Country of birth and risk of hospitalization due to heart failure: a Swedish population-based cohort study

Borné, Yan; Engström, Gunnar; Essén, Birgitta; Sundquist, Jan; Hedblad, Bo

doi:10.1007/s10654-010-9536-3

Cited by 23 publications

(28 citation statements)

References 40 publications

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“…The results are in line with prior studies on immigration status and cardiovascular disease (CVD) in Sweden [14,16,18]. However, the present results also show that the increased risk among immigrants is modified by the presence of other risk factors.…”

Section: Discussionsupporting

confidence: 93%

“…In a previous study of the entire population of Malmö, Sweden, we found substantial differences in risk of HF hospitalization among foreign-born subjects [18]. In that study, increased incidence of HF hospitalizations was found in immigrants from Finland, Former Yugoslavia and Hungary.…”

Section: Introductionmentioning

confidence: 67%

“…However, there was no substantial difference when comparing baseline characteristics of subjects in the MDC study to a survey study from the Malmö city with participation rate of 75% [41]. Another short-coming is that we were unable to study immigrants by country of origin due to limited number of HF events, however in a previous study based on the whole Malmö city population we found an increased incidence of HF hospitalizations in immigrants from Finland, Former Yugoslavia and Hungary [18]. …”

Section: Discussionmentioning

confidence: 99%

“…Compared to 15.6% being foreign-born in whole Malmö [18], the proportion of foreign-born in the MDC cohort were 11.8% of all study subjects. This group mainly came from Denmark, Former Yugoslavia, Finland, Germany, Poland and Hungary.…”

Section: Discussionmentioning

confidence: 99%

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Immigrant status and increased risk of heart failure: the role of hypertension and life-style risk factors

Borné

Engström

Essén

et al. 2012

BMC Cardiovasc Disord

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BackgroundStudies from Sweden have reported association between immigrant status and incidence of cardiovascular diseases. The nature of this relationship is unclear. We investigated the relationship between immigrant status and risk of heart failure (HF) hospitalization in a population-based cohort, and to what extent this is mediated by hypertension and life-style risk factors. We also explored whether immigrant status was related to case-fatality after HF.Methods26,559 subjects without history of myocardial infarction (MI), stroke or HF from the community-based Malmö Diet and Cancer (MDC) cohort underwent a baseline examination during 1991-1996. Incidence of HF hospitalizations was monitored during a mean follow-up of 15 years.Results3,129 (11.8%) subjects were born outside Sweden. During follow-up, 764 subjects were hospitalized with HF as primary diagnosis, of whom 166 had an MI before or concurrent with the HF. After adjustment for potential confounding factors, the hazard ratios (HR) for foreign-born were 1.37 (95% CI: 1.08-1.73, p = 0.009) compared to native Swedes, for HF without previous MI. The results were similar in a secondary analysis without censoring at incident MI. There was a significant interaction (p < 0.001) between immigrant status and waist circumference (WC), and the increased HF risk was limited to immigrants with high WC. Although not significant foreign-born tended to have lower one-month and one-year mortality after HF.ConclusionsImmigrant status was associated with long-term risk of HF hospitalization, independently of hypertension and several life-style risk factors. A significant interaction between WC and immigrant status on incident HF was observed.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Immigrant status and increased risk of heart failure: the role of hypertension and life-style risk factors

Borné

Engström

Essén

et al. 2012

BMC Cardiovasc Disord

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“…[4][5][6][7][8][10][11][12] In Sweden, HF hospitalisation rates were 45% higher in individuals on low income than those on high income. [10] In the First National Health and Nutrition Examination Survey in the United States, low education was associated with high HF hospitalisation. [12] In the Uppsala Longitudinal Study, occupation and education were significant predictors of HF.…”

Section: Discussionmentioning

confidence: 99%

Variations in heart failure hospitalisation rates by socioeconomic status, Victoria, Australia

Ore¹

2015

JER

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This paper analyses variations in heart failure (HF) hospitalisation rates by community socioeconomic status (SES) in Victoria, from 1 July 2011 to 30 June 2014. The data was taken from the Victorian Admitted Episodes Dataset, the Australian Bureau of Statistics' Estimated Resident Population and Index of Relative Socioeconomic Disadvantage and the Victorian Population Health Survey. There were over 38,000 HF hospitalisations over the period. The age-standardised HF rates per 10,000 population varied inversely (r = -0.362, p<.01) with SES across 79 Local Government Areas (LGA). The coefficient of variation for HF hospitalisation rates was 0.35 and 0.14 for all admissions, indicating that HF hospitalisations have a greater variation by LGA. Communities with high HF rates also had high rates of current smokers (r = 0.24), chronic obstructive pulmonary disease (r = 0.57), renal failure (r = 0.54), diabetes (r = 0.24), musculoskeletal malignant neoplasms (r = 0.35) and Disability Support Pension recipients (r = 0.38). The average 30-day HF readmission rate was 25.5%, the second highest of all admission categories. The HF readmission rates also varied inversely (r = -0.38, p<.01) with SES. Investigating variations in HF by SES may uncover modifiable pathways. Given the high readmission rates, comorbidities and population ageing, there is a case for improving health outcomes for HF patients.

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Increased plasma level of soluble urokinase plasminogen activator receptor is associated with incidence of heart failure but not atrial fibrillation

Borné

Persson

Melander

et al. 2014

European J of Heart Fail

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AimsSoluble urokinase plasminogen activator receptor (suPAR) in plasma is a novel inflammatory marker thought to be released from the cell surface of neutrophils, T cells, and macrophages. Other inflammatory markers, mainly acute phase proteins produced in the liver, have been associated with the incidence of heart failure (HF) and atrial fibrillation (AF). We investigated the association between suPAR and incident HF and AF in a population-based cohort. Methods and resultsSoluble urokinase plasminogen activator receptor was measured in 4530 subjects (aged 46-68 years, 61% women), who participated in the Malmö Diet and Cancer study during 1991-1996. Incident cases of HF and AF were identified from the Swedish hospital discharge register during a median follow-up of 16.3 years. During follow-up, 109 subjects (55% men) were diagnosed with new-onset HF and 321 individuals (50% men) with AF. suPAR was significantly associated with increased plasma levels of NT-proBNP (P < 0.001). suPAR was significantly associated with incidence of HF [hazard ratio (HR) for the third vs. first tertile 3.33, 95% confidence interval (CI) 1.91-5.81 after adjustment for age and sex; and HR 1.82, 95% CI 1.02-3.27, P for trend 0.018 after adjustment for conventional risk factors and biomarkers]. suPAR was significantly associated with incidence of AF, when adjusted for age and sex (HR 1.40, 95% CI

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Country of birth and risk of hospitalization due to heart failure: a Swedish population-based cohort study

Cited by 23 publications

References 40 publications

Immigrant status and increased risk of heart failure: the role of hypertension and life-style risk factors

Immigrant status and increased risk of heart failure: the role of hypertension and life-style risk factors

Variations in heart failure hospitalisation rates by socioeconomic status, Victoria, Australia

Increased plasma level of soluble urokinase plasminogen activator receptor is associated with incidence of heart failure but not atrial fibrillation

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