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Long-term outcomes after out-of-hospital cardiac arrest in relation to socioeconomic status
- Source :
- Møller, S, Wissenberg, M, Søndergaard, K, Kragholm, K, Folke, F, Hansen, C M, Ringgren, K B, Andersen, J, Lippert, F, Møller, A L, Køber, L, Gerds, T A & Torp-Pedersen, C 2021, ' Long-term outcomes after out-of-hospital cardiac arrest in relation to socioeconomic status ', Resuscitation, vol. 167, pp. 336-344 . https://doi.org/10.1016/j.resuscitation.2021.07.015
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- AIMS: This study aimed to examine whether socioeconomic differences exist in long-term outcomes after out-of-hospital cardiac arrest (OHCA).METHODS: We included 2309 30-day OHCA survivors ≥ 30 years of age from the Danish Cardiac Arrest Registry, 2001-2014, divided in tertiles of household income (low, medium, high). Absolute probabilities were estimated using logistic regression for 1-year outcomes and cause-specific Cox regression for 5-year outcomes. Differences between income-groups were standardized with respect to age, sex, education and comorbidities.RESULTS: High-income compared to low-income patients had highest 1-year (96.4% vs. 84.2%) and 5-year (87.6% vs. 64.1%) survival, and lowest 1-year (11.3% vs. 7.4%) and 5-year (13.7% vs. 8.6%) risk of anoxic brain damage/nursing home admission. The corresponding standardized probability differences were 8.2% (95%CI 4.7-11.6%) and 13.9% (95%CI 8.2-19.7%) for 1- and 5-year survival, respectively; and -4.5% (95%CI -8.2 to -1.2%) and -5.1% (95%CI -9.3 to -0.9%) for 1- and 5-year risk of anoxic brain damage/nursing home admission, respectively. Among 831 patients < 66 years working prior to OHCA, 72.1% returned to work within 1 year and 80.8% within 5 years. High-income compared to low-income patients had the highest chance of 1-year (76.4% vs. 58.8%) and 5-year (85.3% vs. 70.6%) return to work with the corresponding absolute probability difference of 18.0% (95%CI 3.8-32.7%) for 1-year and 9.4% (95%CI -3.4 to 22.3%) for 5-year.CONCLUSION: Patients of high socioeconomic status had higher probability of long-term survival and return to work, and lower risk of anoxic brain damage/nursing home admission after OHCA compared to patients of low socioeconomic status.
- Subjects :
- medicine.medical_specialty
Return to work
Survival
Socioeconomic factors
Emergency Nursing
Logistic regression
Lower risk
Danish
Internal medicine
Long term outcomes
Humans
Medicine
Long-term outcomes
Registries
Hypoxia, Brain
Socioeconomic status
Nursing home
business.industry
Proportional hazards model
Cardiopulmonary Resuscitation
language.human_language
Social Class
OHCA
Emergency Medicine
language
Cardiology and Cardiovascular Medicine
business
Nursing homes
Out-of-Hospital Cardiac Arrest
Subjects
Details
- ISSN :
- 03009572
- Volume :
- 167
- Database :
- OpenAIRE
- Journal :
- Resuscitation
- Accession number :
- edsair.doi.dedup.....4956f1aa01c2098836be77f3b3fe279c