Social class has been repeatedly associated with cardiovascular-related illness and death, but no studies have examined the effect of social class on recovery from myocardial infarction.
Moreover, few studies have simultaneously evaluated a broad array of demographic, clinical, and psychosocial factors that may influence health outcomes after myocardial infarction.
To determine whether social class remains independently associated with functional recovery after myocardial infarction, even after controlling for clinical, demographic, and psychosocial factors known to influence outcomes after infarction.
Analysis of prospective data from a multicenter, randomized, double-blind clinical trial.
25 hospitals or clinical settings in the United States and Canada that participated in the Beta Blocker Heart Attack Trial, including the Health Insurance Plan substudy.
2145 men 29 to 69 years of age who were hospitalized with acute myocardial infarction and were recruited into the Beta Blocker Heart Attack Trial.
The primary outcome was change in New York Heart Association functional class between baseline assessment and 12 months after infarction, dichotomized as improved or not improved (that is, no change, decline in at least one category, or death).
Social class maintained its independent effect on improved functional status, even after controlling for pertinent prognostic factors. (...)
Mots-clés Pascal : Infarctus, Myocarde, Randomisation, Récupération, Aspect social, Etude double insu, Enquête socioéconomique, Analyse statistique, Homme, Appareil circulatoire pathologie, Cardiopathie coronaire, Myocarde pathologie
Mots-clés Pascal anglais : Infarct, Myocardium, Randomization, Recovery, Social aspect, Double blind study, Socioeconomical inquiry, Statistical analysis, Human, Cardiovascular disease, Coronary heart disease, Myocardial disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0506809
Code Inist : 002B12A05. Création : 13/02/1998.