Cargando…

Short and Long Term Mortality after Coronary Artery Bypass Grafting (CABG) Is Influenced by Socioeconomic Position but Not by Migration Status in Sweden, 1995–2007

BACKGROUND: There are no nationwide studies on mortality after coronary artery bypass grafting (CABG) among foreign-born populations that include detailed information about country of birth and information about socioeconomic position. The objective was to investigate the risk of mortality after CAB...

Descripción completa

Detalles Bibliográficos
Autores principales: Dzayee, Dashti Ali M., Ivert, Torbjörn, Beiki, Omid, Alfredsson, Lars, Ljung, Rickard, Moradi, Tahereh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661557/
https://www.ncbi.nlm.nih.gov/pubmed/23717501
http://dx.doi.org/10.1371/journal.pone.0063877
_version_ 1782270700028952576
author Dzayee, Dashti Ali M.
Ivert, Torbjörn
Beiki, Omid
Alfredsson, Lars
Ljung, Rickard
Moradi, Tahereh
author_facet Dzayee, Dashti Ali M.
Ivert, Torbjörn
Beiki, Omid
Alfredsson, Lars
Ljung, Rickard
Moradi, Tahereh
author_sort Dzayee, Dashti Ali M.
collection PubMed
description BACKGROUND: There are no nationwide studies on mortality after coronary artery bypass grafting (CABG) among foreign-born populations that include detailed information about country of birth and information about socioeconomic position. The objective was to investigate the risk of mortality after CABG considering socioeconomic position, sex and country of birth. MATERIAL AND METHODS: We included all 72 333 patients undergoing a first isolated CABG in Sweden, during 1995 - 2007 of whom 12.7% were foreign-born. The patients were classified according to educational level, sex, and country of birth and were followed up to December 2007. We estimated the risk of short and long term mortality after CABG in a multivariable model adjusted for age, calendar year of surgery, diabetes, educational level, and waiting time for surgery. Hazard ratios (HR) with 95% confidence intervals (CI) were calculated based on the Cox proportional hazard model. FINDINGS: There were 15,284 deaths during the follow-up, 10.4% of whom were foreign-born. The foreign-born patients were 3 to 4 years younger than Sweden-born patients at the time of CABG surgery. There were no significant differences in overall early or late mortality between foreign-born and Sweden-born men and women after CABG. All-cause mortality differed in between regions and was highest in foreign-born men from Eastern Africa (HR 3.80, 95% CI 1.58–9.17), China (HR 3.61, 95% CI 1.50–8.69), and in Chile (HR 2.12, 95% CI 1.01–4.47). Patients with low level of education had worse survival compared to those with longer than 12 years of education irrespective of sex and country of birth. This difference was more pronounced among foreign-born women (HR 1.50, 95% CI 1.00–2.33). CONCLUSION: This national study showed higher CABG mortality in patients from lower socioeconomic position. Early and late mortality did not differ after isolated CABG in foreign-born and Sweden-born patients.
format Online
Article
Text
id pubmed-3661557
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-36615572013-05-28 Short and Long Term Mortality after Coronary Artery Bypass Grafting (CABG) Is Influenced by Socioeconomic Position but Not by Migration Status in Sweden, 1995–2007 Dzayee, Dashti Ali M. Ivert, Torbjörn Beiki, Omid Alfredsson, Lars Ljung, Rickard Moradi, Tahereh PLoS One Research Article BACKGROUND: There are no nationwide studies on mortality after coronary artery bypass grafting (CABG) among foreign-born populations that include detailed information about country of birth and information about socioeconomic position. The objective was to investigate the risk of mortality after CABG considering socioeconomic position, sex and country of birth. MATERIAL AND METHODS: We included all 72 333 patients undergoing a first isolated CABG in Sweden, during 1995 - 2007 of whom 12.7% were foreign-born. The patients were classified according to educational level, sex, and country of birth and were followed up to December 2007. We estimated the risk of short and long term mortality after CABG in a multivariable model adjusted for age, calendar year of surgery, diabetes, educational level, and waiting time for surgery. Hazard ratios (HR) with 95% confidence intervals (CI) were calculated based on the Cox proportional hazard model. FINDINGS: There were 15,284 deaths during the follow-up, 10.4% of whom were foreign-born. The foreign-born patients were 3 to 4 years younger than Sweden-born patients at the time of CABG surgery. There were no significant differences in overall early or late mortality between foreign-born and Sweden-born men and women after CABG. All-cause mortality differed in between regions and was highest in foreign-born men from Eastern Africa (HR 3.80, 95% CI 1.58–9.17), China (HR 3.61, 95% CI 1.50–8.69), and in Chile (HR 2.12, 95% CI 1.01–4.47). Patients with low level of education had worse survival compared to those with longer than 12 years of education irrespective of sex and country of birth. This difference was more pronounced among foreign-born women (HR 1.50, 95% CI 1.00–2.33). CONCLUSION: This national study showed higher CABG mortality in patients from lower socioeconomic position. Early and late mortality did not differ after isolated CABG in foreign-born and Sweden-born patients. Public Library of Science 2013-05-22 /pmc/articles/PMC3661557/ /pubmed/23717501 http://dx.doi.org/10.1371/journal.pone.0063877 Text en © 2013 Dzayee et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Dzayee, Dashti Ali M.
Ivert, Torbjörn
Beiki, Omid
Alfredsson, Lars
Ljung, Rickard
Moradi, Tahereh
Short and Long Term Mortality after Coronary Artery Bypass Grafting (CABG) Is Influenced by Socioeconomic Position but Not by Migration Status in Sweden, 1995–2007
title Short and Long Term Mortality after Coronary Artery Bypass Grafting (CABG) Is Influenced by Socioeconomic Position but Not by Migration Status in Sweden, 1995–2007
title_full Short and Long Term Mortality after Coronary Artery Bypass Grafting (CABG) Is Influenced by Socioeconomic Position but Not by Migration Status in Sweden, 1995–2007
title_fullStr Short and Long Term Mortality after Coronary Artery Bypass Grafting (CABG) Is Influenced by Socioeconomic Position but Not by Migration Status in Sweden, 1995–2007
title_full_unstemmed Short and Long Term Mortality after Coronary Artery Bypass Grafting (CABG) Is Influenced by Socioeconomic Position but Not by Migration Status in Sweden, 1995–2007
title_short Short and Long Term Mortality after Coronary Artery Bypass Grafting (CABG) Is Influenced by Socioeconomic Position but Not by Migration Status in Sweden, 1995–2007
title_sort short and long term mortality after coronary artery bypass grafting (cabg) is influenced by socioeconomic position but not by migration status in sweden, 1995–2007
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661557/
https://www.ncbi.nlm.nih.gov/pubmed/23717501
http://dx.doi.org/10.1371/journal.pone.0063877
work_keys_str_mv AT dzayeedashtialim shortandlongtermmortalityaftercoronaryarterybypassgraftingcabgisinfluencedbysocioeconomicpositionbutnotbymigrationstatusinsweden19952007
AT iverttorbjorn shortandlongtermmortalityaftercoronaryarterybypassgraftingcabgisinfluencedbysocioeconomicpositionbutnotbymigrationstatusinsweden19952007
AT beikiomid shortandlongtermmortalityaftercoronaryarterybypassgraftingcabgisinfluencedbysocioeconomicpositionbutnotbymigrationstatusinsweden19952007
AT alfredssonlars shortandlongtermmortalityaftercoronaryarterybypassgraftingcabgisinfluencedbysocioeconomicpositionbutnotbymigrationstatusinsweden19952007
AT ljungrickard shortandlongtermmortalityaftercoronaryarterybypassgraftingcabgisinfluencedbysocioeconomicpositionbutnotbymigrationstatusinsweden19952007
AT moraditahereh shortandlongtermmortalityaftercoronaryarterybypassgraftingcabgisinfluencedbysocioeconomicpositionbutnotbymigrationstatusinsweden19952007