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DC Field | Value | Language |
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dc.contributor | Livori, Adam | en_US |
dc.contributor | Ademi, Z. | en_US |
dc.contributor | Ilomaki, J. | en_US |
dc.contributor | Pol, D. | en_US |
dc.contributor | Morton, J. | en_US |
dc.contributor | Bell, J. Simon | en_US |
dc.date.accessioned | 2024-06-14T10:53:59Z | - |
dc.date.available | 2024-06-14T10:53:59Z | - |
dc.date.issued | 2024 | - |
dc.identifier.govdoc | 02556 | en_US |
dc.identifier.uri | http://hdl.handle.net/11054/2543 | - |
dc.description.abstract | Background: Remoteness has been shown to predict poor clinical outcomes following myocardial infarction (MI). This study investigated 1-year clinical outcomes following MI by remoteness in Victoria, Australia. Methods: We included all admissions for people discharged from hospital following MI between July 2012 and June 2017 (n = 43,729). Remoteness was determined using the Accessibility/Remoteness Index of Australia (ARIA). The relationship between remoteness and major adverse cardiovascular events (MACE) and all-cause mortality over 1-year was evaluated using adjusted Poisson regression, stratified by type STEMI and NSTEMI. Results: For NSTEMI, adjusted rates of MACE were 77.5[95% confidence interval 65.1-92.1] for the most remote area versus 83.4[65.5-106.3] for the least remote area per 1000 person-years. For STEMI, rates of MACE were 28.5[18.3-44.6] for the most versus 33.5[18.9-59.4] for the least remote areas per 1000 person-years. With respect to all-cause mortality, NSTEMI mortality rates were 82.2[67.0-100.9] for the most versus 100.8[75.2-135.1] for the least remote areas per 1000 person-years. For STEMI, mortality rates were 24.7[13.7-44.7] for the most versus 22.3[9.8-50.8] for the least remote per 1000 person-years. Conclusions: Rates of MACE and all-cause mortality were similar in regardless of degree of remoteness, suggesting that initiatives to increase access to cardiology care in more remote areas succeeded in reducing previous disparities. | en_US |
dc.description.provenance | Submitted by Gemma Siemensma (gemmas@bhs.org.au) on 2024-04-26T06:35:45Z No. of bitstreams: 0 | en |
dc.description.provenance | Approved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2024-06-14T10:53:59Z (GMT) No. of bitstreams: 0 | en |
dc.description.provenance | Made available in DSpace on 2024-06-14T10:53:59Z (GMT). No. of bitstreams: 0 Previous issue date: 2024 | en |
dc.title | No effect of remoteness on clinical outcomes following myocardial infarction: An analysis of 43,729 myocardial infarctions in Victoria, Australia. | en_US |
dc.type | Journal Article | en_US |
dc.type.specified | Article | en_US |
dc.bibliographicCitation.title | International Journal of Cardiology | en_US |
dc.bibliographicCitation.volume | 398 | en_US |
dc.bibliographicCitation.stpage | 131593 | en_US |
dc.subject.healththesaurus | CARDIOVASCULAR DISEASES | en_US |
dc.subject.healththesaurus | MYOCARDIAL INFARCTION | en_US |
dc.subject.healththesaurus | REMOTENESS | en_US |
dc.subject.healththesaurus | SECONDARY PREVENTION | en_US |
dc.identifier.doi | https://doi.org/10.1016/j.ijcard.2023.131593 | en_US |
Appears in Collections: | Research Output |
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