PDF(Pubmed)
Abstract：
UNASSIGNED: Disparities in acute coronary syndrome (ACS) outcomes exist between racial and ethnic groups. We aimed to evaluate disparities in resource utilization and inpatient outcomes across multiple ethnic and racial groups using contemporary data.
UNASSIGNED: We identified hospital discharges for ACS in the United States using the National Inpatient Sample from 2015 to 2018. The International Classification of Diseases, Tenth Revision, Clinical Modification codes were used to identify variables of interest. The primary outcomes were in-hospital complications, length of stay, and total hospital charge. Statistical analysis was performed using STATA version 17.
UNASSIGNED: Our analysis included 1,911,869 ACS discharges. Our sample was made up of 78.6% White, 12.1% Black, and 9.3% Hispanic patients. Hispanic and Black patients presenting with ACS were younger and had more cardiometabolic comorbidities than their White counterparts, especially hypertension, diabetes mellitus, and obesity. Despite social determinants of health being more likely to be unfavorable for Hispanics than their White counterparts, they were more likely to incur higher total hospital charges than their White counterparts. Black patients were the least likely to undergo revascularization procedures. Despite these differences, White patients had higher in-hospital mortality rates than Black and Hispanic patients.
UNASSIGNED: In this nationally representative study, despite having higher cardiometabolic comorbidity burden, lower socioeconomic status, and percutaneous intervention, Black and Hispanic patients experienced lower mortality rates than their White counterparts. Hispanic patients incurred the highest amount of total hospital charges for an ACS admission.
UNASSIGNED: We identified hospital discharges for ACS in the United States using the National Inpatient Sample from 2015 to 2018. The International Classification of Diseases, Tenth Revision, Clinical Modification codes were used to identify variables of interest. The primary outcomes were in-hospital complications, length of stay, and total hospital charge. Statistical analysis was performed using STATA version 17.
UNASSIGNED: Our analysis included 1,911,869 ACS discharges. Our sample was made up of 78.6% White, 12.1% Black, and 9.3% Hispanic patients. Hispanic and Black patients presenting with ACS were younger and had more cardiometabolic comorbidities than their White counterparts, especially hypertension, diabetes mellitus, and obesity. Despite social determinants of health being more likely to be unfavorable for Hispanics than their White counterparts, they were more likely to incur higher total hospital charges than their White counterparts. Black patients were the least likely to undergo revascularization procedures. Despite these differences, White patients had higher in-hospital mortality rates than Black and Hispanic patients.
UNASSIGNED: In this nationally representative study, despite having higher cardiometabolic comorbidity burden, lower socioeconomic status, and percutaneous intervention, Black and Hispanic patients experienced lower mortality rates than their White counterparts. Hispanic patients incurred the highest amount of total hospital charges for an ACS admission.
摘要：
■急性冠状动脉综合征（ACS）结果的差异在种族和种族之间存在。我们旨在使用当代数据评估多个种族和种族群体在资源利用和住院结果方面的差异。
■我们使用2015年至2018年的全国住院患者样本确定了美国ACS的出院情况。国际疾病分类，第十次修订,临床修改代码用于识别感兴趣的变量。主要结果是院内并发症，逗留时间,和医院总费用。使用STATA版本17进行统计分析。
■我们的分析包括1,911,869ACS放电。我们的样品由78.6%的白色组成，12.1%黑色,和9.3％的西班牙裔患者。与白人患者相比，出现ACS的西班牙裔和黑人患者更年轻，心脏代谢合并症更多。尤其是高血压,糖尿病,和肥胖。尽管健康的社会决定因素比白人更有可能不利于西班牙裔，他们比白人同行更有可能招致更高的医院总费用。黑人患者最不可能接受血运重建手术。尽管存在这些差异,白人患者的住院死亡率高于黑人和西班牙裔患者。
■在这项具有全国代表性的研究中，尽管有较高的心脏代谢合并症负担，较低的社会经济地位，和经皮干预，黑人和西班牙裔患者的死亡率低于白人。西班牙裔患者因ACS入院而产生的总住院费用最高。
■我们使用2015年至2018年的全国住院患者样本确定了美国ACS的出院情况。国际疾病分类，第十次修订,临床修改代码用于识别感兴趣的变量。主要结果是院内并发症，逗留时间,和医院总费用。使用STATA版本17进行统计分析。
■我们的分析包括1,911,869ACS放电。我们的样品由78.6%的白色组成，12.1%黑色,和9.3％的西班牙裔患者。与白人患者相比，出现ACS的西班牙裔和黑人患者更年轻，心脏代谢合并症更多。尤其是高血压,糖尿病,和肥胖。尽管健康的社会决定因素比白人更有可能不利于西班牙裔，他们比白人同行更有可能招致更高的医院总费用。黑人患者最不可能接受血运重建手术。尽管存在这些差异,白人患者的住院死亡率高于黑人和西班牙裔患者。
■在这项具有全国代表性的研究中，尽管有较高的心脏代谢合并症负担，较低的社会经济地位，和经皮干预，黑人和西班牙裔患者的死亡率低于白人。西班牙裔患者因ACS入院而产生的总住院费用最高。
