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Socioeconomic differences in coronary procedures and survival after out-of-hospital cardiac arrest: A nationwide Danish study

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Harvard

Møller, S, Wissenberg, M, Kragholm, K, Folke, F, Hansen, CM, Ringgren, KB, Andersen, J, Barcella, C, Lippert, F, Køber, L, Gislason, G, Gerds, TA & Torp-Pedersen, C 2020, 'Socioeconomic differences in coronary procedures and survival after out-of-hospital cardiac arrest: A nationwide Danish study' Resuscitation, vol. 153, pp. 10-19. https://doi.org/10.1016/j.resuscitation.2020.05.022

APA

Møller, S., Wissenberg, M., Kragholm, K., Folke, F., Hansen, C. M., Ringgren, K. B., ... Torp-Pedersen, C. (2020). Socioeconomic differences in coronary procedures and survival after out-of-hospital cardiac arrest: A nationwide Danish study. Resuscitation, 153, 10-19. https://doi.org/10.1016/j.resuscitation.2020.05.022

CBE

Møller S, Wissenberg M, Kragholm K, Folke F, Hansen CM, Ringgren KB, Andersen J, Barcella C, Lippert F, Køber L, Gislason G, Gerds TA, Torp-Pedersen C. 2020. Socioeconomic differences in coronary procedures and survival after out-of-hospital cardiac arrest: A nationwide Danish study. Resuscitation. 153:10-19. https://doi.org/10.1016/j.resuscitation.2020.05.022

MLA

Vancouver

Author

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. / Socioeconomic differences in coronary procedures and survival after out-of-hospital cardiac arrest : A nationwide Danish study. In: Resuscitation. 2020 ; Vol. 153. pp. 10-19.

Bibtex

@article{64d3b6e0d1944786a8a90d51447cf4c4,
title = "Socioeconomic differences in coronary procedures and survival after out-of-hospital cardiac arrest: A nationwide Danish study",
abstract = "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.",
keywords = "Coronary procedures, OHCA, Socioeconomic status, Survival",
author = "Sidsel M{\o}ller and Mads Wissenberg and Kristian Kragholm and Fredrik Folke and Hansen, {Carolina Malta} and Ringgren, {Kristian B} and Julie Andersen and Carlo Barcella and Freddy Lippert and Lars K{\o}ber and Gunnar Gislason and Gerds, {Thomas Alexander} and Christian Torp-Pedersen",
note = "Copyright {\circledC} 2020 Elsevier B.V. All rights reserved.",
year = "2020",
doi = "10.1016/j.resuscitation.2020.05.022",
language = "English",
volume = "153",
pages = "10--19",
journal = "Resuscitation",
issn = "0300-9572",
publisher = "Elsevier Ireland Ltd",

}

RIS

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

N1 - Copyright © 2020 Elsevier B.V. All rights reserved.

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 - Coronary procedures

KW - OHCA

KW - Socioeconomic status

KW - Survival

U2 - 10.1016/j.resuscitation.2020.05.022

DO - 10.1016/j.resuscitation.2020.05.022

M3 - Journal article

VL - 153

SP - 10

EP - 19

JO - Resuscitation

JF - Resuscitation

SN - 0300-9572

ER -

ID: 59938878