gunnar LU ; Hedblad, Bo LU and Janzon, Lars LU (2002) In Journal of Epidemiology and Community Health 56(10). p.785-790
Abstract
STUDY OBJECTIVE: The objective in this follow up study from the Malmö myocardial infarction register has been to assess whether long term survival following discharge after first myocardial infarction has any relation with the socioeconomic environment and to assess to what extent intra-urban differences in mortality from ischaemic heart disease can be accounted for by covariance with long term survival following discharge after acute myocardial infarction. DESIGN: Register based surveillance study. SETTING: Seventeen residential areas in the city of Malmö, Sweden. PARTICIPANTS: The cohort contains all 2931 male and 2083 female patients with myocardial infarction who were discharged for the first time between 1986-95 from Malmö University... (More)
STUDY OBJECTIVE: The objective in this follow up study from the Malmö myocardial infarction register has been to assess whether long term survival following discharge after first myocardial infarction has any relation with the socioeconomic environment and to assess to what extent intra-urban differences in mortality from ischaemic heart disease can be accounted for by covariance with long term survival following discharge after acute myocardial infarction. DESIGN: Register based surveillance study. SETTING: Seventeen residential areas in the city of Malmö, Sweden. PARTICIPANTS: The cohort contains all 2931 male and 2083 female patients with myocardial infarction who were discharged for the first time between 1986-95 from Malmö University Hospital. Main results: During the on average 4.9 years of follow up 55% of the patients died. The sex adjusted and age adjusted all cause mortality rate/1000 patient years ranged between residential areas from 85.5 to 163.6. The area specific relative risk of death after discharge was associated with a low socioeconomic score, r=-0.56, p=0.018. Major risk factors for cardiovascular disease were more prevalent in areas with low socioeconomic score and low rates of survival. Of the intra-urban differences in mortality from ischaemic heart disease, 41% could be accounted for by differences with regard to the survival rate after discharge. CONCLUSIONS: The results are compatible with the hypothesis that the socioeconomic environment plays an important part in the survival rate of patients with myocardial infarction. To assess the preventive potential, the extent to which socioeconomic circumstances covary with severity of disease, respectively with the use and compliance with secondary preventive measures, needs to be evaluated. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
socioeconomic factors, survival, myocardial infarction
in
Journal of Epidemiology and Community Health
volume
56
issue
10
pages
785 - 790
publisher
BMJ Publishing Group
external identifiers
  • wos:000178139100020
  • pmid:12239206
  • scopus:0036786280
ISSN
1470-2738
DOI
10.1136/jech.56.10.785
language
English
LU publication?
yes
id
bb9c50b1-54cd-4b99-9b88-8f6e6707b052 (old id 110250)
date added to LUP
2007-07-25 08:45:18
date last changed
2017-03-26 03:31:19
@article{bb9c50b1-54cd-4b99-9b88-8f6e6707b052,
  abstract     = {STUDY OBJECTIVE: The objective in this follow up study from the Malmö myocardial infarction register has been to assess whether long term survival following discharge after first myocardial infarction has any relation with the socioeconomic environment and to assess to what extent intra-urban differences in mortality from ischaemic heart disease can be accounted for by covariance with long term survival following discharge after acute myocardial infarction. DESIGN: Register based surveillance study. SETTING: Seventeen residential areas in the city of Malmö, Sweden. PARTICIPANTS: The cohort contains all 2931 male and 2083 female patients with myocardial infarction who were discharged for the first time between 1986-95 from Malmö University Hospital. Main results: During the on average 4.9 years of follow up 55% of the patients died. The sex adjusted and age adjusted all cause mortality rate/1000 patient years ranged between residential areas from 85.5 to 163.6. The area specific relative risk of death after discharge was associated with a low socioeconomic score, r=-0.56, p=0.018. Major risk factors for cardiovascular disease were more prevalent in areas with low socioeconomic score and low rates of survival. Of the intra-urban differences in mortality from ischaemic heart disease, 41% could be accounted for by differences with regard to the survival rate after discharge. CONCLUSIONS: The results are compatible with the hypothesis that the socioeconomic environment plays an important part in the survival rate of patients with myocardial infarction. To assess the preventive potential, the extent to which socioeconomic circumstances covary with severity of disease, respectively with the use and compliance with secondary preventive measures, needs to be evaluated.},
  author       = {Tydén, Patrik and Hansen, Ole and Engström, Gunnar and Hedblad, Bo and Janzon, Lars},
  issn         = {1470-2738},
  keyword      = {socioeconomic factors,survival,myocardial infarction},
  language     = {eng},
  number       = {10},
  pages        = {785--790},
  publisher    = {BMJ Publishing Group},
  series       = {Journal of Epidemiology and Community Health},
  title        = {Myocardial infarction in an urban population: worse long term prognosis for patients from less affluent residential areas.},
  url          = {http://dx.doi.org/10.1136/jech.56.10.785},
  volume       = {56},
  year         = {2002},
}