ArticlePloS one2014
Socioeconomic status, functional recovery, and long-term mortality among patients surviving acute myocardial infarction.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 102 citations in OpenAlex.
- Updated Cardiovascular Prevention Guideline of the Brazilian Society of Cardiology - 2019.Arquivos brasileiros de cardiologia · 2019Guideline
- The Diagnosis of Chronic Coronary Heart Disease.Deutsches Arzteblatt international · 2017Pooled it
- Guideline
- Unfavourable risk factor control after coronary events in routine clinical practice.BMC cardiovascular disorders · 2017Trial
- Association of socioeconomic deprivation with outcomes in critically ill adult patients: an observational prospective multicenter cohort study.Annals of intensive care · 2024Article
- Article
- Article
- Cardiovascular and psychosocial risks among patients below age 50 with acute myocardial infarction.BMC cardiovascular disorders · 2023Article
- Socioeconomic characteristics of those with peripheral artery disease in the chronic renal insufficiency cohort.Vascular · 2023Article
- Association of socioeconomic status with cardiovascular disease and cardiovascular risk factors: a systematic review and meta-analysis.Zeitschrift fur Gesundheitswissenschaften = Journal of public health · 2023Article
- The clinical characterization of the adult patient with bipolar disorder aimed at personalization of management.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022Article
- High rates of impaired quality of life and social and economic problems at 6 months after COVID-19-related ARDS.Journal of anesthesia, analgesia and critical care · 2022Article
- The Association Between Socioeconomic Factors and Incident Peripheral Artery Disease in the Chronic Renal Insufficiency Cohort (CRIC).Annals of vascular surgery · 2022Article
- Widening or narrowing income inequalities in myocardial infarction? Time trends in life years free of myocardial infarction and after incidence.Population health metrics · 2021Article
- Effort-Reward Imbalance at Work and Overcommitment in Patients with Acute Myocardial Infarction (AMI): Associations with Return to Work 6 Months After AMI.Journal of occupational rehabilitation · 2021Article
- Review
- Immediate and Long-Term Health Care Support Needs of Older Adults Undergoing Cancer Surgery: A Population-Based Analysis of Postoperative Homecare Utilization.Annals of surgical oncology · 2021Article
- Non-Persistence with Medication as a Mediator for the Social Inequality in Risk of Major Adverse Cardiovascular Events in Patients with Incident Acute Coronary Syndrome: A Nationwide Cohort Study.Clinical epidemiology · 2021Article
- Association of social deprivation with 1-year outcome of ICU survivors: results from the FROG-ICU study.Intensive care medicine · 2018Observational
- Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
objectivesTo examine the relationship between socio-economic status (SES), functional recovery and long-term mortality following acute myocardial infarction (AMI).
backgroundThe extent to which SES mortality disparities are explained by differences in functional recovery following AMI is unclear.
methodsWe prospectively examined 1368 patients who survived at least one-year following an index AMI between 1999 and 2003 in Ontario, Canada. Each patient was linked to administrative data and followed over 9.6 years to track mortality. All patients underwent medical chart abstraction and telephone interviews following AMI to identify individual-level SES, clinical factors, processes of care (i.e., use of, and adherence, to evidence-based medications, physician visits, invasive cardiac procedures, referrals to cardiac rehabilitation), as well as changes in psychosocial stressors, quality of life, and self-reported functional capacity.
resultsAs compared with their lower SES counterparts, higher SES patients experienced greater functional recovery (1.80 ml/kg/min average increase in peak V02, P<0.001) after adjusting for all baseline clinical factors. Post-AMI functional recovery was the strongest modifiable predictor of long-term mortality (Adjusted HR for each ml/kg/min increase in functional capacity: 0.91; 95% CI: 0.87-0.94, P<0.001) irrespective of SES (P = 0.51 for interaction between SES, functional recovery, and mortality). SES-mortality associations were attenuated by 27% after adjustments for functional recovery, rendering the residual SES-mortality association no longer statistically significant (Adjusted HR: 0.84; 95% CI:0.70-1.00, P = 0.05). The effects of functional recovery on SES-mortality associations were not explained by access inequities to physician specialists or cardiac rehabilitation.
conclusionsFunctional recovery may play an important role in explaining SES-mortality gradients following AMI.
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