Heart 2009;95:785-786
EDITORIALS
Socio-economic deprivation and outcome in patients with coronary artery disease
Dr Steven Livesey, Mailpoint 46, Wessex Cardiothoracic Unit, Southampton General Hospital, Southampton SO16 6YD, UK; steve.livesey@suht.swest.nhs.uk
| The first 150 words of the full text of this article appear below. |
In their paper, "Socioeconomic status and early outcome from coronary artery bypass grafting" (see article on page 793), Gibson and his colleagues from Aberdeen have clearly shown that socio-economic deprivation is associated with poorer outcomes from coronary artery bypass grafting (CABG).1 In a study of patients who underwent CABG from April 2000 to March 2004, they showed that patients in the quartile with the highest deprivation scores had a significantly higher chance of dying following CABG than those from the least deprived areas, and that this is independent of other conventionally assessed risk factors (odds ratio 2.56 adjusted for EuroSCORE; CI 1.03 to 6.34; p = 0.04). In addition, patients in the least affluent quartile were twice as likely to suffer a major, non-fatal complication.
Should we be surprised by these findings? No, we should not, but we should be concerned. There are many potential reasons for this
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Heart 2009 95: 793-798.[Abstract] [Full Text] [PDF]
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