Effect of socioeconomic status on the occurrence and in-hospital outcome among patients with acute myocardial infarction: an observational analytic case-control study

Author:

Shaban Eman E.1,Khashaba Eman2,Bassam Ensaf2,Abdelaziz Ayman A.2,Zaki Hany A.3

Affiliation:

1. MOH - QCHP

2. Mansoura University Hospitals

3. Hamad Medical Corporation

Abstract

Abstract

Purpose: The aim of this research was to assess the impact of socioeconomic status on the incidence and in-hospital results in patients experiencing acute myocardial infarction (AMI). Methods: A case control study was conducted on 100 patients who suffered from their first onset AMI, and age and sex matched 100 control group. The study methods for collecting data from the participants were history taking (demographic information, risk factors – such as smoking history, obesity, hypertension), laboratory investigation, analysis of blood pressure, echocardiography, BMI, and socioeconomic status (SES). SES was evaluated using Egyptian socioeconomic scale that includes 7 domains with a total score of 84. SES were classified into very low (<40), low (40-56.9), middle (57-64.9), and high (>65) levels depending on the quartiles of the score calculated. Results: It was observed that the occurrences and in-hospital outcomes, such as cardiogenic shock among AMI patients, were more common among the lower SES group than in the higher ones, with a statistically significant difference (p<0.05). Moreover, death was more common among the lower SES group than in the higher ones, with an increased risk of more than four times (OR = 4.8, CI; 1.5-16.6). Consequently, low and very low SES had more frequent in-hospital complications (41.1%) than middle & high SES (20.4 and 32.7%, respectively). Conclusion: These results show socioeconomic status is a significant aspect in shaping the overall health status of individuals, evaluated based on the presence of comorbid conditions measured during hospitalization for the first AMI. Similarly, in-hospital outcomes such as complications resulting from AMI are affected by patients’ socioeconomic statuses.

Publisher

Research Square Platform LLC

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