The Spatial Impact Of Median Household Income Vs Cardiac Outcomes From 2008 - 2016

Annie, Frank

The Spatial Impact Of Median Household Income Vs Cardiac Outcomes From 2008 - 2016

Tuesday, May 21, 2019

Belmont Ballroom 2-3 (The Cosmopolitan of Las Vegas)

Frank Annie, Ph.D. , CAMC Health Education and Research Institute, Charleston, WV

Mark C. Bates, M.D., FSCAI , CAMC Health Education and Research Institute, Charleston, WV

Aravinda Nanjundappa, M.B.B.S., FSCAI , West Virginia University, Charleston, WV

Ali Farooq, M.D , CAMC Health Education and Research Institute, Charleston, WV

Elise Anderson, D.O , CAMC Health Education and Research Institute, Charleston, WV

Megan Wood, DNP , CAMC Health Education and Research Institute, Charleston, WV

Background
Myocardial Infarction (Heart Attack) and other cardiac-based illnesses are a leading cause of mortality within the United States. The spatial relationship associated with distance and access to health care delivery resources. As well as the distribution of these resources is essential to both prevention and long term outcomes of associated cases of myocardial infarction.

Methods
We identified all cause myocardial infarction and transfers to our facility (Heart Attack) from 2008 -2016 (n=14,568) and mortality from MI (n=1,123). To evaluate the statistical significance of any spatial relationship within the service area of Charleston Area Medical Center (Figure 1). An optimized hot spot analysis was conducted to evaluate at-risk at zip code zones within southern West Virginia. We also performed a comparison of median household income to assess any form of further statistical significance.

Results
The results suggest that specific zip codes (n=10) have a statistically significant relationship to both incidences of MI (p=0.001) and deaths attributed to all forms of MI (p=0.001). The zip-codes identified (n=8) are in the lower 1/3 of ranking average median household income in West Virginia.

Conclusions
Results suggest it is necessary to understand the best way to administer health care delivery as well as health care access to hospital service areas and identify potential areas that need additional health care resources.