OBJECTIVES: We sought to determine whether income-based disparities in care processes and outcome exist in @entity1 with @entity1187 . BACKGROUND: Using income proxies and limited clinical data, some observational studies have shown income disparities in outcome after @entity583 ( @entity583 ). METHODS: Using annual household income from the economic substudy of the PURSUIT (Platelet Glycoprotein IIB/IIIA In @entity1459 : Receptor Suppression Using Integrilin Therapy) trial, @entity1 were grouped into low-, middle-, and high-income categories based on the U.S. Census Bureau definition of poverty. Logistic regression analysis was used to examine the association between income category and the use of cardiac procedures and the prescription of evidence-based medications at hospital discharge. Cox regression analysis was used to examine the hazard of 30-day and six-month @entity204 or recurrent @entity583 across income categories, after adjusting for baseline characteristics. RESULTS: Low-income @entity1 had more chronic medical conditions and were sicker at presentation. Among @entity258 @entity1 , the use of some evidence-based medications and cardiac procedures was lower and the unadjusted rates of 30-day @entity204 and six-month @entity204 or @entity583 was higher. After multivariable adjustment, there was no consistent pattern for disparity in care processes, but the trend for higher short and intermediate-term @entity204 or @entity583 persisted for @entity258 @entity1 . CONCLUSIONS: Income level is associated with a trend toward worse outcome among @entity1 with @entity1187 . The disparity in 30-day and six-month @entity204 or @entity583 between low and high-income @entity1 could not be readily explained by differences in in-hospital medical or invasive treatment, suggesting that the poor outcomes may be due to differences occurring after hospital discharge.

Poverty, process of care, and outcome in XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1187 :: ('MESH:D054058', 'Disease') :: ['acute coronary syndromes'] @entity258 :: ('MESH:D009800', 'Disease') :: ['low-income'] @entity1459 :: ('MESH:D000789', 'Disease') :: ['Unstable Angina'] @entity583 :: ('MESH:D009203', 'Disease') :: ['MI', 'acute myocardial infarction'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity1187 :: (MESH:D054058,Disease) :: ['acute coronary syndromes']
