Document Detail


Racial differences in the use of cardiac procedures in patients with acute myocardial infarction.
MedLine Citation:
PMID:  12063413     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Although 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. OBJECTIVE: To 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. METHODS: In 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. RESULTS: Blacks 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). CONCLUSIONS: In 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.
Authors:
Marjorie Funk; Adrian M Ostfeld; Vicky M Chang; Forrester A Lee
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Nursing research     Volume:  51     ISSN:  0029-6562     ISO Abbreviation:  Nurs Res     Publication Date:    2002 May-Jun
Date Detail:
Created Date:  2002-06-13     Completed Date:  2002-07-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376404     Medline TA:  Nurs Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  148-57     Citation Subset:  AIM; IM; N    
Affiliation:
Yale University School of Nursing, New Haven, CT 06536, USA. marjorie.funk@yale.edu
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MeSH Terms
Descriptor/Qualifier:
African Americans / statistics & numerical data*
African Continental Ancestry Group
Aged
Attitude of Health Personnel / ethnology
Chi-Square Distribution
Cohort Studies
Connecticut / epidemiology
Coronary Angiography / utilization*
European Continental Ancestry Group / statistics & numerical data*
Female
Health Services Accessibility / statistics & numerical data
Humans
Logistic Models
Male
Middle Aged
Myocardial Infarction / diagnosis,  therapy*
Myocardial Revascularization / utilization*
Patient Transfer / statistics & numerical data
Prejudice
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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