Thursday, May 5, 2022 (HealthDay News) – Long-term survival after a heart attack has improved significantly among Medicare beneficiaries overall, although poor people and black Americans are left behind, a new study claims.
“Our results show some achievement and some work is ahead; we are making progress in improving long-term outcomes overall, but we are failing to reduce the disparity in long-term health outcomes that could lead to death or another heart attack,” said senior study author Dr. Harlan Krumholz. He is the director of the Center for Outcome Research and Evaluation at the Connor Yale School of Medicine in New Haven.
For the study, Krumholz and his team analyzed the medical records of 3.9 million Medicare beneficiaries, with an average age of 78, who lived at least 30 days after a heart attack between 1995 and 2019. About half of the patients are women.
During the study period, the mortality rate was about 73% and the hospitalization rate for another heart attack in the 10 years after the heart attack was 27%. But the 10-year mortality rate decreased by 1.5% year-on-year, and the 10-year hospitalization for another heart attack decreased by about 3% during the study period.
Compared to patients admitted to the hospital from 1995 to 1997, patients admitted to the hospital from 2007 to 2009 (the last three years for which full 10 years of follow-up data were available) had a 14% lower risk of 10 years of death and a 22.5% lower risk. Another heart attack.
Investigators found that patients at 10 years had a higher risk of death (approximately 81%) than those who had another heart attack (72%).
The study further found that the risk ratio for death and recurrence of heart attack was: 1.13 and 1.07, respectively, for men vs. women; 1.05 and 1.08, respectively, for black patients vs. white patients; 0.96 and 1.00, respectively, for other races (including American Indian and Alaska Native, Asian, Hispanic, other race or ethnicity) versus white Americans.
The results show that a second heart attack prevention measure could have significant long-term consequences, according to a report published online on May 4. Clothing Cardiology.
“Another significant finding is that nearly a quarter of patients have had another heart attack in the next decade, perhaps indicating that we need to be more courageous in our efforts to prevent recurrence and ensure that patients have access to information and medications that can reduce their risk.” , “Krumholz said in a Yale News release.
To learn more about heart attack recovery, visit the American Heart Association.
Source: Yale University, News Release, May 4, 2022
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