Socioeconomic status and prognosis of patients with ST-elevation myocardial infarction managed by the emergency-intervention "Codi IAM" network

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  • dc.contributor.author Tizón-Marcos, Helena
  • dc.contributor.author Vaquerizo Montilla, Beatriz
  • dc.contributor.author Mauri, Josepa
  • dc.contributor.author Farré López, Núria
  • dc.contributor.author Lidón, Rosa-Maria
  • dc.contributor.author Garcia-Picart, Joan
  • dc.contributor.author Regueiro, Ander
  • dc.contributor.author Ariza, Albert
  • dc.contributor.author Carrillo, Xavier
  • dc.contributor.author Duran, Xavier
  • dc.contributor.author Poirier, Paul
  • dc.contributor.author Cladellas Capdevila, M.Mercedes
  • dc.contributor.author Camps-Vilaró, Anna
  • dc.contributor.author Ribas Barquet, Núria
  • dc.contributor.author Cubero Gallego, Héctor
  • dc.contributor.author Marrugat de la Iglesia, Jaume
  • dc.date.accessioned 2022-11-03T07:23:38Z
  • dc.date.available 2022-11-03T07:23:38Z
  • dc.date.issued 2022
  • dc.description.abstract Background: despite 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. Methods: this 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. Results: the 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). Conclusion: although 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.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Tizón-Marcos H, Vaquerizo B, Ferré JM, Farré N, Lidón RM, Garcia-Picart J, et al. Socioeconomic status and prognosis of patients with ST-elevation myocardial infarction managed by the emergency-intervention "Codi IAM" network. Front Cardiovasc Med. 2022 Apr 25; 9: 847982. DOI: 10.3389/fcvm.2022.847982.
  • dc.identifier.doi http://dx.doi.org/10.3389/fcvm.2022.847982
  • dc.identifier.issn 2297-055X
  • dc.identifier.uri http://hdl.handle.net/10230/54668
  • dc.language.iso eng
  • dc.publisher Frontiers
  • dc.rights Copyright © 2022 Tizón-Marcos, Vaquerizo, Ferré, Farré, Lidón, Garcia-Picart, Regueiro, Ariza, Carrillo, Duran, Poirier, Cladellas, Camps-Vilaró, Ribas, Cubero-Gallego and Marrugat. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) http://creativecommons.org/licenses/by/4.0/. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword ST-elevation myocardial infarction
  • dc.subject.keyword Inequalities
  • dc.subject.keyword Mortality
  • dc.subject.keyword Primary percutaneous coronary intervention
  • dc.subject.keyword Reperfusion
  • dc.title Socioeconomic status and prognosis of patients with ST-elevation myocardial infarction managed by the emergency-intervention "Codi IAM" network
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion

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