Long-term outcomes among stable post-acute myocardial infarction patients living in rural versus urban areas: insights from the prospective, observational TIGRIS registry

BackgroundInsights on the differences in clinical outcomes, quality of life (QoL) and health resource utilisation (HRU) with different levels of care available to post-acute myocardial infarction (AMI) populations in rural and urban settings are limited.MethodsThe long-Term rIsk, clinical manaGement...

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Bibliographic Details
Published in:Open heart 2023-08, Vol.10 (2), p.e002326
Main Authors: Nicolau, Jose Carlos, Owen, Ruth, Furtado, Remo H M, Goodman, Shaun G, Granger, Christopher B, Cohen, Mauricio G, Westermann, Dirk, Yasuda, Satoshi, Simon, Tabassome, Hedman, Katarina, Hunt, Phillip R, Brieger, David B, Pocock, Stuart J
Format: Article
Language:English
Subjects:
Cardiology
Cardiovascular disease
Clinical outcomes
Coronary Artery Disease
Coronary vessels
Emergency medical care
Heart attacks
Hospitalization
Hospitals
Mortality
myocardial infarction
Observational studies
Patients
quality of health care
Quality of life
Rural areas
Socioeconomic factors
Stroke
Trends
Urban areas
Variables
Vein & artery diseases
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Summary:BackgroundInsights on the differences in clinical outcomes, quality of life (QoL) and health resource utilisation (HRU) with different levels of care available to post-acute myocardial infarction (AMI) populations in rural and urban settings are limited.MethodsThe long-Term rIsk, clinical manaGement, and healthcare Resource utilisation of stable coronary artery dISease (TIGRIS), a prospective, observational registry, enrolled 8452 patients aged ≥50 years 1–3 years post-AMI from June 2013 to November 2014 from 24 countries in Asia Pacific/Australia, Europe, North America and South America. Differences in QoL (measured using the EuroQol Research Foundation instrument) and HRU between patients in rural and urban settings were evaluated in this post hoc analysis. The incidence of clinical endpoints (cardiovascular (CV) death, AMI, unstable angina with urgent revascularisation and stroke; bleeding; and all-cause mortality) was analysed. Data were collected at baseline and every 6 months for 24 months.ResultsThere were fewer hospitalisations and visits to general practitioners (GPs) and cardiologists in the rural versus urban populations (adjusted event rate ratio (ERR)=0.90 (95% CI, 0.82 to 1.00, p=0.04); ERR=0.84 (95% CI, 0.78 to 0.92, p
ISSN:2053-3624
2398-595X
2053-3624
DOI:10.1136/openhrt-2023-002326