| Gender- and race-based utilization and outcomes of pulmonary artery catheterization in the setting of full-time intensivist staffing. | |
| | |
MedLine Citation:
|
PMID: 23215747 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Background: Little is known regarding gender- or race-based differences in critical care. We investigated whether gender or race was associated with pulmonary artery catheter (PAC) utilization or with in-hospital death among patients with a PAC. A particular focus was patients with cardiogenic shock (CS), in whom guidelines recommend PAC use. Methods: This was a retrospective cohort analysis from the coronary care unit of a large tertiary-care hospital staffed with full-time cardiac intensivists. Results: We analyzed 8845 consecutive adult patients, of whom 42.1% were women and 40.8% were black. PAC use rates were 11.3% in women and 11.5% in men (P = 0.79), and 11.3% in blacks and 11.5% in whites (P = 0.76). In CS patients, PAC use rates in women and men were 50.3% and 49.1% (P = 0.85) and in blacks and whites were 43.7% and 53.3% (P = 0.05). There was no independent association between gender or race and PAC use overall or in those with CS. Neither gender nor race was a predictor of in-hospital death in patients undergoing PAC. Conclusions: PAC use and in-hospital death were determined not by gender or race but by disease severity. Full-time intensivist staffing and the presence of definitive guidelines may reduce gender- and race-based treatment disparities. |
| | |
Authors:
|
Micaela Iantorno; Julio A Panza; Nakela L Cook; Samantha Jacobs; Mary Beth Ritchey; Kathryn O'Callaghan; Daniel Caños; Howard A Cooper |
Related Documents
:
|
8877837 - Occupation and risk of germ cell testicular cancer by histologic type in ontario. 22953157 - Risk assessment in finland: theory and practice. 9599717 - Cancer incidence in danish phenoxy herbicide workers, 1947-1993. 23450087 - A shortened version of the western ontario rotator cuff disability index: development a... 23594387 - The changing epidemiology of malaria elimination: new strategies for new challenges. 21162167 - Sick leave and its determinants in professional soldiers of the slovenian armed forces. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Acute cardiac care Volume: 14 ISSN: 1748-295X ISO Abbreviation: Acute Card Care Publication Date: 2012 Dec |
Date Detail:
|
Created Date: 2012-12-10 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101276603 Medline TA: Acute Card Care Country: England |
Other Details:
|
Languages: eng Pagination: 125-30 Citation Subset: IM |
Affiliation:
|
Department of Medicine, Washington Hospital Center , Washington DC , USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Comparison of Impella and intra-aortic balloon pump in high-risk percutaneous coronary intervention:...
Next Document: Prevalence, kinetic changes and possible reasons of elevated cardiac troponin T in patients with AV ...