The association of disparities in neighborhood median household income and mortality in patients admitted to the hospital with atrial fibrillation

Dhorepatil, Aneesh; Crawford, Michael H.; Nedunchezhian, Saihaiharan; Hajjar, Abdel Hadi El; Mehkael, Mario; O'Keefe, Evan; Daghar, Lilas; Noujaim, Charbel; Bhatnagar, Arezu; Pottle, C.; Sidhu, Gursukhmandeep; Marrouche, Nassir F.

doi:10.1016/j.pcad.2022.11.016

Cited by 2 publications

(1 citation statement)

References 39 publications

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“…In the USA, a study in 4 616 patients with AF reported that those with lower neighbourhood household income had higher all-cause and cardiovascular mortality; driven by a higher level of multimorbidity among individuals with a lower household income. 80 A study based on data from 16 307 individuals retrieved from a USA AF registry reported that Black patients had higher 1-year mortality compared to White patients. 36 However, when discharged while taking OAC, the Black–White mortality difference was not present.…”

Section: Resultsmentioning

confidence: 99%

Social drivers in atrial fibrillation occurrence, screening, treatment, and outcomes: systematic-narrative hybrid review

Frost,

Johnsen,

Benjamin

et al. 2024

European Heart Journal Supplements

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The importance of social drivers of health (SDOH) in the occurrence, detection, treatment, and outcome of atrial fibrillation (AF) has attracted increasing attention. Addressing SDOH factors may suggest opportunities to prevent AF and its complications. We aimed to conduct a structured narrative review and summarize current knowledge on the association between race and ethnicity, SDOH, including rural vs. urban habitation, education, income, and neighbourhood, and the risk of AF, its management, and complications. We identified 537 references in PubMed and 473 references in Embase. After removal of duplicates, we screened the abstracts of 975 references, resulting in 113 references that were examined for eligibility. Subsequently, 34 references were excluded leaving 79 references for the review. Evidence of a social gradient in AF incidence and prevelance were conflicting. However, we found substantial evidence indicating social inequities in the detection of AF, access to treatment, and outcomes such as healthcare utilization, bleeding, heart failure, stroke, dementia, work disability, and death. Inequities are reported across various health care systems and constitute a global problem affecting several continents, although data from Africa and South America are lacking. Given the documented social inequities in AF detection, management, and outcomes, there is an urgent need for healthcare systems, policymakers, and society to identify and implement effective interventions that can reduce inequities and improve outcomes in individuals with AF.

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Section: Resultsmentioning

confidence: 99%