Differential Treatment and Outcomes for Patients With Heart Attacks in Advantaged and Disadvantaged Communities.

ABSTRACT: Background Racially and ethnically minoritized groups, people with lower income, and rural communities have worse access to percutaneous coronary intervention (PCI) than their counterparts, but PCI hospitals have preferentially opened in wealthier areas. Our study analyzed disparities in PCI access, treatment, and outcomes for patients with acute myocardial infarction based on the census-derived Area Deprivation Index. Methods and Results We obtained patient-level data on 629 419 patients with acute myocardial infarction in California between January 1, 2006 and December 31, 2020. We linked patient data with population characteristics and geographic coordinates, and categorized communities into 5 groups based on the share of the population in low or high Area Deprivation Index neighborhood

SUBMITTER: Shen YC 

PROVIDER: S-EPMC10547340 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature