hig.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Socioeconomic status and in‑hospital mortality of acute coronary syndrome: can education and occupation serve as preventive measures?
Mid Sweden University, Sundsvall, Sweden; Tehran University of Medical Sciences, Tehran, Iran; Iranian Petroleum Health Research Institute, Tehran, Iran .
Karolinska Institutet, Stockholm, Sweden; Universidade do Estado de Rio de Janeiro, Brazil.
Tehran University of Medical Sciences, Tehran, Iran.
Tehran University of Medical Sciences, Tehran, Iran.
Show others and affiliations
2015 (English)In: International Journal of Preventive Medicine, ISSN 2008-7802, E-ISSN 2008-8213, Vol. 6, article id 36Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Socioeconomic status (SES) can greatly affect the clinical outcome of medical problems. We sought to assess the in-hospital mortality of patients with the acute coronary syndrome (ACS) according to their SES.

METHODS: All patients admitted to Tehran Heart Center due to 1(st)-time ACS between March 2004 and August 2011 were assessed. The patients who were illiterate/lowly educated (≤5 years attained education) and were unemployed were considered low-SES patients and those who were employed and had high educational levels (>5 years attained education) were regarded as high-SES patients. Demographic, clinical, paraclinical, and in-hospital medical progress data were recorded. Death during the course of hospitalization was considered the end point, and the impact of SES on in-hospital mortality was evaluated.

RESULTS: A total of 6246 hospitalized patients (3290 low SES and 2956 high SES) were included (mean age = 60.3 ± 12.1 years, male = 2772 [44.4%]). Among them, 79 (1.26%) patients died. Univariable analysis showed a significantly higher mortality rate in the low-SES group (1.9% vs. 0.6%; P < 0.001). After adjustment for possible cofounders, SES still showed a significant effect on the in-hospital mortality of the ACS patients in that the high-SES patients had a lower in-hospital mortality rate (odds ratio: 0.304, 95% confidence interval: 0.094-0.980; P = 0.046).

CONCLUSIONS: This study found that patients with low SES were at a higher risk of in-hospital mortality due to the ACS. Furthermore, the results suggest the need for increased availability of jobs as well as improved levels of education as preventive measures to curb the unfolding deaths owing to coronary artery syndrome.

Place, publisher, year, edition, pages
2015. Vol. 6, article id 36
Keywords [en]
Coronary disease, education, mortality, occupation
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:hig:diva-19424DOI: 10.4103/2008-7802.156266ISI: 000209980200001PubMedID: 25984286Scopus ID: 2-s2.0-84930911813OAI: oai:DiVA.org:hig-19424DiVA, id: diva2:815799
Available from: 2015-06-01 Created: 2015-06-01 Last updated: 2025-05-27Bibliographically approved

Open Access in DiVA

fulltext(373 kB)5 downloads
File information
File name FULLTEXT01.pdfFile size 373 kBChecksum SHA-512
803b8c35bd50c12ef1135d63cde5785e223d98b61b4d6a7a7de3dc90c1aa6196e64b373edb0a0a17f497e99ac5b4e55169d071267b936b5334e59677aabc83e8
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Macassa, Gloria

Search in DiVA

By author/editor
Macassa, Gloria
By organisation
Public health science
In the same journal
International Journal of Preventive Medicine
Public Health, Global Health and Social Medicine

Search outside of DiVA

GoogleGoogle Scholar
Total: 5 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 2223 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf