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Retrospective study of influence of deprivation on uptake of cardiac rehabilitation

BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7052.267 (Published 03 August 1996) Cite this as: BMJ 1996;313:267
  1. Jill Pell, senior registrara,
  2. Alastair Pell, senior registrarb,
  3. Caroline Morrison, consultanta,
  4. Oliver Blatchford, senior registrara,
  5. Henry Dargie, consultantc
  1. a Department of Public Health, Greater Glasgow Health Board, Glasgow G1 1ET
  2. b Department of Cardiology, Stobhill Hospital, Glasgow G21 3UW
  3. c Department of Cardiology, Western Infirmary, Glasgow G11 6NT
  1. Correspondence to: Dr Pell.
  • Accepted 5 December 1995

Mortality from ischaemic heart disease is higher in Scotland than in most developed countries.1 Comprehensive cardiac rehabilitation after myocardial infarction, incorporating exercise training and lifestyle counselling, can reduce mortality and the rate of fatal reinfarction2 and also improve quality of life.3 Socioeconomic deprivation is associated with both an increased risk of developing myocardial infarction and a poorer prognosis afterwards.4 Our aim was to determine whether deprivation affected uptake of rehabilitation after myocardial infarction.

Subjects, methods and results

Scottish morbidity record (SMR1) data were used to identify all patients discharged from Glasgow hospitals from 1 June 1994 to 31 November 1994 with an International Classification of Diseases (revision 9) code of 410 (myocardial infarction). Each patient's age, sex, postcode, comorbidities, and consultant were recorded, together with whether they died before discharge. Postcodes …

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