2018
DOI: 10.1136/heartjnl-2017-312539
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Socioeconomic deprivation and mode-specific outcomes in patients with chronic heart failure

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 durat… Show more

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Cited by 58 publications
(92 citation statements)
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References 18 publications
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“…Contrary to our results, a UK study including 1802 outpatients with stable HF (LVEF ≤45%) for 3 months, treated with state of the art therapies in cardiology outpatient clinics, found comparable doses of prescribed ACEI/ARB and beta-blockers across deprivation quintiles. 11 Similarly, a large community study in the UK observed no differences in ACEI/ARB, beta-blockers, and MRA treatment between the most affluent and the most deprived patients with chronic HF. 12 It is particularly noteworthy with these contrary findings in two similar Scandinavian countries.…”
Section: Socioeconomic Factors and Medical Treatmentmentioning
confidence: 97%
“…Contrary to our results, a UK study including 1802 outpatients with stable HF (LVEF ≤45%) for 3 months, treated with state of the art therapies in cardiology outpatient clinics, found comparable doses of prescribed ACEI/ARB and beta-blockers across deprivation quintiles. 11 Similarly, a large community study in the UK observed no differences in ACEI/ARB, beta-blockers, and MRA treatment between the most affluent and the most deprived patients with chronic HF. 12 It is particularly noteworthy with these contrary findings in two similar Scandinavian countries.…”
Section: Socioeconomic Factors and Medical Treatmentmentioning
confidence: 97%
“…Indeed, it is notable that after adjustment for important covariates, the statistically significant univariate association between hospitalisation risk and IMD score disappeared, suggesting IMD score per se is not the driver of risk of unplanned hospital admission. Table 1 in the paper6 shows numerically greater prevalence of both diabetes and COPD in the most deprived quintile compared with the least deprived, and while not reaching conventional statistical significance for diabetes, these observations are likely to be relevant.…”
mentioning
confidence: 94%
“…In the current issue of Heart , Witte and colleagues describe the relationship between socioeconomic status, as measured by the Index of Multiple Deprivation (IMD) 6. The reported observations make interested reading, with greater deprivation being associated with increased risk of death and hospitalisation due to non-cardiovascular events.…”
mentioning
confidence: 99%
“…Indices of socioeconomic deprivation are composite measures that incorporate income, density of neighboring households at or below the federal poverty line, education level, and insurance status to capture the social and environmental contexts where individuals live . In recent years, these indices have been linked with a variety of health outcomes in medical and surgical patients …”
mentioning
confidence: 99%