ArticleCureus2025
Socioeconomic Disparities and In-Hospital Outcomes in Acute Myocardial Infarction: A Case-Control Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to assess the impact of socioeconomic status (SES) primarily on in-hospital outcomes, while also exploring its association with the incidence of acute myocardial infarction (AMI).
methodsThis was a case-control study that included 100 patients with first-onset AMI and 100 age- and sex-matched controls without clinical or investigative evidence of cardiac disease, confirmed by history, ECG, and absence of prior hospitalizations. Data collection involved demographics, cardiovascular risk factors (e.g., smoking, obesity, hypertension), blood pressure, BMI, echocardiography, and laboratory investigations, used diagnostically and prognostically. SES was assessed at admission using the Egyptian socioeconomic scale (total score: 84), covering seven domains. SES was categorized into very low (<40), low (40-56.9), middle (57-64.9), and high (>65). Assessing SES before outcome measurement reduced reverse causation risk.
resultsOccurrences and in-hospital outcomes, such as cardiogenic shock, were significantly more common among AMI patients from lower SES groups compared to higher SES groups (p < 0.05). Mortality was also higher in the lower SES group, with an odds ratio of 4.8 (95% confidence interval (CI): 1.5-16.6), indicating a more than fourfold increased risk. However, the wide CI suggests some uncertainty in the estimate, likely due to the limited sample size. In-hospital complications were reported in 41.1% of patients with low and very low SES (39 patients), compared to 20.4% (21 patients) and 32.7% (32 patients) in the middle and high SES groups, respectively.
conclusionThese findings highlight that SES significantly shapes in-hospital outcomes among patients with first-onset AMI. Patients from lower SES groups experienced more frequent complications and higher mortality. While comorbid conditions such as hypertension, diabetes, and obesity were more prevalent in lower SES groups, SES itself served as the primary exposure variable influencing outcomes, rather than being evaluated through the presence of comorbidities.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.