Does access to invasive examination and treatment influence socioeconomic differences in case fatality for patients admitted for the first time with non-ST-elevation myocardial infarction or unstable angina?

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Standard

Does access to invasive examination and treatment influence socioeconomic differences in case fatality for patients admitted for the first time with non-ST-elevation myocardial infarction or unstable angina? / Mårtensson, Solvej; Gyrd-Hansen, Dorte; Prescott, Eva; Andersen, Per Kragh; Gislason, Gunnar; Jacobsen, Rikke Kart; Osler, Merete.

I: EuroIntervention, Bind 11, Nr. 13, 20.04.2016, s. 1495-1502.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Mårtensson, S, Gyrd-Hansen, D, Prescott, E, Andersen, PK, Gislason, G, Jacobsen, RK & Osler, M 2016, 'Does access to invasive examination and treatment influence socioeconomic differences in case fatality for patients admitted for the first time with non-ST-elevation myocardial infarction or unstable angina?', EuroIntervention, bind 11, nr. 13, s. 1495-1502. https://doi.org/10.4244/EIJY15M09_06

APA

Mårtensson, S., Gyrd-Hansen, D., Prescott, E., Andersen, P. K., Gislason, G., Jacobsen, R. K., & Osler, M. (2016). Does access to invasive examination and treatment influence socioeconomic differences in case fatality for patients admitted for the first time with non-ST-elevation myocardial infarction or unstable angina? EuroIntervention, 11(13), 1495-1502. https://doi.org/10.4244/EIJY15M09_06

Vancouver

Mårtensson S, Gyrd-Hansen D, Prescott E, Andersen PK, Gislason G, Jacobsen RK o.a. Does access to invasive examination and treatment influence socioeconomic differences in case fatality for patients admitted for the first time with non-ST-elevation myocardial infarction or unstable angina? EuroIntervention. 2016 apr 20;11(13):1495-1502. https://doi.org/10.4244/EIJY15M09_06

Author

Mårtensson, Solvej ; Gyrd-Hansen, Dorte ; Prescott, Eva ; Andersen, Per Kragh ; Gislason, Gunnar ; Jacobsen, Rikke Kart ; Osler, Merete. / Does access to invasive examination and treatment influence socioeconomic differences in case fatality for patients admitted for the first time with non-ST-elevation myocardial infarction or unstable angina?. I: EuroIntervention. 2016 ; Bind 11, Nr. 13. s. 1495-1502.

Bibtex

@article{71a38f20bbe14a1b85183abe8f7a7260,
title = "Does access to invasive examination and treatment influence socioeconomic differences in case fatality for patients admitted for the first time with non-ST-elevation myocardial infarction or unstable angina?",
abstract = "Aims: Our aim was to investigate whether there is social inequality in access to invasive examination and treatment, and whether access explains social inequality in case fatality in a nationwide sample of patients admitted for the first time with unstable angina or non-ST-elevation myocardial infarction (NSTEMI) in Denmark.Methods and results: All patients admitted for the first time with NSTEMI (n=16,625) or unstable angina (n=8,800) from 2001 to 2009 in Denmark were included. We measured time from admission to coronary angiography (CAG), percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG). The outcomes were 30-day and one-year case fatality. We found social inequality in access to CAG and one-year case fatality for both NSTEMI and unstable angina patients, but the time waited for CAG did not explain the social inequality in case fatality.Conclusions: Despite nominal equal access to health care, social inequality in case fatality after NSTEMI and unstable angina exists in Denmark. The patients with the shortest education waited longer for angiography; however, this did not seem to explain inequality in case fatality. This register-based study was approved by the Danish Data Protection Agency (Approval number 2010-41-5263). Register-based studies do not need approval by a medical ethics committee in Denmark.",
keywords = "acute coronary syndrome, case fatality, social inequality, socioeconomic, time waited",
author = "Solvej M{\aa}rtensson and Dorte Gyrd-Hansen and Eva Prescott and Andersen, {Per Kragh} and Gunnar Gislason and Jacobsen, {Rikke Kart} and Merete Osler",
year = "2016",
month = "4",
day = "20",
doi = "10.4244/EIJY15M09_06",
language = "English",
volume = "11",
pages = "1495--1502",
journal = "EuroIntervention",
issn = "1774-024X",
publisher = "Europa Digital & Publishing",
number = "13",

}

RIS

TY - JOUR

T1 - Does access to invasive examination and treatment influence socioeconomic differences in case fatality for patients admitted for the first time with non-ST-elevation myocardial infarction or unstable angina?

AU - Mårtensson, Solvej

AU - Gyrd-Hansen, Dorte

AU - Prescott, Eva

AU - Andersen, Per Kragh

AU - Gislason, Gunnar

AU - Jacobsen, Rikke Kart

AU - Osler, Merete

PY - 2016/4/20

Y1 - 2016/4/20

N2 - Aims: Our aim was to investigate whether there is social inequality in access to invasive examination and treatment, and whether access explains social inequality in case fatality in a nationwide sample of patients admitted for the first time with unstable angina or non-ST-elevation myocardial infarction (NSTEMI) in Denmark.Methods and results: All patients admitted for the first time with NSTEMI (n=16,625) or unstable angina (n=8,800) from 2001 to 2009 in Denmark were included. We measured time from admission to coronary angiography (CAG), percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG). The outcomes were 30-day and one-year case fatality. We found social inequality in access to CAG and one-year case fatality for both NSTEMI and unstable angina patients, but the time waited for CAG did not explain the social inequality in case fatality.Conclusions: Despite nominal equal access to health care, social inequality in case fatality after NSTEMI and unstable angina exists in Denmark. The patients with the shortest education waited longer for angiography; however, this did not seem to explain inequality in case fatality. This register-based study was approved by the Danish Data Protection Agency (Approval number 2010-41-5263). Register-based studies do not need approval by a medical ethics committee in Denmark.

AB - Aims: Our aim was to investigate whether there is social inequality in access to invasive examination and treatment, and whether access explains social inequality in case fatality in a nationwide sample of patients admitted for the first time with unstable angina or non-ST-elevation myocardial infarction (NSTEMI) in Denmark.Methods and results: All patients admitted for the first time with NSTEMI (n=16,625) or unstable angina (n=8,800) from 2001 to 2009 in Denmark were included. We measured time from admission to coronary angiography (CAG), percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG). The outcomes were 30-day and one-year case fatality. We found social inequality in access to CAG and one-year case fatality for both NSTEMI and unstable angina patients, but the time waited for CAG did not explain the social inequality in case fatality.Conclusions: Despite nominal equal access to health care, social inequality in case fatality after NSTEMI and unstable angina exists in Denmark. The patients with the shortest education waited longer for angiography; however, this did not seem to explain inequality in case fatality. This register-based study was approved by the Danish Data Protection Agency (Approval number 2010-41-5263). Register-based studies do not need approval by a medical ethics committee in Denmark.

KW - acute coronary syndrome

KW - case fatality

KW - social inequality

KW - socioeconomic

KW - time waited

U2 - 10.4244/EIJY15M09_06

DO - 10.4244/EIJY15M09_06

M3 - Journal article

C2 - 26348677

VL - 11

SP - 1495

EP - 1502

JO - EuroIntervention

JF - EuroIntervention

SN - 1774-024X

IS - 13

ER -

ID: 162607083