Question How do treatment patterns and outcomes for older patients presenting with acute myocardial infarction differ for low- vs high-income individuals across 6 countries.
Findings In this study of 289 376 patients aged 66 years or older hospitalized with ST-segment elevation myocardial infarction (STEMI) and 843 046 hospitalized with non-STEMI across 6 health systems, adjusted 30-day and 1-year mortality rates were higher for low-income patients, whereas rates of cardiac catheterization and percutaneous coronary interventions were lower. High-income patients also had shorter length of stay and lower rates of readmissions.
Meaning These results suggest that income-based disparities were present even in countries with universal health insurance and robust social safety net systems.
Landon BE, Hatfield LA, Bakx P, et al. Differences in Treatment Patterns and Outcomes of Acute Myocardial Infarction for Low- and High-Income Patients in 6 Countries. JAMA. 2023;329(13):1088–1097. doi:10.1001/jama.2023.1699
Free access to the full-text article: https://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2023.1699?guestAccessKey=eefaf3f0-a60f-4603-bbf0-420873fb80d6&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=040423
SOURCE: https://media.jamanetwork.com/news-item/differences-in-treatment-patterns-outcomes-of-heart-attack-for-low-and-high-income-patients-in-6-countries/; https://jamanetwork.com/journals/jama/article-abstract/2803045