Wenhui Wu|Lu Yang|Fuhua Peng|Jing Yao|Liling Zou|Dong Liu|Xin Jiang|Jue Li|Lan Gao|Jieming Qu|Steven M. Kawut|Zhi?Cheng Jing
Lower Socioeconomic Status Is Associated with Worse Outcomes in Pulmonary Arterial Hypertension
Shanghai Pulmonary Hospital|Shanghai Pulmonary Hospital|Shanghai Pulmonary Hospital|Shanghai Pulmonary Hospital|Tongji University|Shanghai Pulmonary Hospital|Shanghai Pulmonary Hospital|Tongji University|Peking University First Hospital|Peking University|Beijing Municipal Health Bureau|Huadong Hospital|University of Pennsylvania|Shanghai Pulmonary Hospital
lower socioeconomic status ses confers heightened risk common cardiovascular pulmonary diseases increased mortality association ses outcomes patients pulmonary arterial hypertension pah less clearto determine association ses outcomes patients pahwe performed prospective cohort study national referral center patients pah china two hundred sixtytwo consecutive incident patients aged 18 65 years diagnosis idiopathic pah recruited january 2007 june 2011 followed november 2011 primary endpoint allcause mortality ses score patient derived educational level annual household income occupation medical reimbursement ratepatients lower ses higher unadjusted mortality rates 3year survival estimates 501 708 860 increasing tertiles ses p trend 0001 adjustment clinical features hemodynamics type pah treatment hazard ratios death 298 95 confidence interval 151589 lowest tertile ses 180 95 confidence interval 089363 middle tertile ses compared upper tertile p trend 0006a lower ses strongly associated higher risk death idiopathic pah association independent clinical characteristics hemodynamics treatment addressing health disparities associated lower ses may improve outcomes patients pah