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Author Notes:

Send correspondence and reprint requests for J Natl Med Assoc. 2006;98:1729-1739 to: Dr. Edmund R. Becker, Emory School of Public Health, Department of Health Policy and Management, 1518 Clifton Road, NE, Atlanta, GA 30322; phone: (404) 727-9969; fax: (4041 727-9198; e-mail: ebeckOl@sph.emory.edu

Subject:

Keywords:

  • CABG
  • gender
  • race/ethnicity
  • health disparities
  • health services research

Disparities in race/ethnicity and gender in in-hospital mortality rates for coronary artery bypass surgery patients.

Tools:

Journal Title:

Journal of the National Medical Association

Volume:

Volume 98, Number 11

Publisher:

, Pages 1729-1739

Type of Work:

Article | Post-print: After Peer Review

Abstract:

BACKGROUND: While dramatic progress has been made lowering in-hospital mortality for coronary artery bypass graft surgery (CABG), few comprehensive studies have been done that include Caucasian, African-American, Hispanic and Asian-American/Pacific-Islander CABG inpatients and simultaneously evaluate the influence of gender. This study, analyzing five years of national data for 1.2 million CABG admissions, examines trends in in-hospital CABG mortality rates for gender and four racial/ethnic categories for CABG patients. METHODS: Using data from the Health Care Utilization Project (HCUP) for 1998-2002, 1.2 million CABG admissions were analyzed using descriptive and logistic regression analyses to evaluate the extent of the disparities in in-hospital CABG mortality rates. HCUP is a sample of nearly 1,000 hospitals from 35 states designed by the Agency for Healthcare Research and Quality (AHRQ) to approximate a 20% stratified sample of the nation's community hospitals: approximately 94% of all hospital discharges in the United States. RESULTS: Although significant progress has been made in recent years in lowering in-hospital CABG mortality, after controlling for relevant patient and socioeconomic factors, female CABG patients, regardless of their racial/ethnic group, still experience significantly higher in-hospital mortality rates than their male counterparts. Additionally, among these racial and ethnic groups, black CABG patients, whether male or female, continue to experience significantly worse in-hospital mortality rates than other races/ethnicities. CONCLUSIONS: The declines in CABG in-hospital mortality rates have not been equal across race/ethnicity and gender.

Copyright information:

© 2006

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