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KMID : 0191120140290040536
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Journal of Korean Medical Science
2014 Volume.29 No. 4 p.536 ~ p.543
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The Association of Socioeconomic Status with Three-Year Clinical Outcomes in Patients with Acute Myocardial Infarction Who Underwent Percutaneous Coronary Intervention
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Kim Jeong-Hun
Jeong Myung-Ho
Park In-Hyae
Choi Jin-Soo
Rhee Jung-Ae
Lee Doo-Hwan
Park Soo-Hwan
Kim In-Soo
Jeong Hae-Chang
Cho Jae-Yeong
Jang Soo-Young
Lee Ki-Hong
Park Keun-Ho
Sim Doo-Sun
Kim Kye-Hun
Hong Young-Joon
Park Hyung-Wook
Kim Ju-Han
Ahn Young-Keun
Cho Jeong-Gwan
Park Jong-Chun
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Abstract
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The aim of this study was to evaluate whether the clinical outcomes were associated with socioeconomic status (SES) in patients with acute myocardial infarction (AMI) who underwent percutaneous coronary intervention (PCI). The author analyzed 2,358 patients (64.9 ± 12.3 yr old, 71.5% male) hospitalized with AMI between November 2005 and June 2010. SES was measured by the self-reported education (years of schooling), the residential address (social deprivation index), and the national health insurance status (medical aid beneficiaries). Sequential multivariable modeling assessed the relationship of SES factors with 3-yr major adverse cardiovascular events (MACEs) and mortality after the adjustment for demographic and clinical factors. During the 3-yr follow-up, 630 (26.7%) MACEs and 322 (13.7%) all-cause deaths occurred in 2,358 patients. In multivariate Cox proportional hazards regression modeling, the only lower education of SES variables was associated with MACEs (hazard ratio [HR], 1.41; 95% confidence interval [CI], 1.04-1.91) and mortality (HR, 1.93; 95% CI, 1.16-3.20) in the patients with AMI who underwent PCI. The study results indicate that the lower education is a significant associated factor to increased poor clinical outcomes in patients with AMI who underwent PCI.
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KEYWORD
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Social Class, Acute Myocardial Infarction, Mortality
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