002: Socio-professional status as a major determinant of disparities in cardiovascular outcomes: contemporary data on the prognosis of workmen after an acute myocardial infarction - 01/07/14
Résumé |
Introduction |
Over the last decade in France, early prognosis after acute myocardial infarction (AMI) markedly improved. However, recent works suggest persistent socioeconomic disparities in outcomes after AMI. From a regional population-based study, we aimed to analyze the prognosis of workmen after AMI.
Patients |
Patients enrolled in the Observatoire des Infarctus du myocarde de Côte d’Or (RICO) between 2001 and 2011, <65 y, with current occupational activity and follow-up at one year. Socio-professional categories (SPC) were collected according to INSEE definition. The primary endpoint combined mortality and hospitalization for heart failure.
Results |
Among the 1671 patients included during the study period, 403 (24%) were workmen. Mean age was 50.8 years, 85% were male and 50% had ST segment elevation MI (STEMI). Although workmen have more favorable pattern of risk factors, the rate of combined endpoint was 3 fold higher among workmen vs other SPC (7.9% vs 2.6%). Multivariate analysis showed that workmen remain strongly associated with worse prognosis, even after adjustment for confounding (OR (95%CI): 3.22(1.44–7.17)).
Conclusion |
This large contemporary study showed that the medium-term prognosis of workmen after an AMI is still worse than other SPC in France. Socio-professional status is an important determinant of population health and cardiovascular outcomes and may account for some of the heterogeneity in outcomes for patients hospitalized with AMI.
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Vol 5 - N° 1
P. 1 - janvier 2013 Retour au numéro
Article précédent
- 001: Temporal trends in pre-hospital management of ST segment elevation myocardial infarction from 2002 to 2010: Data from the RICO Survey (Observatoire des Infarctus de Cote d’Or)
- Esther Milojevitch, Luc Lorgis, Nicolas Falvo, Philippe Buffet, Laurent Boindron, Gilles Dentan, Christophe Avena, Jean Claude Beer, Karim Boudenia, Marianne Zeller, Yves Cottin, Marc Freysz
- 003: Acute hyperglycemia is associated with adverse clinical and angiographic outcome after angioplasty for acute myocardial infarction with ST elevation
- Mohamed Majed Hassine, Wiem Selmi, Mejdi Ben Messaoud, Ismail Ghrissi, Amine Hdiji, Fatma Ben Amor, Mehdi Khlif, Mohamed Ben Doudouh, Sami Ouanes, Fehmi Karoui, Zohra Dridi, Fethi Betbout, Habib Gamra
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