Impact of Socioeconomic Status and Rurality on Early Outcomes and Mid-term Survival after CABG: Insights from a Multicentre Registry
William Y Shi, Cheng-Hon Yap, Andrew E Newcomb, Philip A Hayward, Lavinia Tran, Christopher M Reid, Julian A Smith
Heart, Lung and Circulation | ELSEVIER SCIENCE INC | Published : 2014
BACKGROUND: We examined whether socioeconomic status and rurality influenced outcomes after coronary surgery. METHODS: We identified 14,150 patients undergoing isolated coronary surgery. Socioeconomic and rurality data was obtained from the Australian Bureau of Statistics and linked to patients' postcodes. Outcomes were compared between categories of socioeconomic disadvantage (highest versus lowest quintiles, n= 3150 vs. 2469) and rurality (major cities vs. remote, n=9598 vs. 839). RESULTS: Patients from socioeconomically-disadvantaged areas experienced a greater burden of cardiovascular risk factors including diabetes, obesity and current smoking. Thirty-day mortality (disadvantaged 1.6% v..View full abstract
The authors acknowledge all surgeons who contributed to the operations studied in this paper. The Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) National Cardiac Surgery Database is funded the Department of Human Services, Victoria and the Health Corporation (GMCT) and the Clinical Excel-Commission (CEC), New South Wales, Australia.