Racial Differences in the Use of Cardiac Procedures in Patients With Acute Myocardial Infarction
作者:
Marjorie Funk,
Adrian Ostfeld,
Vicky Chang,
Forrester Lee,
期刊:
Nursing Research
(OVID Available online 2002)
卷期:
Volume 51,
issue 3
页码: 148-157
ISSN:0029-6562
年代: 2002
出版商: OVID
关键词: angiography;racial differences;revascularization
数据来源: OVID
摘要:
BackgroundAlthough numerous studies have shown that Black patients are less likely than White patients to undergo cardiac procedures, most of these studies did not consider clinical and demographic factors that could account for observed racial differences.ObjectiveTo determine if there are racial differences in the use of coronary angiography and revascularization procedures in patients with acute myocardial infarction, while controlling for multiple potentially important demographic and clinical variables.MethodsIn this retrospective cohort study, data were obtained from medical records of 642 consecutive Black and White patients with acute myocardial infarction at a regional cardiac referral center in southern New England.ResultsBlacks were significantly less likely than Whites to undergo angiography (p= .004; adjusted odds ratio = .36; 95% confidence interval = .18 – .72) and revascularization procedures (p= .006; adjusted odds ratio = .21; 95% confidence interval = .07 – .64). In the subgroup admitted directly to the hospital (n= 465), rather than transferred in from outlying hospitals, there were no racial differences in the use of angiography, but Blacks were significantly less likely to undergo revascularization procedures (p= .004; adjusted odds ratio = .18; 95% confidence interval = .06 – .58).ConclusionsIn patients hospitalized with acute myocardial infarction, there are substantial racial differences in the use of angiography and revascularization procedures that cannot be explained by clinical or demographic factors.
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