Observational studyHeart (British Cardiac Society)2018
Socioeconomic deprivation and mode-specific outcomes in patients with chronic heart failure.
Observational study in Heart (British Cardiac Society), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.
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Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socio-economic inequalities and heart failure morbidity and mortality: A systematic review and data synthesis.ESC heart failure · 2025Pooled it
- Racial trends in outcomes and access to treatment for mitral regurgitation: a South London population cohort study.Open heart · 2026Observational
- Dietary Approaches to Stop Hypertension (DASH) Diet, Incident Heart Failure and Its Associated Risk Factors in Australian Women.Medicina (Kaunas, Lithuania) · 2026Article
- Inequity in Access to and Use of Digital Health Technologies in Routine Heart Failure Care: Protocol for a Scoping Review.JMIR research protocols · 2026Article
- An overview of the association between socioeconomic deprivation and heart failure.Heart failure reviews · 2025Review
- Assessing LV Contractility Identifies Populations With Preserved Ejection Fraction at Risk of Adverse Heart Failure Outcomes.Circulation. Cardiovascular imaging · 2025Observational
- Widening gap in life expectancy between patients with heart failure living in most and least deprived areas: a longitudinal cohort study.BMC medicine · 2025Article
- Impact of Social Determinants of Health on Cardiovascular Disease.Journal of the American Heart Association · 2025Review
- Frailty and Heart Failure: Clinical Insights, Patient Outcomes and Future Directions.Cardiac failure review · 2025Review
- The 25in25 initiative: A novel transformative project to reduce mortality due to heart failure by 25% in the next 25 years.European journal of heart failure · 2024Article
- Associations between socioeconomic inequalities and progression to psychological and cognitive multimorbidities after onset of a physical condition: a multicohort study.EClinicalMedicine · 2024Article
- Prevalence and incidence of heart failure in type 2 diabetes patients: results from a nationwide prospective cohort-the DIABET-IC study.Cardiovascular diabetology · 2024Observational
- Multifactorial risk factors for hospital readmissions among patients with symptoms of advanced heart failure.ESC heart failure · 2024Article
- Social Determinants of Health in Women With Heart Failure: Prospective Observational Cohort Study.American journal of medicine open · 2023Article
- Guideline-directed medical therapy is similarly effective in heart failure with mildly reduced ejection fraction.Clinical research in cardiology : official journal of the German Cardiac Society · 2023Observational
- Social determinants of health and cardiovascular outcomes in patients with heart failure.European journal of clinical investigation · 2022Article
- Reduction of heart failure guideline-directed medication during hospitalization: prevalence, risk factors, and outcomes.ESC heart failure · 2022Article
- Atrial fibrillation and risk of progressive heart failure in patients with preserved ejection fraction heart failure.ESC heart failure · 2022Article
- Heart Failure: An Underappreciated Complication of Diabetes. A Consensus Report of the American Diabetes Association.Diabetes care · 2022Review
- Socio-economic status and 1 year mortality among patients hospitalized for heart failure in China.ESC heart failure · 2022Article
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11 authors.
Funding
Abstract
objectiveTo characterise the association between socioeconomic deprivation and adverse outcomes in patients with chronic heart failure (CHF).
methodsWe prospectively observed 1802 patients with CHF and left ventricular ejection fraction (LVEF) ≤45%, recruited in four UK hospitals between 2006 and 2014. We assessed the association between deprivation defined by the UK Index of Multiple Deprivation (IMD) and: mode-specific mortality (mean follow-up 4 years); mode-specific hospitalisation; and the cumulative duration of hospitalisation (after 1 year).
resultsA 45-point difference in mean IMD score was noted between patients residing in the least and most deprived quintiles of geographical regions. Deprivation was associated with age, sex and comorbidity, but not CHF symptoms, LVEF or prescribed drug therapy. IMD score was associated with the risk of age-sex adjusted all-cause mortality (6% higher risk per 10-unit increase in IMD score; 95% CI 2% to 10%; P=0.004), and non-cardiovascular mortality (9% higher risk per 10-unit increase in IMD score; 95% CI 3% to 16%; P=0.003), but not cardiovascular mortality. All-cause, but not heart failure-specific, hospitalisation was also more common in the most deprived patients. Overall, patients spent a cumulative 3.3 days in hospital during 1 year of follow-up, with IMD score being associated with the age-sex adjusted cumulative duration of hospitalisations (4% increase in duration per 10-unit increase in IMD score; 95% CI 3% to 6%; P<0.0005).
conclusionsSocioeconomic deprivation in people with CHF is linked to increased risk of death and hospitalisation due to an excess of non-cardiovascular events.
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