Socioeconomic Status and Outcomes in Heart Failure With Reduced Ejection Fraction From Asia.
Journal
Circulation. Cardiovascular quality and outcomes
Journal Volume
4
Pages
e006962
ISSN
1941-7705
Date Issued
2021-04
Author(s)
Teng, Tiew-Hwa K
Tay, Wan Ting
Richards, Arthur Mark
Chew, Timothy Shi Ming
Anand, Inder
Ouwerkerk, Wouter
Chandramouli, Chanchal
Huang, Weiting
Lawson, Claire A
Kadam, Umesh T
Yap, Jonathan
Lim, Shirlynn
Hung, Chung-Lieh
MacDonald, Michael Ross
Loh, Seet Yoong
Shimizu, Wataru
Tromp, Jasper
Lam, Carolyn Su Ping
on behalf of the ASIAN-HF investigators
Abstract
Background: Little is known regarding the impact of socioeconomic factors on the use of evidence-based therapies and outcomes in patients with heart failure with reduced ejection fraction across Asia.
Methods: We investigated the association of both patient-level (household income, education levels) and country-level (regional income level by World Bank classification, income disparity by Gini index) socioeconomic indicators on use of guideline-directed therapy and clinical outcomes (composite of 1-year mortality or HF hospitalization, quality of life) in the prospective multinational ASIAN-HF study (Asian Sudden Cardiac Death in Heart Failure).
Results: Among 4540 patients (mean age: 60±13 years, 23% women) with heart failure with reduced ejection fraction, 39% lived in low-income regions; 34% in regions with high-income disparity (Gini ≥42.8%); 64.4% had low monthly household income (
Subjects
health status disparities
heart failure
quality of life
social class
socioeconomic factors
Type
journal article