Socioeconomic differences in coronary procedures and survival after out-of-hospital cardiac arrest: A nationwide Danish study
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Socioeconomic differences in coronary procedures and survival after out-of-hospital cardiac arrest : A nationwide Danish study. / Møller, Sidsel; Wissenberg, Mads; Kragholm, Kristian; Folke, Fredrik; Hansen, Carolina Malta; Ringgren, Kristian B.; Andersen, Julie; Barcella, Carlo; Lippert, Freddy; Køber, Lars; Gislason, Gunnar; Gerds, Thomas Alexander; Torp-Pedersen, Christian.
I: Resuscitation, Bind 153, 2020, s. 10-19.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Socioeconomic differences in coronary procedures and survival after out-of-hospital cardiac arrest
T2 - A nationwide Danish study
AU - Møller, Sidsel
AU - Wissenberg, Mads
AU - Kragholm, Kristian
AU - Folke, Fredrik
AU - Hansen, Carolina Malta
AU - Ringgren, Kristian B.
AU - Andersen, Julie
AU - Barcella, Carlo
AU - Lippert, Freddy
AU - Køber, Lars
AU - Gislason, Gunnar
AU - Gerds, Thomas Alexander
AU - Torp-Pedersen, Christian
PY - 2020
Y1 - 2020
N2 - Aim: It remains unclear whether socioeconomic differences exist in post-resuscitation care in out-of-hospital cardiac arrests (OHCA). We aimed to examine socioeconomic differences in coronary procedures and survival after OHCA.Methods: OHCA patients >= 30 years of cardiac cause with a hospital admission from the Danish Cardiac Arrest Registry, 2001-2014, were divided according to quartiles of household income (lowest, low, high, highest). Associations of income, coronary procedures and 30-day survival were examined by age-standardized incidence rates and incidence rate ratios (IRR), and by logistic regression.Results: A total of 6105 patients were included. Higher-income patients were younger, males and had less comorbidity-burden. Higher-income patients had higher incidence rates for coronary angiographies both day 0-1 and day 2-7 after OHCA (day 0-1: highest: IRR 1.79, 95%CI 1.46-2.21; high: IRR 1.28, 95%CI 1.10-1.51; low: IRR 1.05, 95%CI 0.90-1.23), compared to lowest. Fifty-four percentage of the patients undergoing a coronary angiography received percutaneous-coronary-intervention or coronary-artery-bypass-grafting with no difference among three of the four groups, but lower IRR in low-income patients (IRR 0.74, 95%CI 0.61-0.89) compared to lowest. Higher-income patients had also higher odds for 30-day survival compared to lowest, both in patients with (highest: OR 1.61, 95%CI 1.12-2.32; high: OR 1.13, 95%CI 0.80-1.60; low: OR 1.14, 95%CI 0.81-1.61) and without (highest: OR 2.54, 95%CI 1.83-3.53; high: OR 1.41, 95%CI 1.06-1.87; low: OR 1.12, 95%CI 0.86-1.47) coronary angiography day 0-1.Conclusion: Higher-income patients were found associated with more performed coronary angiographies after OHCA, and higher odds for 30-day survival.
AB - Aim: It remains unclear whether socioeconomic differences exist in post-resuscitation care in out-of-hospital cardiac arrests (OHCA). We aimed to examine socioeconomic differences in coronary procedures and survival after OHCA.Methods: OHCA patients >= 30 years of cardiac cause with a hospital admission from the Danish Cardiac Arrest Registry, 2001-2014, were divided according to quartiles of household income (lowest, low, high, highest). Associations of income, coronary procedures and 30-day survival were examined by age-standardized incidence rates and incidence rate ratios (IRR), and by logistic regression.Results: A total of 6105 patients were included. Higher-income patients were younger, males and had less comorbidity-burden. Higher-income patients had higher incidence rates for coronary angiographies both day 0-1 and day 2-7 after OHCA (day 0-1: highest: IRR 1.79, 95%CI 1.46-2.21; high: IRR 1.28, 95%CI 1.10-1.51; low: IRR 1.05, 95%CI 0.90-1.23), compared to lowest. Fifty-four percentage of the patients undergoing a coronary angiography received percutaneous-coronary-intervention or coronary-artery-bypass-grafting with no difference among three of the four groups, but lower IRR in low-income patients (IRR 0.74, 95%CI 0.61-0.89) compared to lowest. Higher-income patients had also higher odds for 30-day survival compared to lowest, both in patients with (highest: OR 1.61, 95%CI 1.12-2.32; high: OR 1.13, 95%CI 0.80-1.60; low: OR 1.14, 95%CI 0.81-1.61) and without (highest: OR 2.54, 95%CI 1.83-3.53; high: OR 1.41, 95%CI 1.06-1.87; low: OR 1.12, 95%CI 0.86-1.47) coronary angiography day 0-1.Conclusion: Higher-income patients were found associated with more performed coronary angiographies after OHCA, and higher odds for 30-day survival.
KW - OHCA
KW - Survival
KW - Socioeconomic status
KW - Coronary procedures
KW - ACUTE MYOCARDIAL-INFARCTION
KW - HEALTH-CARE-SYSTEM
KW - CARDIOPULMONARY-RESUSCITATION
KW - ASSOCIATION
KW - REVASCULARIZATION
KW - MORTALITY
KW - INTERVENTION
KW - ANGIOGRAPHY
KW - GUIDELINES
KW - EMERGENT
U2 - 10.1016/j.resuscitation.2020.05.022
DO - 10.1016/j.resuscitation.2020.05.022
M3 - Journal article
C2 - 32446792
VL - 153
SP - 10
EP - 19
JO - Resuscitation
JF - Resuscitation
SN - 0300-9572
ER -
ID: 246634647