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Inequalities in Inc...
Inequalities in Income and Education Are Associated With Survival Differences After Out-of-Hospital Cardiac Arrest : Nationwide Observational Study
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- Jonsson, Martin (author)
- Karolinska Institutet
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- Härkönen, Juho (author)
- Karolinska Institutet
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- Ljungman, Petter (author)
- Karolinska Institutet
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- Nordberg, Per (author)
- Karolinska Institutet
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- Ringh, Mattias (author)
- Karolinska Institutet
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- Hirlekar, Geir (author)
- Sahlgrenska universitetssjukhuset
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- Rawshani, Araz, 1986 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Herlitz, Johan, 1949- (author)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd
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- Ljung, Rickard (author)
- Karolinska Institutet
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- Hollenberg, Jacob (author)
- Karolinska Institutet
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(creator_code:org_t)
- 2021
- 2021
- English.
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In: Circulation. - 0009-7322 .- 1524-4539. ; 144:24, s. 1915-1925
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
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- BACKGROUND: Despite the acknowledged importance of socioeconomic factors as regards cardiovascular disease onset and survival, the relationship between individual-level socioeconomic factors and survival after out-of-hospital cardiac arrest is not established. Our aim was to investigate whether socioeconomic variables are associated with 30-day survival after out-of-hospital cardiac arrest.METHODS: We linked data from the Swedish Registry for Cardiopulmonary Resuscitation with individual-level data on socioeconomic factors (ie, educational level and disposable income) from Statistics Sweden. Confounding and mediating variables included demographic factors, comorbidity, and Utstein resuscitation variables. Outcome was 30-day survival. Multiple modified Poisson regression was used for the main analyses.RESULTS: A total of 31 373 out-of-hospital cardiac arrests occurring in 2010 to 2017 were included. Crude 30-day survival rates by income quintiles were as follows: Q1 (low), 414/6277 (6.6%); Q2, 339/6276 (5.4%); Q3, 423/6275 (6.7%); Q4, 652/6273 (10.4%); and Q5 (high), 928/6272 (14.8%). In adjusted analysis, the chance of survival by income level followed a gradient-like increase, with a risk ratio of 1.86 (95% CI, 1.65-2.09) in the highest-income quintile versus the lowest. This association remained after adjusting for comorbidity, resuscitation factors, and initial rhythm. A higher educational level was associated with improved 30-day survival, with the risk ratio associated with postsecondary education ≥4 years being 1.51 (95% CI, 1.30-1.74). Survival disparities by income and educational level were observed in both men and women.CONCLUSIONS: In this nationwide observational study using individual-level socioeconomic data, higher income and higher educational level were associated with better 30-day survival after out-of-hospital cardiac arrest in both sexes.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- education
- income
- out-of-hospital cardiac arrest
- socioeconomic factors
- Människan i vården
- The Human Perspective in Care
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Jonsson, Martin
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Härkönen, Juho
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Ljungman, Petter
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Nordberg, Per
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Ringh, Mattias
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Hirlekar, Geir
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Rawshani, Araz, ...
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Herlitz, Johan, ...
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Ljung, Rickard
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Hollenberg, Jaco ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Nursing
- Articles in the publication
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Circulation
- By the university
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University of Borås
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Karolinska Institutet
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University of Gothenburg