Acute cardiac care & resuscitation

Rural-Urban Differences in Outcomes of Acute Cardiac Admissions in a Large Health Service

JACC AdvPublished Retrospective cohort study

Authors' conclusion

This study highlights the increased incidence of ED presentations and hospital readmissions, for those living in rural Australia, illustrating the disparity in health care provided

Study context

Population
Index hospitalisations with HF, atrial fibrillation (AF) or acute coronary syndrome (ACS), Hunter New England region, Australia, 2008–202127,995 ACS, 15,586 HF, 16,935 AF admissions
Exposure
Rural or remote vs metropolitan residence
Outcome
30-day readmission, number of readmissions, ED presentations and mortality after index cardiovascular disease (CVD) admission (rural or remote vs metropolitan)

Main finding

As reported in the abstract

Odds ratio

1.19

P < 0.001

30-day readmission

Incidence rate ratio

1.19

P < 0.001

number of readmissions

Incidence rate ratio

1.39

P < 0.001

Emergency department (ED) presentations

No difference in mortality
HR: 1.01; P = 0.515

Observational data: associations, not effects.

Further findings

OutcomeHRP value
Mortality, ACS subgroup1.05P = 0.015

Original publication

Rural-Urban Differences in Outcomes of Acute Cardiac Admissions in a Large Health Service. JACC Adv. Published 18 October 2024. doi:10.1016/j.jacadv.2024.101328

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