MSpace - DSpace at UofM >
Faculty of Graduate Studies (Electronic Theses and Dissertations) >
FGS - Electronic Theses & Dissertations (Public) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1993/1976

Title: The impact of socioeconomic status on clinical features and outcomes of acute myocardial infarctions
Authors: Uhanova, Julia
Issue Date: 1-Mar-2001
Abstract: The main objective of this study was to examine the relationship between socioeconomic status, clinical covariates, treatments, and outcomes of acute myocardial infarction. 'Research questions'. (1) Does socioeconomic status (SES) have an impact on outcomes of AMI? (2) What might be the clinical reasons for socioeconomic differences in mortality? (3) After taking comorbidities and treatment differences into account, does socioeconomic status influence survival after acute myocardial infarction? 'Results'. Patients from the lowest income quintile tended to be unmarried, older, and female. Addition of socioeconomic status to the logistic regression models revealed that even after controlling for numerous demographic and clinical risk factors, income level was still a significant predictor of mortality after AMI. Patients who belonged to the highest income group (Q5) had a better short-term and long-term survival after AMI. The overall model performance was very good with the ROC area statistics for 30-day, 1-year, and 5-year mortality, being 0.83, 0.84, and 0.86 respectively. Similarly, after controlling for the demographic characteristics and medical therapies received in the hospital, socioeconomic status still played an important role in the outcome of AMI. Socioeconomic status appears to affect utilization of beta-blockers, heparin and thrombolytic therapy. (Abstract shortened by UMI.)
URI: http://hdl.handle.net/1993/1976
Appears in Collection(s):FGS - Electronic Theses & Dissertations (Public)

Files in This Item:

File Description SizeFormat
MQ57588.pdf10.2 MBAdobe PDFView/Open
View Statistics

Items in MSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

 

Valid XHTML 1.0! MSpace Software Copyright © 2002-2010  Duraspace - Feedback