Socio-Economic Status and MultiOriginal morbidity - Fact or Fiction?
Byrne, D.; Cournane, S.; Conway, R.; O'Riordan, D.; Silke, B.
Acute Medicine 18(2): 64-70
2019
ISSN/ISBN: 1747-4892 PMID: 31127794 Document Number: 17783
Areas of low socio-economic status (SES) have a disproportionate number of emergency medical admissions; we quantitate the profile of multi-morbidity related to SES. We developed a logistic multiple variable regression model, based on over 15 years of hospital data, to examine the effect of socio-demography on hospital outcomes. Admissions from low SES cohort were a decade younger, and had a shorter hospital stay, and lower 30-day episode mortality outcome. The number of morbidities was equivalent between groups, but the more disadvantaged were more likely to have a respiratory diagnosis or diabetes. Low SES emergency admissions present > 10 yr. earlier than the high SES population; their equivalent multimorbidity, despite a lower age, could reflect accelerated disease progression.
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