Accuracy of Cardiovascular Risk Prediction Varies by Neighborhood Socioeconomic Position: A Retrospective Cohort Study.

ABSTRACT:

Background

Inequality in health outcomes in relation to Americans' socioeconomic position is rising.

Objective

First, to evaluate the spatial relationship between neighborhood disadvantage and major atherosclerotic cardiovascular disease (ASCVD)-related events; second, to evaluate the relative extent to which neighborhood disadvantage and physiologic risk account for neighborhood-level variation in ASCVD event rates.

Design

Observational cohort analysis of geocoded longitudinal electronic health records.

Setting

A single academic health center and surrounding neighborhoods in northeastern Ohio.

Patients

109 793 patients from the Cleveland Clinic Health System (CCHS) who had an outpatient lipid panel drawn between 2007 and 2010. The date of the first qual

SUBMITTER: Dalton JE 

PROVIDER: S-EPMC6435027 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature