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    Recent and temporal trends (1975 to 1999) in the treatment, hospital, and long-term outcomes of Hispanic and non-Hispanic white patients hospitalized with acute myocardial infarction: a population-based perspective

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    Authors
    Yarzebski, Jorge L.
    Bujor, Carmen F.
    Lessard, Darleen M.
    Gore, Joel M.
    Goldberg, Robert J.
    UMass Chan Affiliations
    Department of Medicine, Division of Cardiovascular Medicine
    Document Type
    Journal Article
    Publication Date
    2004-04-13
    Keywords
    Adrenergic beta-Antagonists
    Aged
    Angioplasty, Transluminal, Percutaneous Coronary
    Angiotensin-Converting Enzyme Inhibitors
    Cardiovascular Agents
    Coronary Artery Bypass
    European Continental Ancestry Group
    Female
    Hispanic Americans
    Hospital Mortality
    Hospitalization
    Humans
    Male
    Massachusetts
    Middle Aged
    Myocardial Infarction
    Survival Analysis
    Treatment Outcome
    Bioinformatics
    Biostatistics
    Epidemiology
    Health Services Research
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    Link to Full Text
    http://dx.doi.org/10.1016/j.ahj.2003.10.023
    Abstract
    BACKGROUND: Extremely limited population-based data are available describing recent and temporal trends in the characteristics, treatment, and outcomes of Hispanic and non-Hispanic white patients hospitalized with acute myocardial infarction (AMI). METHODS: This was a community-based, observational study of 9649 greater Worcester residents hospitalized in all hospitals serving the Worcester, Massachusetts, metropolitan area in 12 one-year periods between 1975 and 1999. In the total study sample, 171 (2%) patients were Hispanic. Hispanic patients were matched with 395 non-Hispanic white patients on the basis of age, sex, and year of hospitalization. RESULTS: Hispanics were more likely to present to greater Worcester hospitals with a history of diabetes as compared with non-Hispanic whites. Hispanics were less likely to have an initial, Q-wave AMI during the index hospitalization. After controlling for a limited number of known potentially confounding factors, Hispanics were at lower risk for development of heart failure (OR, 0.63; 95% CI, 0.41, 0.96). Both Hispanics (13% vs 11%) and non-Hispanic whites (28% vs 9%), however, had declines in hospital case-fatality rates between 1975 and 1999. An overall similar treatment pattern and increasing trends in the use of effective cardiac medications over time were observed in both patient groups. However, Hispanics were significantly less likely to be treated with coronary angioplasty during the acute hospitalization. Trends of a worse long-term survival for discharged Hispanic patients were observed over a 10-year follow-up period. CONCLUSIONS: The results of this community-wide study suggest encouraging hospital outcomes in Hispanic and non-Hispanic white patients hospitalized with AMI. Enhanced secondary prevention efforts remain needed to improve the hospital and long-term outcomes of patients with AMI, irrespective of race or ethnicity.
    Source
    Am Heart J. 2004 Apr;147(4):690-7. Link to article on publisher's site
    DOI
    10.1016/j.ahj.2003.10.023
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/47179
    PubMed ID
    15077086
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ahj.2003.10.023
    Scopus Count
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