| Title |
Impact of income status on prognosis of acute coronary syndrome patients during Greek financial crisis
|
|---|---|
| Published in |
Clinical Research in Cardiology, December 2015
|
| DOI | 10.1007/s00392-015-0948-7 |
| Pubmed ID | |
| Authors |
George Andrikopoulos, Stylianos Tzeis, Dimitrios Terentes-Printzios, Christos Varounis, Charalampos Vlachopoulos, Ioannis Mantas, Sotirios Patsilinakos, Stylianos Lampropoulos, Christoforos Olympios, Athanasios Kartalis, Athanasios Manolis, Alexandros Gotsis, Filippos Triposkiadis, Themistoklis Tsaknakis, Ioannis Goudevenos, Ioannis Kaprinis, Athanasios Pras, Fotios Vasiliou, Emmanouil Skoumpourdis, Gerasimoula Sakka, Antonios Draganigos, Panos Vardas |
| Abstract |
The effect of income status on patient outcome merits investigation during periods of financial crisis. We evaluated the impact of income status on out-of-hospital prognosis in a cohort of acute coronary syndrome (ACS) patients, included in a countrywide study during a period of financial crisis. The study is a secondary analysis of a prospective, multicenter, observational study-the PHAETHON study-enrolling consecutive ACS patients in 37 hospitals in Greece. Patients were classified as low or high income based on the reported net annual household income using as a cut-off point the relative poverty threshold for Greece of 12,000 Euros. The outcome measure was survival free of the primary composite endpoint (cardiovascular death, myocardial infarction, stroke/transient ischemic attack, urgent revascularization and urgent hospitalization due to cardiovascular causes). The study population included 794 patients. The administration rate of evidence-based medications was similar in the low- (n = 455) and high-income (n = 339) groups during hospitalization and upon discharge. In a median follow-up of 189 days (interquartile range: 180-212 days), low-income patients had 92 % higher risk of the combined endpoint as compared to high-income patients [Hazard ratio (HR):1.92, 95 % CI:1.25-2.94, p = 0.003]. The effect of low-income status on the combined outcome remained significant after adjustment for age, gender and depression (HR:1.59, 95 % CI:1.02-2.49; p = 0.043). In a period of financial crisis, low income is a significant and independent predictor of poor out-of-hospital outcome in ACS patients. This association has profound implications and should be taken into consideration by public health policy makers. |
X Demographics
The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | 50% |
| Unknown | 1 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Scientists | 2 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 51 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 51 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 9 | 18% |
| Student > Ph. D. Student | 7 | 14% |
| Student > Doctoral Student | 6 | 12% |
| Researcher | 5 | 10% |
| Student > Bachelor | 3 | 6% |
| Other | 8 | 16% |
| Unknown | 13 | 25% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 16 | 31% |
| Nursing and Health Professions | 7 | 14% |
| Psychology | 4 | 8% |
| Neuroscience | 2 | 4% |
| Social Sciences | 2 | 4% |
| Other | 5 | 10% |
| Unknown | 15 | 29% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 August 2020.
All research outputs
#15,351,847
of 22,835,198 outputs
Outputs from Clinical Research in Cardiology
#522
of 811 outputs
Outputs of similar age
#228,265
of 388,829 outputs
Outputs of similar age from Clinical Research in Cardiology
#5
of 15 outputs
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