Social deprivation and prognostic benefits of cardiac surgery: Observational study of 44 902 patients from five hospitals over 10 years

D. Pagano, N. Freemantle, B. Bridgewater, N. Howell, D. Ray, M. Jackson, B. M. Fabri, J. Au, D. Keenan, B. Kirkup, B. E. Keogh

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Objective: To assess the effects of social deprivation on survival after cardiac surgery and to examine the influence of potentially modifiable risk factors. Design: Analysis of prospectively collected data. Prognostic models used to examine the additional effect of social deprivation on the end points. Setting: Birmingham and north west England. Participants: 44 902 adults undergoing cardiac surgery, 1997-2007. Main outcome measures: Social deprivation with census based 2001 Carstairs scores. All cause mortality in hospital and at mid-term follow-up. Results: In hospital mortality for all cardiac procedures was 3.25% and mid-term follow-up (median 1887 days; range 1180-2725 days) mortality was 12.4%. Multivariable analysis identified social deprivation as an independent predictor of mid-term mortality (hazard ratio 1.024, 95% confidence interval 1.015 to 1.033; P
    Original languageEnglish
    Pages (from-to)989-991
    Number of pages2
    JournalBmj
    Volume338
    Issue number7701
    DOIs
    Publication statusPublished - 25 Apr 2009

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