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Association of Economic Status and Mortality in Patients with Acute Respiratory Distress Syndrome

The high cost of treatment for acute respiratory distress syndrome (ARDS) is a concern for healthcare systems, while the impact of patients’ socio-economic status on the risk of ARDS-associated mortality remains controversial. This study investigated associations between patients’ income at the time...

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Autores principales: Oh, Tak Kyu, Song, In-Ae, Lee, Jae Ho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142506/
https://www.ncbi.nlm.nih.gov/pubmed/32168795
http://dx.doi.org/10.3390/ijerph17061815
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author Oh, Tak Kyu
Song, In-Ae
Lee, Jae Ho
author_facet Oh, Tak Kyu
Song, In-Ae
Lee, Jae Ho
author_sort Oh, Tak Kyu
collection PubMed
description The high cost of treatment for acute respiratory distress syndrome (ARDS) is a concern for healthcare systems, while the impact of patients’ socio-economic status on the risk of ARDS-associated mortality remains controversial. This study investigated associations between patients’ income at the time of ARDS diagnosis and ARDS-specific mortality rate after treatment initiation. Data from records provided by the National Health Insurance Service of South Korea were used. Adult patients admitted for ARDS treatment from 2013 to 2017 were included in the study. Patients’ income in the year of diagnosis was evaluated. A total of 14,600 ARDS cases were included in the analysis. The 30-day and 1-year mortality rates were 48.6% and 70.3%, respectively. In multivariable Cox regression model, we compared income quartiles, showing that compared to income strata Q1, the Q2 (p = 0.719), Q3 (p = 0.946), and Q4 (p = 0.542) groups of income level did not affect the risk of 30-day mortality, respectively. Additionally, compared to income strata Q1, the Q2 (p = 0.762), Q3 (p = 0.420), and Q4 (p = 0.189) strata did not affect the risk of 1-year mortality. Patient income at the time of ARDS diagnosis did not affect the risk of 30-day or 1-year mortality in the present study based on South Korea’s health insurance data.
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spelling pubmed-71425062020-04-15 Association of Economic Status and Mortality in Patients with Acute Respiratory Distress Syndrome Oh, Tak Kyu Song, In-Ae Lee, Jae Ho Int J Environ Res Public Health Article The high cost of treatment for acute respiratory distress syndrome (ARDS) is a concern for healthcare systems, while the impact of patients’ socio-economic status on the risk of ARDS-associated mortality remains controversial. This study investigated associations between patients’ income at the time of ARDS diagnosis and ARDS-specific mortality rate after treatment initiation. Data from records provided by the National Health Insurance Service of South Korea were used. Adult patients admitted for ARDS treatment from 2013 to 2017 were included in the study. Patients’ income in the year of diagnosis was evaluated. A total of 14,600 ARDS cases were included in the analysis. The 30-day and 1-year mortality rates were 48.6% and 70.3%, respectively. In multivariable Cox regression model, we compared income quartiles, showing that compared to income strata Q1, the Q2 (p = 0.719), Q3 (p = 0.946), and Q4 (p = 0.542) groups of income level did not affect the risk of 30-day mortality, respectively. Additionally, compared to income strata Q1, the Q2 (p = 0.762), Q3 (p = 0.420), and Q4 (p = 0.189) strata did not affect the risk of 1-year mortality. Patient income at the time of ARDS diagnosis did not affect the risk of 30-day or 1-year mortality in the present study based on South Korea’s health insurance data. MDPI 2020-03-11 2020-03 /pmc/articles/PMC7142506/ /pubmed/32168795 http://dx.doi.org/10.3390/ijerph17061815 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Oh, Tak Kyu
Song, In-Ae
Lee, Jae Ho
Association of Economic Status and Mortality in Patients with Acute Respiratory Distress Syndrome
title Association of Economic Status and Mortality in Patients with Acute Respiratory Distress Syndrome
title_full Association of Economic Status and Mortality in Patients with Acute Respiratory Distress Syndrome
title_fullStr Association of Economic Status and Mortality in Patients with Acute Respiratory Distress Syndrome
title_full_unstemmed Association of Economic Status and Mortality in Patients with Acute Respiratory Distress Syndrome
title_short Association of Economic Status and Mortality in Patients with Acute Respiratory Distress Syndrome
title_sort association of economic status and mortality in patients with acute respiratory distress syndrome
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142506/
https://www.ncbi.nlm.nih.gov/pubmed/32168795
http://dx.doi.org/10.3390/ijerph17061815
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