Comparison of neighborhood disadvantage indices on EMS interventions and outcomes for pediatric out-of-hospital emergencies DOI
Sriram Ramgopal, Samaa Kemal, Megan M. Attridge

et al.

Academic Pediatrics, Journal Year: 2024, Volume and Issue: unknown, P. 102592 - 102592

Published: Oct. 1, 2024

Language: Английский

Global burden of heart failure and its underlying causes in 204 countries and territories, 1990–2021 DOI
Qin‐Fen Chen, Lifen Chen, Christos S. Katsouras

et al.

European Heart Journal - Quality of Care and Clinical Outcomes, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 7, 2025

Abstract Background and aims Heart failure (HF) presents a significant global health challenge due to its rising prevalence impact on disability. This study comprehensively analyse the burden of HF underlying causes. Methods results Using data from Global Burden Disease Study 2021, we analysed years lived with disability (YLD) HF, examining implications across diverse demographics geographic regions. In approximately 55.5 million [95% uncertainty interval (UI) 49.0–63.8] people worldwide were affected by increase 25.4 (95% UI 22.3–29.2) in 1990. The age-standardized rate per 100 000 was 676.7 598.7–776.8) overall, males experiencing higher at 760.8 673.2–874.7) compared females 604.0 535.0–692.3). YLD rates increased 5.5% confidence (CI) 2.7–8.5] 5.9% CI 2.9–9.0) during this period. Ischaemic heart disease emerged as primary cause an 228.3 118.2–279.6), followed hypertensive 148.3 117.3–186.3), cardiomyopathy/myocarditis 62.0 51.2–73.2). Noteworthy, countries high socio-demographic index (SDI) quintile exhibited but maintained stable trends. contrast, lower SDI quintiles, while initially rates, showed over same Conclusion emerges growing public globally, influenced distinct socioeconomic gradients.

Language: Английский

Citations

1

Area Socioeconomic Status is Associated with Refusal of Recommended Surgery in Patients with Metastatic Bone and Joint Disease DOI Creative Commons
Kyle Mani, Emily Kleinbart,

Anne Schlumprecht

et al.

Annals of Surgical Oncology, Journal Year: 2024, Volume and Issue: 31(8), P. 4882 - 4893

Published: June 11, 2024

Abstract Background This study sought to identify associations between the Yost Index, a geocoded area neighborhood socioeconomic status (nSES) score, and race/ethnicity with patient refusal of recommended surgery for metastatic bone disease. Methods Patients disease were extracted from Surveillance, Epidemiology, End Results database. The Index was using factor analysis categorized into quintiles census tract-level American Community Service (ACS) 5-year estimates seven nSES measures. Multivariable logistic regression models calculated odds ratios (ORs) 95% confidence intervals (CIs), adjusting clinical covariates. A total 138,257 patients included, which 14,943 (10.8%) surgical resection. in lowest quintile had 57% higher refusing treatment than those highest (aOR = 1.57, CI 1.30–1.91, p < 0.001). also 31.2% age-adjusted incidence rate not being compared (186.4 vs. 142.1 per 1 million, Black 34% White 1.34, 1.14–1.58, 0.003). Advanced age, unmarried status, aggressive cancer subtypes associated ( Conclusions are independent predictors bone, even after various Effective strategies addressing these inequalities improving access quality care lower minority backgrounds needed.

Language: Английский

Citations

4

Number of Readmissions and Its Determinants Among Patients With Heart Failure at Referral Hospitals in Amhara Region, Northwest Ethiopia: A Cross‐Sectional Study Using Zero‐Inflated Negative Binomial Model, 2023 DOI Creative Commons
Mihretie Gedfew,

Bekele Tesfaye,

Haile Amha

et al.

Health Science Reports, Journal Year: 2025, Volume and Issue: 8(2)

Published: Jan. 31, 2025

Heart failure is a leading cause of hospital readmissions in the Amhara region, Northwest Ethiopia. This study aimed to determine number and identify determinants among patients with heart at referral hospitals Ethiopia, 2023. A cross-sectional was conducted 663 region from September 2022 February Simple random sampling used for patient selection, data were collected through chart reviews interviewer-administered questionnaires. Zero-inflated negative binomial models applied analysis. Data collection tools pre-tested reliability validity. Among patients, 237 (35.7%) readmitted least once. An increased respiratory rate (IRR = 1.015; 95% CI: 1.0004, 1.031; p < 0.044) longer medication duration 1.011; 1.016, 1.051; 0.0001) associated more readmissions. Patients poor social support had 59.4% fewer compared those good -1.595; -0.02, -0.005; 0.041). higher body mass index 0.115; 0.035, 0.196; 0.004) linked likelihood remaining "always-zero" group, while an pulse reduced odds -0.013; -0.025, -0.008; 0.036). The mortality 11.39%. found significant readmission rates HF patients. Factors such as readmissions, this likely reflects limited healthcare access low- middle-income countries individuals lower support. high underscores need targeted interventions improve outcomes.

Language: Английский

Citations

0

Association Between Mediterranean Diet and Other Healthy Habits and Sociodemographic Variables with the Values of Vascular and Heart Age in Spanish Workers DOI Open Access
Natalia Montero Muñoz, Pedro Juan Tárraga López, Ángel Arturo López‐González

et al.

Nutrients, Journal Year: 2025, Volume and Issue: 17(5), P. 903 - 903

Published: March 5, 2025

Introduction: The assessment of cardiovascular risk has traditionally relied on validated scales designed to estimate the likelihood experiencing a event within specific timeframe. In recent years, novel methodologies have emerged, offering more objective evaluation this through indicators such as vascular age (VA) and heart (HA). Objective: This study aimed investigate relationship between sociodemographic factors, lifestyle behaviors, their impact VA HA. Materials Methods: A dual design, encompassing both cross-sectional longitudinal retrospective approaches, was conducted among cohort employees. variables assessed included characteristics (age, sex, socioeconomic status) health-related habits (smoking, physical activity, adherence Mediterranean diet, alcohol consumption). Results: findings revealed that all analyzed were significantly associated with elevated HA values. Among these, demonstrated strongest association, odds ratios (OR) 114.91 (95% CI: 100.45-131.43) for high 34.48 31.41-37.56) VA. Conclusions: profile individuals most at encompasses males advanced age, characterized by low status, sedentary lifestyle, poor regular consumption.

Language: Английский

Citations

0

The application of neighborhood area deprivation index to improve health equity across the spectrum of heart failure: a review DOI

Tracy Makuvire,

José Luis García López, Zara Latif

et al.

Heart Failure Reviews, Journal Year: 2025, Volume and Issue: unknown

Published: March 29, 2025

Language: Английский

Citations

0

The March Toward Improved Heart Failure Outcomes Requires an Emphasis on Affordability DOI

Julia H.A. Foote,

Dhruv S. Kazi

JACC Heart Failure, Journal Year: 2024, Volume and Issue: 12(7), P. 1238 - 1241

Published: June 12, 2024

Language: Английский

Citations

2

Self-care challenges of patients with heart failure from the perspectives of patients and caregivers: A qualitative study DOI
Qiuping Wu,

Haoyu Pei,

Limin Zhang

et al.

Geriatric Nursing, Journal Year: 2024, Volume and Issue: 58, P. 446 - 458

Published: June 22, 2024

Language: Английский

Citations

1

Approach to Estimating Adherence to Heart Failure Medications Using Linked Electronic Health Record and Pharmacy Data DOI
Saul Blecker, Yunan Zhao, Xiyue Li

et al.

Journal of General Internal Medicine, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 25, 2024

Language: Английский

Citations

1

The association between county-level premature cardiovascular mortality related to cardio-kidney-metabolic disease and the social determinants of health in the US. DOI Creative Commons

Antoinette Cotton,

Pedro Rafael Vieira de Oliveira Salerno, Salil V. Deo

et al.

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Oct. 23, 2024

Cardio-kidney-metabolic (CKM) syndrome is defined by the American Heart Association as intersection between metabolic, renal and cardiovascular disease. Understanding contemporary estimates of CKM related mortality recent trends in US essential for developing targeted public interventions. We collected state-level county-level CKM-associated age-adjusted premature (aaCVM) (2010-2019) rates from CDC Wide-ranging Online Data Epidemiologic Research (WONDER). linked aaCVM with a multi-component social deprivation metric: Social Deprivation Index (SDI: range 0-100) grouped them follows: I: 0-25, II: 26-50, III: 51-75, IV: 76-100. conducted pair-wise comparison SDI groups multiplicity adjusted Wilcoxon test; we compared men versus women, metropolitan nonmetropolitan counties, non-hispanic white black residents. In 3101 analyzed counties US, median associated was 61 [interquartile (IQR): 45, 82]/100 000. Mississippi (99/100 000) Minnesota (33/100 had highest lowest values respectively. aaMR increased across [I - 45 (IQR: 36, 55)/100 000, II- 49, 77)/100 III- 77 61, 94)/100 IV- 89 70, 110)/100 000; all p-values < 0.001]. Men higher [85 (64, 91)/100 000] than women [41 (28, 58)/100 000](p-value 0.001), [54 (40, 72)/100 lower non-metropolitan [66 (49, 90)/100 non-Hispanic Black [110 (86, 137)/100 White residents [59 (44, 78)/100 0.001). remains high disproportionately occurs more socially deprived counties. Our inability to reduce over study period highlights need policy interventions curb ongoing burden.

Language: Английский

Citations

1

Comment on "Exploring Regional Disparities in Heart Failure Epidemiology and Outcomes: A Comprehensive Study Across Geographical Regions in Türkiye" DOI Creative Commons
Levent Pay

Balkan Medical Journal, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 27, 2024

1 with considerable interest, which revealed geographic disparities in heart failure (HF) characteristics, including decreased mortality rates socioeconomically impoverished areas of Türkiye.

Language: Английский

Citations

0