Measures of social deprivation and outcomes after percutaneous coronary intervention
Background Disparities in socioeconomic status are a frequently cited factor associated with worse cardiovascular outcomes. The social deprivation index (SDI) can be used to quantify socioeconomic resources at the population level. Objectives The aim of this study was to assess the association of SD...
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| Veröffentlicht in: | Catheterization and cardiovascular interventions 2023-05, Vol.101 (6), p.995-1000 |
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| creator | Torabi, Asad J. Von der Lohe, Elisabeth Kovacs, Richard J. Frick, Kyle A. Kreutz, Rolf P. |
| description | Background
Disparities in socioeconomic status are a frequently cited factor associated with worse cardiovascular outcomes. The social deprivation index (SDI) can be used to quantify socioeconomic resources at the population level.
Objectives
The aim of this study was to assess the association of SDI with clinical outcomes following percutaneous coronary interventions (PCI).
Methods
This was a retrospective observational analysis of patients who underwent PCI and were included in a multicenter cardiac catheterization registry study. Baseline characteristics, congestive heart failure (CHF) readmission rates and survival were compared between patients with the highest and lower SDI. SDI was calculated based on the US community survey census tract‐level data.
Results
Patients within the highest SDI quintile (n = 1843) had more comorbidities and a higher risk of death [hazard ratio (HR): 1.22 (95% confidence interval, CI: 1.1–1.39, p = 0.004); log rank: p = 0.009] and CHF readmission [HR: 1.56 (1.39–1.75, p |
| doi_str_mv | 10.1002/ccd.30642 |
| format | Article |
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Disparities in socioeconomic status are a frequently cited factor associated with worse cardiovascular outcomes. The social deprivation index (SDI) can be used to quantify socioeconomic resources at the population level.
Objectives
The aim of this study was to assess the association of SDI with clinical outcomes following percutaneous coronary interventions (PCI).
Methods
This was a retrospective observational analysis of patients who underwent PCI and were included in a multicenter cardiac catheterization registry study. Baseline characteristics, congestive heart failure (CHF) readmission rates and survival were compared between patients with the highest and lower SDI. SDI was calculated based on the US community survey census tract‐level data.
Results
Patients within the highest SDI quintile (n = 1843) had more comorbidities and a higher risk of death [hazard ratio (HR): 1.22 (95% confidence interval, CI: 1.1–1.39, p = 0.004); log rank: p = 0.009] and CHF readmission [HR: 1.56 (1.39–1.75, p < 0.001); log rank: p < 0.001) as compared with those in the lower quintiles (n = 10,201) during mean follow‐up of 3 years. Increased risk of highest SDI for all‐cause mortality and CHF remained significant after adjustment in multivariable analysis for factors associated with highest SDI.
Conclusions
Patients within the highest SDI quintile had a greater proportion of comorbidities as well as higher risk for adverse outcomes as compared with patients with a lower SDI following PCI.</description><identifier>ISSN: 1522-1946</identifier><identifier>EISSN: 1522-726X</identifier><identifier>DOI: 10.1002/ccd.30642</identifier><identifier>PMID: 36994863</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Angioplasty ; Comorbidity ; Congestive heart failure ; coronary artery disease ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - etiology ; Coronary Artery Disease - therapy ; Heart Failure - etiology ; Heart Failure - therapy ; Humans ; percutaneous coronary intervention ; Percutaneous Coronary Intervention - adverse effects ; Retrospective Studies ; Risk Factors ; Social Deprivation ; social deprivation index ; Socioeconomic factors ; Treatment Outcome</subject><ispartof>Catheterization and cardiovascular interventions, 2023-05, Vol.101 (6), p.995-1000</ispartof><rights>2023 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3532-3c60ad8d36f975f23f6fb120725be9d5dab922b35f38286a3a46e1301b6b98103</citedby><cites>FETCH-LOGICAL-c3532-3c60ad8d36f975f23f6fb120725be9d5dab922b35f38286a3a46e1301b6b98103</cites><orcidid>0000-0002-2110-607X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fccd.30642$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fccd.30642$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36994863$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Torabi, Asad J.</creatorcontrib><creatorcontrib>Von der Lohe, Elisabeth</creatorcontrib><creatorcontrib>Kovacs, Richard J.</creatorcontrib><creatorcontrib>Frick, Kyle A.</creatorcontrib><creatorcontrib>Kreutz, Rolf P.</creatorcontrib><title>Measures of social deprivation and outcomes after percutaneous coronary intervention</title><title>Catheterization and cardiovascular interventions</title><addtitle>Catheter Cardiovasc Interv</addtitle><description>Background
Disparities in socioeconomic status are a frequently cited factor associated with worse cardiovascular outcomes. The social deprivation index (SDI) can be used to quantify socioeconomic resources at the population level.
Objectives
The aim of this study was to assess the association of SDI with clinical outcomes following percutaneous coronary interventions (PCI).
Methods
This was a retrospective observational analysis of patients who underwent PCI and were included in a multicenter cardiac catheterization registry study. Baseline characteristics, congestive heart failure (CHF) readmission rates and survival were compared between patients with the highest and lower SDI. SDI was calculated based on the US community survey census tract‐level data.
Results
Patients within the highest SDI quintile (n = 1843) had more comorbidities and a higher risk of death [hazard ratio (HR): 1.22 (95% confidence interval, CI: 1.1–1.39, p = 0.004); log rank: p = 0.009] and CHF readmission [HR: 1.56 (1.39–1.75, p < 0.001); log rank: p < 0.001) as compared with those in the lower quintiles (n = 10,201) during mean follow‐up of 3 years. Increased risk of highest SDI for all‐cause mortality and CHF remained significant after adjustment in multivariable analysis for factors associated with highest SDI.
Conclusions
Patients within the highest SDI quintile had a greater proportion of comorbidities as well as higher risk for adverse outcomes as compared with patients with a lower SDI following PCI.</description><subject>Angioplasty</subject><subject>Comorbidity</subject><subject>Congestive heart failure</subject><subject>coronary artery disease</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - etiology</subject><subject>Coronary Artery Disease - therapy</subject><subject>Heart Failure - etiology</subject><subject>Heart Failure - therapy</subject><subject>Humans</subject><subject>percutaneous coronary intervention</subject><subject>Percutaneous Coronary Intervention - adverse effects</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Social Deprivation</subject><subject>social deprivation index</subject><subject>Socioeconomic factors</subject><subject>Treatment Outcome</subject><issn>1522-1946</issn><issn>1522-726X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1LxDAQhoMorq4e_AMS8KKH7uajTZuj1E9Y8bKCt5DmA7q0zZq0K_vvzdrVg-BpBuaZl5kHgAuMZhghMldKzyhiKTkAJzgjJMkJez_c95inbAJOQ1ghhDgj_BhMKOM8LRg9AcsXI8PgTYDOwuBULRuozdrXG9nXroOy09ANvXJtRKTtjYdr49XQy864IUDlvOuk38K6i7ON6XZbZ-DIyiaY832dgreH-2X5lCxeH5_L20WiaEZJQhVDUheaMsvzzBJqma0wQTnJKsN1pmXFCaloZmlBCiapTJnBFOGKVbzAiE7B9Zi79u5jMKEXbR2UaZrxOEFyTjhKESsievUHXbnBd_E6QQqMU44ZxpG6GSnlXQjeWBFNtPE9gZHYqRZRtfhWHdnLfeJQtUb_kj9uIzAfgc-6Mdv_k0RZ3o2RX3Z_h8Y</recordid><startdate>20230501</startdate><enddate>20230501</enddate><creator>Torabi, Asad J.</creator><creator>Von der Lohe, Elisabeth</creator><creator>Kovacs, Richard J.</creator><creator>Frick, Kyle A.</creator><creator>Kreutz, Rolf P.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2110-607X</orcidid></search><sort><creationdate>20230501</creationdate><title>Measures of social deprivation and outcomes after percutaneous coronary intervention</title><author>Torabi, Asad J. ; Von der Lohe, Elisabeth ; Kovacs, Richard J. ; Frick, Kyle A. ; Kreutz, Rolf P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3532-3c60ad8d36f975f23f6fb120725be9d5dab922b35f38286a3a46e1301b6b98103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Angioplasty</topic><topic>Comorbidity</topic><topic>Congestive heart failure</topic><topic>coronary artery disease</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - etiology</topic><topic>Coronary Artery Disease - therapy</topic><topic>Heart Failure - etiology</topic><topic>Heart Failure - therapy</topic><topic>Humans</topic><topic>percutaneous coronary intervention</topic><topic>Percutaneous Coronary Intervention - adverse effects</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Social Deprivation</topic><topic>social deprivation index</topic><topic>Socioeconomic factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Torabi, Asad J.</creatorcontrib><creatorcontrib>Von der Lohe, Elisabeth</creatorcontrib><creatorcontrib>Kovacs, Richard J.</creatorcontrib><creatorcontrib>Frick, Kyle A.</creatorcontrib><creatorcontrib>Kreutz, Rolf P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Catheterization and cardiovascular interventions</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Torabi, Asad J.</au><au>Von der Lohe, Elisabeth</au><au>Kovacs, Richard J.</au><au>Frick, Kyle A.</au><au>Kreutz, Rolf P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Measures of social deprivation and outcomes after percutaneous coronary intervention</atitle><jtitle>Catheterization and cardiovascular interventions</jtitle><addtitle>Catheter Cardiovasc Interv</addtitle><date>2023-05-01</date><risdate>2023</risdate><volume>101</volume><issue>6</issue><spage>995</spage><epage>1000</epage><pages>995-1000</pages><issn>1522-1946</issn><eissn>1522-726X</eissn><abstract>Background
Disparities in socioeconomic status are a frequently cited factor associated with worse cardiovascular outcomes. The social deprivation index (SDI) can be used to quantify socioeconomic resources at the population level.
Objectives
The aim of this study was to assess the association of SDI with clinical outcomes following percutaneous coronary interventions (PCI).
Methods
This was a retrospective observational analysis of patients who underwent PCI and were included in a multicenter cardiac catheterization registry study. Baseline characteristics, congestive heart failure (CHF) readmission rates and survival were compared between patients with the highest and lower SDI. SDI was calculated based on the US community survey census tract‐level data.
Results
Patients within the highest SDI quintile (n = 1843) had more comorbidities and a higher risk of death [hazard ratio (HR): 1.22 (95% confidence interval, CI: 1.1–1.39, p = 0.004); log rank: p = 0.009] and CHF readmission [HR: 1.56 (1.39–1.75, p < 0.001); log rank: p < 0.001) as compared with those in the lower quintiles (n = 10,201) during mean follow‐up of 3 years. Increased risk of highest SDI for all‐cause mortality and CHF remained significant after adjustment in multivariable analysis for factors associated with highest SDI.
Conclusions
Patients within the highest SDI quintile had a greater proportion of comorbidities as well as higher risk for adverse outcomes as compared with patients with a lower SDI following PCI.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36994863</pmid><doi>10.1002/ccd.30642</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-2110-607X</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Angioplasty Comorbidity Congestive heart failure coronary artery disease Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - etiology Coronary Artery Disease - therapy Heart Failure - etiology Heart Failure - therapy Humans percutaneous coronary intervention Percutaneous Coronary Intervention - adverse effects Retrospective Studies Risk Factors Social Deprivation social deprivation index Socioeconomic factors Treatment Outcome |
| title | Measures of social deprivation and outcomes after percutaneous coronary intervention |
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