Does socioeconomic status affect mortality subsequent to hospital admission for community acquired pneumonia among older persons?

Abstract

Background: Low socioeconomic status has been associated with increased morbidity and mortality for various health conditions. The purpose of this study was twofold: to examine the mortality experience of older persons admitted to hospital with community acquired pneumonia and to test the hypothesis of whether an association exists between socioeconomic status and mortality subsequent to hospital admission for community-acquired pneumonia.

Impact of Social Factors on Risk of Readmission or Mortality in Pneumonia and Heart Failure: Systematic Review

“…Level 1 demographics were most commonly evaluated, and of the studies that did multivariate analyses, increased mortality was observed for older 8,16,20,[24][25][26] and male 8,20,24 patients. The pattern for race was mixed with one study showing decreased mortality 27 for blacks and two showing no statistical difference.…”

“…However, those that did found that the presence of psychiatric comorbidity paradoxically decreased mortality 29 but there was no impact of income. 8 Only one Level 3 social factor, being a nursing home resident, significantly increased the odds of mortality (OR=1.5). 24 The use of alcohol, 30,31 distance to hospital 32 and urban neighborhood 20 were examined but not significantly associated with increased mortality.…”

“…According to Andersen's behavioral model, 7 many different aspects of a patient's social, behavioral, and environmental milieu could likely influence post-discharge outcomes through several different mechanisms. In fact, several studies have found that many different domains of social disadvantage may influence post-hospital outcomes in CAP and HF, such as: sociodemographics, 8,9 insurance, [10][11][12] social support, 13 adherence, 14 and substance abuse, 12 among others.…”

Präventives Ganzkörperscreening unter Einbeziehung moderner Bildgebung mit Hilfe der Magnetresonanztomographie

“…Es ist bekannt, dass sozial bessergestellte Bevölkerungsschichten insgesamt weniger schwerwiegende Erkrankungen aufweisen und eine bessere Prognose haben [15][16][17]. Es ist bekannt, dass sozial bessergestellte Bevölkerungsschichten insgesamt weniger schwerwiegende Erkrankungen aufweisen und eine bessere Prognose haben [15][16][17].…”

Socioeconomic status and elderly adult mortality inrural Ghana: evidence from the Navrongo Dss.

“…Other studies elsewhere show that many factors affect elderly adult mortality in different ways. However, they all highlighted the importance of socioeco-nomic status as a factor in elderly mortality (Liang et al 2003;Murata et al 2005;Sudore et al 2006;Vrbova et al 2005;Zimmer & Kwong 2004).…”