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Mortality from Acute Coronary Syndrome: Does Place of Residence Matter?
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). Tehran University of Medical Sciences, Tehran, Iran; Harvard T.H. Chan School of Public Health, Boston, MA, United States.
Mid Sweden University, Faculty of Human Sciences, Department of Psychology and Social Work.ORCID iD: 0000-0002-4116-5501
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).ORCID iD: 0000-0001-5221-9504
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2022 (English)In: Journal of Tehran University Heart Center, ISSN 1735-8620, E-ISSN 2008-2371, Vol. 17, no 2, p. 56-61Article in journal (Refereed) Published
Abstract [en]

Background: Current evidence shows inequality in the outcomes of rural and urban patients treated at their place of residence. This study compared in-hospital mortality between rural and urban patients with acute coronary syndrome (ACS) to find whether there were differences in the outcome and received treatment. Methods: Between May 2007 and January 2018, patients admitted with ACS were included. The patients’ demographic, clinical, and laboratory data, as well as their in-hospital medical courses, were recorded. The association between place of residence (rural/ urban) and in-hospital mortality due to ACS was evaluated using logistic regression adjusted for potential confounders. Results: Of 9088 recruited patients (mean age =61.30±12.25 y; 5557 men [61.1%]), 838 were rural residents. A positive family history of coronary artery disease (P=0.003), smoking (P=0.002), and hyperlipidemia (P=0.026), as well as a higher body mass index (P=0.013), was seen more frequently in the urban patients, while the rural patients had lower education levels (P<0.001) and higher unemployment rates (P=0.009). In-hospital mortality occurred in 135 patients (1.5%): 10 rural (1.2%) and 125 urban (1.5%) patients (P=0.465). The Firth regression model, used to adjust the effects of possible confounders, showed no significant difference concerning in-hospital mortality between the rural and urban patients (OR, 1.57; 95% CI, 0.376 to 7.450; P=0.585). Conclusion: This study found no significant differences in receiving proper treatment and in-hospital mortality between ru-ral and urban patients with ACS. 

Place, publisher, year, edition, pages
2022. Vol. 17, no 2, p. 56-61
Keywords [en]
Acute coronary syndrome, Hospital mortality, Rural health, Rural population, Urban health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:miun:diva-45738DOI: 10.18502/jthc.v17i2.9838Scopus ID: 2-s2.0-85133192953OAI: oai:DiVA.org:miun-45738DiVA, id: diva2:1685267
Available from: 2022-08-02 Created: 2022-08-02 Last updated: 2024-10-10Bibliographically approved

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Abbasi, Seyed HesameddinSundin, ÖrjanSoares, JoaquimMacassa, Gloria

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Abbasi, Seyed HesameddinSundin, ÖrjanSoares, JoaquimMacassa, Gloria
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Department of Health Sciences (HOV)Department of Psychology and Social Work
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Journal of Tehran University Heart Center
Public Health, Global Health, Social Medicine and Epidemiology

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