Irina Stirbu|Caspar W. N. Looman|Geesje J Nijhof|Petra Reulings|Johan P. Mackenbach
Income inequalities in case death of ischaemic heart disease in the Netherlands: a national record-linked study
Erasmus University Rotterdam|Erasmus MC|Netherlands Institute for Health Services Research|Erasmus University Rotterdam|Erasmus MC|Dutch Health Care Inspectorate|Dutch Health Care Inspectorate|Erasmus University Rotterdam|Erasmus MC
socioeconomic inequalities ischaemic heart disease ihd mortality found european countries unclear extent inequalities survival opposed incidence contribute inequalities mortality author studied incomerelated inequalities shortterm longterm case death first hospitalisation acute myocardial infarction ami chronic ischaemic heart disease cihd well inequalities cardiovascular surgical procedures among patients admitted ihd netherlandsa nationwide prospective cohort study patients first admitted ihdobtained record linkage individual level national hospital discharge cause death population income registries15 416 patients admitted hospital first episode ami 31 209 patients admitted hospital first episode cihd period 20032005differences income quintile shortterm 28 days longterm 1 year case death first hospital admission ami cihd differences income quintile percutaneous transluminal coronary angioplasty ptca coronary artery bypass graft operations among patients first admission amiafter adjustment age ethnicity comorbidity men women lower income quintiles higher 28day 1year case death first hospitalisation ami cihd adjustment age comorbidity patients admitted hospital first ami also lower probability undergoing ptca procedure belonged lower income quintile large betweenhospital variations inequalities 28day mortality patients admitted first amihigher mortality ihd among lower income people likely partly due higher case death first hospital admission inequalities utilisation ptca betweenhospital variations inequalities outcomes suggest inequalities access good quality care may play role explaining higher case death ihd among people lower socioeconomic position research needed elucidate causes inequalities case death