期刊
EUROPEAN JOURNAL OF PUBLIC HEALTH
卷 18, 期 5, 页码 533-538出版社
OXFORD UNIV PRESS
DOI: 10.1093/eurpub/ckn059
关键词
acute myocardial infarction; case fatality; socioeconomic factors
资金
- Labour Market Insurance Company
- Swedish Council for Social Research
- National Institute of Public Health
- Swedish Research Council
- Swedish Cancer Society
- Swedish Heart and Lung foundation
- ALF Government [B 39 1026/2006]
Background: There are no previous studies investigating when and where those who die pre-hospitally after an AMI paid their last visit to medical care. Methods and Results: Incidence of AMI, pre-hospital and 28-day case fatality rates were monitored over 13 years of follow-up, in relation to sex-specific quartiles of annual income in all inhabitants aged 40-64 years in Malm, Sweden. Both incidence and short-term case fatality were inversely related to income. In all, 60-70 of all deaths within 28 days after the AMI were pre-hospital deaths. As compared with the lowest income group, the highest income group had lower odds of pre-hospital death with an age- and time-to-event-adjusted odds ratio of 0.5 (95 CI 0.4-0.8) for men and 0.3 (95 CI 0.1-0.6) for women. On the other hand, while 72 of those in the lowest two income groups had paid a visit to the medical services during the three months before death, only 59 had done so in the two highest income groups (P < 0.05). Conclusions: Poor socioeconomic circumstances increase the risk of pre-hospital death after an AMI. Of the pre-hospital deaths, the proportion who had visited the medical services during the 3 months preceding their AMI was higher among those from lower income groups. However, many of those suffering a pre-hospital death had visited clinics that normally do not treat coronary symptoms. If more patients were identified at an earlier stage this might increase the number of patients reaching hospital alive.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据