Navigation Links
Poor People Worse Off Following Heart Attack

People from lower socioeconomic backgrounds who suffer a heart attack come to the emergency department more often, are less likely// to be treated aggressively. They have higher mortality rates a year after the attack, says new University of Alberta research that has important implications for access to cardiac care.

Dr. Padma Kaul and a group of U of A researchers investigated 5622 patients in Alberta who went to a hospital emergency department with a first heart attack. Following the common practice of using the neighbourhood median household income as a proxy for socioeconomic status, the researchers classified patients into separate income groups. Patients in the lowest income quartile were more likely to be older, female and to have other illnesses such as diabetes and peripheral vascular diseases. Researchers first looked at who was more likely to have an angioplasty or coronary bypass surgery and then did a one-year follow-up after the emergency department visit to see whether the patient was still alive. The study is published in the January 2007 issue of the prestigious American Journal of Medicine.

“We found a clear discrepancy when it comes to socioeconomic status,” said Kaul. “We may have equal access health-care coverage in Canada but the bottom line is that people may not be getting equal treatment.”

The research team, made up of Wei-Ching Chang, Cynthia Westerhout, Michelle Graham and Paul Armstrong, all from the U of A’s Faculty of Medicine and Dentistry, found that in patients belonging to the lowest versus the highest socioeconomic status quartile, the risk of going to the emergency department was 72 per cent higher. Rates of invasive procedures were lower for the poor (36 per cent vs 48 per cent) and death was higher at one year (19.1 per cent vs. 9.1 per cent). But for those patients who did have cardiac procedures, the playing field is leveled, said Kaul.

“It is not much of a surprise that richer patients do much better than poorer ones,” said Kaul. “In some socioeconomic conditions, poorer patients may be living alone and less likely to adhere to treatment plans. Perhaps there are behavioural characteristics that also put them at risk. What we did find is that poorer people are less likely to have invasive procedures to treat the heart and in turn, the ones who don’t have those procedures tend to do worse. It’s a vicious cycle.”

Our research also shows that patients from poorer neighbourhoods use the emergency department more—they often use it as their first stop for regular care, rather than a family doctor. “This obviously has implications for the health-care system” she said. “This study helps us identify the patient population that is most at risk and that we need to focus on.”

Source-ewswise
SRM
'"/>




Related medicine news :

1. Bad News for Short People
2. New hope on the Horizon for People Wishing to Quit Smoking
3. Prescription Drug - Helps People Stop Smoking
4. More People Seeking Treatment for Depression
5. Pain Common in People with MS
6. People with skin cancer at higher risk for other types
7. Laser Therapy Found To Help People Quit Smoking
8. Pomegranate Juice May Be The Next Best Thing For People With Heart Disease
9. New Treatment For People Allergic To Cats
10. People who fight wars may be at high risk of cardiovascular disease
11. People suffering from Alzheimer’s: can they take decisions about their treatment
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:2/23/2017)... ... February 23, 2017 , ... Top cosmetic and periodontal ... program today with a new Indiegogo campaign . Individuals are now able ... in the Los Angeles area, either as a participating patient or through an Indiegogo ...
(Date:2/23/2017)... ... February 23, 2017 , ... HealthPostures, the desk for ... expert sit stand solutions representative to the Minneapolis Home and Garden Show which is ... event that is garnering national attention is the Minneapolis Convention Center. , From ...
(Date:2/23/2017)... ... February 23, 2017 , ... Carlos Gutierrez ... has also continued to spiritually evolve, which is the purpose of everyone in this ... Spiritual Truths ” (published by Balboa Press) attempts to guide readers to expand one’s ...
(Date:2/22/2017)... , ... February 22, 2017 , ... ... athletics. It’s enough to overwork even the sharpest brain. , Power On, a ... healthy activity without over clocking the brain. Each capsule contains Cognizin® Citicoline, a ...
(Date:2/22/2017)... ... February 22, 2017 , ... ... medicine in recent years. The technology is so cutting edge, in fact, the ... protocol for stem cell procedures. However, successful patient outcomes in certain clinical stem ...
Breaking Medicine News(10 mins):
(Date:2/23/2017)... DUBLIN , Feb 23, 2017 Research ... Prosthetic Devices Market Analysis & Trends - Industry Forecast to 2025" ... ... to grow at a CAGR of around 9.2% over the next ... industry report analyzes the market estimates and forecasts for all the ...
(Date:2/23/2017)... 23, 2017 MabVax Therapeutics Holdings, ... development company, announces that it has received notice ... authorizing the initiation a Phase I clinical trial ... cancer. MVT-1075 ( 177 Lu-CHX-A?-DTPA-HuMab5B1) is the Company,s ... to initiate the phase I clinical trial in ...
(Date:2/23/2017)... , Feb. 22, 2017 Orthopedic ... implant demand, as aging demographic patterns lead to ... Implants for sports- and exercise-related injuries, chronic back ... will lead sales gains. The future of medical ... addresses the following questions and more: - ...
Breaking Medicine Technology: