Socioeconomic disparities and risk of recurrent cardiovascular events and cardiovascular disease-free life expectancy in patients with established cardiovascular disease
Main finding · Recurrent CVD eventsResult — go to the resultHazard ratio 1.35 95% CI 1.17–1.56Authors' conclusion
Among patients with established CVD, lower SES is related to a higher risk of recurrent CVD events independent of CVD risk factors, and to a shorter CVD-free survival.
Study context
- Population
- Patients with established cardiovascular disease (CVD), Utrecht Cardiovascular Cohort - SMART (1996–2022)2,090 recurrent CVD events
- Participants
- 9,477 patients
- Exposure
- Lowest vs highest neighbourhood socioeconomic status (SES) quintile
- Outcome
- Recurrent CVD events
- Follow-up
- Median 9.0 years (IQI: 4.8-14.1)
Main finding
As reported in the abstract
Hazard ratio
1.35
95% CI 1.17–1.56
Lowest SES quintilevs Highest SES quintile
HR 1.35 (95% CI 1.17–1.56)
Observational data: associations, not effects.
Further findings
| Outcome | Difference (years) (95% CI) | |
|---|---|---|
| Median CVD event-free life expectancyShorter in lowest quintile | 5.5 (2.8–8.0) | |
| −50510Difference, years (linear scale) |
- Median CVD event-free life expectancy: Kaplan-Meier, age as time scale, accounting for competing risks
Risk factors and preventive treatment
- Unfavourable CVD risk factors more prevalent among low SES patients, who less frequently used preventive drug treatment
Original publication
Socioeconomic disparities and risk of recurrent cardiovascular events and cardiovascular disease-free life expectancy in patients with established cardiovascular disease. Eur J Prev Cardiol. Published 14 February 2025. doi:10.
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