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Socioeconomic Status, Functional Recovery, and Long-Term Mortality among Patients Surviving Acute Myocardial Infarction

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  • David A Alter
  • Barry Franklin
  • Dennis T Ko
  • Peter C Austin
  • Douglas S Lee
  • Paul I Oh
  • Therese A Stukel
  • Jack V Tu

Abstract

Objectives: To examine the relationship between socio-economic status (SES), functional recovery and long-term mortality following acute myocardial infarction (AMI). Background: The extent to which SES mortality disparities are explained by differences in functional recovery following AMI is unclear. Methods: We prospectively examined 1368 patients who survived at least one-year following an index AMI between 1999 and 2003 in Ontario, Canada. Each patient was linked to administrative data and followed over 9.6 years to track mortality. All patients underwent medical chart abstraction and telephone interviews following AMI to identify individual-level SES, clinical factors, processes of care (i.e., use of, and adherence, to evidence-based medications, physician visits, invasive cardiac procedures, referrals to cardiac rehabilitation), as well as changes in psychosocial stressors, quality of life, and self-reported functional capacity. Results: As compared with their lower SES counterparts, higher SES patients experienced greater functional recovery (1.80 ml/kg/min average increase in peak V02, P

Suggested Citation

  • David A Alter & Barry Franklin & Dennis T Ko & Peter C Austin & Douglas S Lee & Paul I Oh & Therese A Stukel & Jack V Tu, 2013. "Socioeconomic Status, Functional Recovery, and Long-Term Mortality among Patients Surviving Acute Myocardial Infarction," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-10, June.
    • Handle: RePEc:plo:pone00:0065130
    DOI: 10.1371/journal.pone.0065130
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    References listed on IDEAS

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    1. Raine, Rosalind & Hutchings, Andrew & Black, Nick, 2003. "Is publicly funded health care really distributed according to need? The example of cardiac rehabilitation in the UK," Health Policy, Elsevier, vol. 63(1), pages 63-72, January.
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    Cited by:

    1. Terje P. Hagen & Unto Häkkinen & Tor Iversen & Søren Toksvig Klitkou & Tron Anders Moger & on behalf of the EuroHOPE study group, 2015. "Socio‐economic Inequality in the Use of Procedures and Mortality Among AMI Patients: Quantifying the Effects Along Different Paths," Health Economics, John Wiley & Sons, Ltd., vol. 24(S2), pages 102-115, December.

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