Seven years' mortality in Roma and non-Roma patients after coronary angiography

Adriana Sudzinova; Iveta Nagyova; Jaroslav Rosenberger; Martin Studencan; Helena Vargova; Berrie Middel; Jitse P. van Dijk; Sijmen A. Reijneveld

doi:10.1093/eurpub/ckv057

Seven years' mortality in Roma and non-Roma patients after coronary angiography

Adriana Sudzinova^*, Iveta Nagyova, Jaroslav Rosenberger, Martin Studencan, Helena Vargova, Berrie Middel, Jitse P. van Dijk, Sijmen A. Reijneveld

^*Corresponding author for this work

Public Health Research (PHR)

Research output: Contribution to journal › Article › Academic › peer-review

9 Citations (Scopus)

Abstract

BACKGROUND: Ethnicity is associated with differences in clinical course and outcomes of cardiac disease, often in association with a poorer socioeconomic position. The aim of this study was to compare the mortality after coronary angiography (CAG) of Roma and non-Roma patients matched for education and adjusted for gender and age.

METHODS: In total, 816 patients were included in the study (167 Roma and 649 non-Roma). Data on socio-demographic background, disease history, use of drugs, coronary findings and type of treatment were obtained from medical records. Mortality was assessed up to seven years after CAG. Kaplan-Meier curves of mortality were plotted, and differences between the Roma and non-Roma patients were assessed using log-rank tests, matched for education and adjusted for gender and age.

RESULTS: Mortality after CAG was significantly higher among Roma than non-Roma (log-rank test χ(2) = 7.59, P < 0.01) and remained so after matching for education and adjustment for gender, age, history of previous myocardial infarction and abnormal CAG (hazard ratio: 2.07, 95% confidence interval: 1.13-3.82).

CONCLUSION: Mortality after CAG is higher among Roma, and this is not due to differences in age, gender or education. These results warrant further reconsideration of the management of Roma cardiac patients.

Original language	English
Pages (from-to)	765-769
Number of pages	5
Journal	European Journal of Public Health
Volume	25
Issue number	5
DOIs	https://doi.org/10.1093/eurpub/ckv057
Publication status	Published - Oct-2015

Keywords

CARDIOVASCULAR RISK-FACTORS
MINORITY POPULATION
PROSPECTIVE COHORT
ETHNIC-DIFFERENCES
METABOLIC SYNDROME
HEART-DISEASE
HEALTH
PREVALENCE
MANAGEMENT
SLOVAKIA

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@article{75c10ee518b04375af301b980bf1b67a,

title = "Seven years' mortality in Roma and non-Roma patients after coronary angiography",

abstract = "BACKGROUND: Ethnicity is associated with differences in clinical course and outcomes of cardiac disease, often in association with a poorer socioeconomic position. The aim of this study was to compare the mortality after coronary angiography (CAG) of Roma and non-Roma patients matched for education and adjusted for gender and age.METHODS: In total, 816 patients were included in the study (167 Roma and 649 non-Roma). Data on socio-demographic background, disease history, use of drugs, coronary findings and type of treatment were obtained from medical records. Mortality was assessed up to seven years after CAG. Kaplan-Meier curves of mortality were plotted, and differences between the Roma and non-Roma patients were assessed using log-rank tests, matched for education and adjusted for gender and age.RESULTS: Mortality after CAG was significantly higher among Roma than non-Roma (log-rank test χ(2) = 7.59, P < 0.01) and remained so after matching for education and adjustment for gender, age, history of previous myocardial infarction and abnormal CAG (hazard ratio: 2.07, 95% confidence interval: 1.13-3.82).CONCLUSION: Mortality after CAG is higher among Roma, and this is not due to differences in age, gender or education. These results warrant further reconsideration of the management of Roma cardiac patients.",

keywords = "CARDIOVASCULAR RISK-FACTORS, MINORITY POPULATION, PROSPECTIVE COHORT, ETHNIC-DIFFERENCES, METABOLIC SYNDROME, HEART-DISEASE, HEALTH, PREVALENCE, MANAGEMENT, SLOVAKIA",

author = "Adriana Sudzinova and Iveta Nagyova and Jaroslav Rosenberger and Martin Studencan and Helena Vargova and Berrie Middel and {van Dijk}, {Jitse P.} and Reijneveld, {Sijmen A.}",

year = "2015",

month = oct,

doi = "10.1093/eurpub/ckv057",

language = "English",

volume = "25",

pages = "765--769",

journal = "European Journal of Public Health",

issn = "1101-1262",

publisher = "Oxford University Press",

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TY - JOUR

T1 - Seven years' mortality in Roma and non-Roma patients after coronary angiography

AU - Sudzinova, Adriana

AU - Nagyova, Iveta

AU - Rosenberger, Jaroslav

AU - Studencan, Martin

AU - Vargova, Helena

AU - Middel, Berrie

AU - van Dijk, Jitse P.

AU - Reijneveld, Sijmen A.

PY - 2015/10

Y1 - 2015/10

N2 - BACKGROUND: Ethnicity is associated with differences in clinical course and outcomes of cardiac disease, often in association with a poorer socioeconomic position. The aim of this study was to compare the mortality after coronary angiography (CAG) of Roma and non-Roma patients matched for education and adjusted for gender and age.METHODS: In total, 816 patients were included in the study (167 Roma and 649 non-Roma). Data on socio-demographic background, disease history, use of drugs, coronary findings and type of treatment were obtained from medical records. Mortality was assessed up to seven years after CAG. Kaplan-Meier curves of mortality were plotted, and differences between the Roma and non-Roma patients were assessed using log-rank tests, matched for education and adjusted for gender and age.RESULTS: Mortality after CAG was significantly higher among Roma than non-Roma (log-rank test χ(2) = 7.59, P < 0.01) and remained so after matching for education and adjustment for gender, age, history of previous myocardial infarction and abnormal CAG (hazard ratio: 2.07, 95% confidence interval: 1.13-3.82).CONCLUSION: Mortality after CAG is higher among Roma, and this is not due to differences in age, gender or education. These results warrant further reconsideration of the management of Roma cardiac patients.

AB - BACKGROUND: Ethnicity is associated with differences in clinical course and outcomes of cardiac disease, often in association with a poorer socioeconomic position. The aim of this study was to compare the mortality after coronary angiography (CAG) of Roma and non-Roma patients matched for education and adjusted for gender and age.METHODS: In total, 816 patients were included in the study (167 Roma and 649 non-Roma). Data on socio-demographic background, disease history, use of drugs, coronary findings and type of treatment were obtained from medical records. Mortality was assessed up to seven years after CAG. Kaplan-Meier curves of mortality were plotted, and differences between the Roma and non-Roma patients were assessed using log-rank tests, matched for education and adjusted for gender and age.RESULTS: Mortality after CAG was significantly higher among Roma than non-Roma (log-rank test χ(2) = 7.59, P < 0.01) and remained so after matching for education and adjustment for gender, age, history of previous myocardial infarction and abnormal CAG (hazard ratio: 2.07, 95% confidence interval: 1.13-3.82).CONCLUSION: Mortality after CAG is higher among Roma, and this is not due to differences in age, gender or education. These results warrant further reconsideration of the management of Roma cardiac patients.

KW - CARDIOVASCULAR RISK-FACTORS

KW - MINORITY POPULATION

KW - PROSPECTIVE COHORT

KW - ETHNIC-DIFFERENCES

KW - METABOLIC SYNDROME

KW - HEART-DISEASE

KW - HEALTH

KW - PREVALENCE

KW - MANAGEMENT

KW - SLOVAKIA

U2 - 10.1093/eurpub/ckv057

DO - 10.1093/eurpub/ckv057

M3 - Article

C2 - 25829503

SN - 1101-1262

VL - 25

SP - 765

EP - 769

JO - European Journal of Public Health

JF - European Journal of Public Health

IS - 5

ER -

Seven years' mortality in Roma and non-Roma patients after coronary angiography

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