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The Association of Socioeconomic Status with Three-Year Clinical Outcomes in Patients with Acute Myocardial Infarction Who Underwent Percutaneous Coronary Intervention

The aim of this study was to evaluate whether the clinical outcomes were associated with socioeconomic status (SES) in patients with acute myocardial infarction (AMI) who underwent percutaneous coronary intervention (PCI). The author analyzed 2,358 patients (64.9 ± 12.3 yr old, 71.5% male) hospitali...

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Autores principales: Kim, Jeong Hun, Jeong, Myung Ho, Park, In Hyae, Choi, Jin Soo, Rhee, Jung Ae, Lee, Doo Hwan, Park, Soo Hwan, Kim, In Soo, Jeong, Hae Chang, Cho, Jae Yeong, Jang, Soo Young, Lee, Ki hong, Park, Keun-Ho, Sim, Doo Sun, Kim, Kye Hun, Hong, Young Joon, Park, Hyung Wook, Kim, Ju Han, Ahn, Youngkeun, Cho, Jeong Gwan, Park, Jong Chun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3991797/
https://www.ncbi.nlm.nih.gov/pubmed/24753701
http://dx.doi.org/10.3346/jkms.2014.29.4.536
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author Kim, Jeong Hun
Jeong, Myung Ho
Park, In Hyae
Choi, Jin Soo
Rhee, Jung Ae
Lee, Doo Hwan
Park, Soo Hwan
Kim, In Soo
Jeong, Hae Chang
Cho, Jae Yeong
Jang, Soo Young
Lee, Ki hong
Park, Keun-Ho
Sim, Doo Sun
Kim, Kye Hun
Hong, Young Joon
Park, Hyung Wook
Kim, Ju Han
Ahn, Youngkeun
Cho, Jeong Gwan
Park, Jong Chun
author_facet Kim, Jeong Hun
Jeong, Myung Ho
Park, In Hyae
Choi, Jin Soo
Rhee, Jung Ae
Lee, Doo Hwan
Park, Soo Hwan
Kim, In Soo
Jeong, Hae Chang
Cho, Jae Yeong
Jang, Soo Young
Lee, Ki hong
Park, Keun-Ho
Sim, Doo Sun
Kim, Kye Hun
Hong, Young Joon
Park, Hyung Wook
Kim, Ju Han
Ahn, Youngkeun
Cho, Jeong Gwan
Park, Jong Chun
author_sort Kim, Jeong Hun
collection PubMed
description The aim of this study was to evaluate whether the clinical outcomes were associated with socioeconomic status (SES) in patients with acute myocardial infarction (AMI) who underwent percutaneous coronary intervention (PCI). The author analyzed 2,358 patients (64.9 ± 12.3 yr old, 71.5% male) hospitalized with AMI between November 2005 and June 2010. SES was measured by the self-reported education (years of schooling), the residential address (social deprivation index), and the national health insurance status (medical aid beneficiaries). Sequential multivariable modeling assessed the relationship of SES factors with 3-yr major adverse cardiovascular events (MACEs) and mortality after the adjustment for demographic and clinical factors. During the 3-yr follow-up, 630 (26.7%) MACEs and 322 (13.7%) all-cause deaths occurred in 2,358 patients. In multivariate Cox proportional hazards regression modeling, the only lower education of SES variables was associated with MACEs (hazard ratio [HR], 1.41; 95% confidence interval [CI], 1.04-1.91) and mortality (HR, 1.93; 95% CI, 1.16-3.20) in the patients with AMI who underwent PCI. The study results indicate that the lower education is a significant associated factor to increased poor clinical outcomes in patients with AMI who underwent PCI. GRAPHICAL ABSTRACT: [Image: see text]
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spelling pubmed-39917972014-04-21 The Association of Socioeconomic Status with Three-Year Clinical Outcomes in Patients with Acute Myocardial Infarction Who Underwent Percutaneous Coronary Intervention Kim, Jeong Hun Jeong, Myung Ho Park, In Hyae Choi, Jin Soo Rhee, Jung Ae Lee, Doo Hwan Park, Soo Hwan Kim, In Soo Jeong, Hae Chang Cho, Jae Yeong Jang, Soo Young Lee, Ki hong Park, Keun-Ho Sim, Doo Sun Kim, Kye Hun Hong, Young Joon Park, Hyung Wook Kim, Ju Han Ahn, Youngkeun Cho, Jeong Gwan Park, Jong Chun J Korean Med Sci Original Article The aim of this study was to evaluate whether the clinical outcomes were associated with socioeconomic status (SES) in patients with acute myocardial infarction (AMI) who underwent percutaneous coronary intervention (PCI). The author analyzed 2,358 patients (64.9 ± 12.3 yr old, 71.5% male) hospitalized with AMI between November 2005 and June 2010. SES was measured by the self-reported education (years of schooling), the residential address (social deprivation index), and the national health insurance status (medical aid beneficiaries). Sequential multivariable modeling assessed the relationship of SES factors with 3-yr major adverse cardiovascular events (MACEs) and mortality after the adjustment for demographic and clinical factors. During the 3-yr follow-up, 630 (26.7%) MACEs and 322 (13.7%) all-cause deaths occurred in 2,358 patients. In multivariate Cox proportional hazards regression modeling, the only lower education of SES variables was associated with MACEs (hazard ratio [HR], 1.41; 95% confidence interval [CI], 1.04-1.91) and mortality (HR, 1.93; 95% CI, 1.16-3.20) in the patients with AMI who underwent PCI. The study results indicate that the lower education is a significant associated factor to increased poor clinical outcomes in patients with AMI who underwent PCI. GRAPHICAL ABSTRACT: [Image: see text] The Korean Academy of Medical Sciences 2014-04 2014-04-01 /pmc/articles/PMC3991797/ /pubmed/24753701 http://dx.doi.org/10.3346/jkms.2014.29.4.536 Text en © 2014 The Korean Academy of Medical Sciences. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Jeong Hun
Jeong, Myung Ho
Park, In Hyae
Choi, Jin Soo
Rhee, Jung Ae
Lee, Doo Hwan
Park, Soo Hwan
Kim, In Soo
Jeong, Hae Chang
Cho, Jae Yeong
Jang, Soo Young
Lee, Ki hong
Park, Keun-Ho
Sim, Doo Sun
Kim, Kye Hun
Hong, Young Joon
Park, Hyung Wook
Kim, Ju Han
Ahn, Youngkeun
Cho, Jeong Gwan
Park, Jong Chun
The Association of Socioeconomic Status with Three-Year Clinical Outcomes in Patients with Acute Myocardial Infarction Who Underwent Percutaneous Coronary Intervention
title The Association of Socioeconomic Status with Three-Year Clinical Outcomes in Patients with Acute Myocardial Infarction Who Underwent Percutaneous Coronary Intervention
title_full The Association of Socioeconomic Status with Three-Year Clinical Outcomes in Patients with Acute Myocardial Infarction Who Underwent Percutaneous Coronary Intervention
title_fullStr The Association of Socioeconomic Status with Three-Year Clinical Outcomes in Patients with Acute Myocardial Infarction Who Underwent Percutaneous Coronary Intervention
title_full_unstemmed The Association of Socioeconomic Status with Three-Year Clinical Outcomes in Patients with Acute Myocardial Infarction Who Underwent Percutaneous Coronary Intervention
title_short The Association of Socioeconomic Status with Three-Year Clinical Outcomes in Patients with Acute Myocardial Infarction Who Underwent Percutaneous Coronary Intervention
title_sort association of socioeconomic status with three-year clinical outcomes in patients with acute myocardial infarction who underwent percutaneous coronary intervention
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3991797/
https://www.ncbi.nlm.nih.gov/pubmed/24753701
http://dx.doi.org/10.3346/jkms.2014.29.4.536
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