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Title: | No effect of remoteness on clinical outcomes following myocardial infarction: An analysis of 43,729 myocardial infarctions in Victoria, Australia. |
Author: | Livori, Adam Ademi, Z. Ilomaki, J. Pol, D. Morton, J. Bell, J. Simon |
Issue Date: | 2024 |
Publication Title: | International Journal of Cardiology |
Volume: | 398 |
Start Page: | 131593 |
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. |
URI: | http://hdl.handle.net/11054/2543 |
DOI: | https://doi.org/10.1016/j.ijcard.2023.131593 |
Internal ID Number: | 02556 |
Health Subject: | CARDIOVASCULAR DISEASES MYOCARDIAL INFARCTION REMOTENESS SECONDARY PREVENTION |
Type: | Journal Article Article |
Appears in Collections: | Research Output |
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