ArticlePloS one2013
Effect of socioeconomic status on mortality after bacteremia in working-age patients. A Danish population-based cohort study.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed.
- Socioeconomic disparities and mortality among acute patients with sepsis: a retrospective Danish cohort study.BMJ open · 2026Article
- Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021.Intensive care medicine · 2021Article
- Association of Health Insurance Status with Outcomes of Sepsis in Adult Patients: A Retrospective Cohort Study.International journal of environmental research and public health · 2021Article
- Socioeconomic status and in-hospital cardiac arrest: A systematic review.Resuscitation plus · 2020Review
- Contemporary Trends in Native Valve Infective Endocarditis in United States (from the National Inpatient Sample Database).The American journal of cardiology · 2020Article
- Psychosocial Mediators between Socioeconomic Status and Dietary Restrictions among Patients Receiving Hemodialysis in Japan.International journal of nephrology · 2019Article
- Changes in the Characteristics and Long-term Mortality Rates of Intensive Care Unit Patients from 2003 to 2010: A Nationwide Population-Based Cohort Study Performed in the Republic of Korea.Acute and critical care · 2018Article
- The complexity of loneliness.Acta bio-medica : Atenei Parmensis · 2018Review
- The associations between socioeconomic status and risk of Staphylococcus aureus bacteremia and subsequent endocarditis - a Danish nationwide cohort study.BMC infectious diseases · 2017Article
- Evidence of High Mortality and Increasing Burden of Sepsis in a Regional Sample of the New Zealand Population.Open forum infectious diseases · 2017Article
- Outcome of Community-Acquired Staphylococcus aureus Bacteraemia in Patients with Diabetes: A Historical Population-Based Cohort Study.PloS one · 2016Article
- Where does a Staphylococcus aureus vaccine stand?Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2014Review
- Article
- The Danish Collaborative Bacteraemia Network (DACOBAN) database.Clinical epidemiology · 2014Review
- Distance Between Home and the Admitting Hospital and Its Effect on Survival of Low Socioeconomic Status Population WithPublic health reports (Washington, D.C. : 1974)Article
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6 authors.
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Abstract
objectivesTo examine the effect of socioeconomic status (SES) on mortality in patients with bacteremia and the underlying factors that may mediate differences in mortality.
methodsWe conducted a population-based cohort study in two Danish regions. All patients 30 to 65 years of age with first time bacteremia from 2000 through 2008 were identified in a population-based microbiological bacteremia database (n = 8,653). Individual-level data on patients' SES (educational level and personal income) and comorbid conditions were obtained from public and medical registries. We used Cox regression to examine mortality within 30 days after bacteremia with and without cumulative adjustment for potential mediators.
resultsBacteremia patients of low SES were more likely to live alone and be unmarried than patients of high SES. They also had more pre-existing comorbidity, more substance abuse, more Staphylococcus aureus and nosocomial infections, and more admissions to small nonteaching hospitals. Overall, 1,374 patients (15.9%) died within 30 days of follow-up. Patients of low SES had consistently higher mortality after bacteremia than those of high SES crude hazard ratio for low vs. high education, 1.38 [95% confidence interval (CI), 1.18-1.61]; crude hazard ratio for low-income vs. high-income tertile, 1.58 [CI, 1.39-1.80]. Adjustment for differences in social support, pre-existing comorbidity, substance abuse, place of acquisition of the infection, and microbial agent substantially attenuated the effect of SES on mortality (adjusted hazard ratio for low vs. high education, 1.15 [95% CI, 0.98-1.36]; adjusted hazard ratio for low-income vs. high-income tertile, 1.29 [CI, 1.12-1.49]). Further adjustment for characteristics of the admitting hospital had minimal effect on observed mortality differences.
conclusionsLow SES was strongly associated with increased 30-day mortality after bacteremia. Less social support, more pre-existing comorbidity, more substance abuse, and differences in place of acquisition and agent of infection appeared to mediate much of the observed disparities in mortality.
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