Portal de Periódicos da CAPES

Identification of Racial Inequities in Access to Specialized Inpatient Heart Failure Care at an Academic Medical Center

2019; Lippincott Williams & Wilkins; Volume: 12; Issue: 11 Linguagem: Inglês

10.1161/circheartfailure.119.006214

1941-3297

Lauren A. Eberly, Aaron Richterman, Anne G. Beckett, Bram Wispelwey, Regan H. Marsh, Emily Cleveland, Cindy Y. Chang, Robert J. Glynn, Katherine Brooks, Robert Boxer, Rose M. Kakoza, Jennifer Goldsmith, Joseph Loscalzo, Michelle Morse, Eldrin F. Lewis, Samantha Abel, Ayrenne Adams, Joseph Anaya, Erik Andrews, Benjamin Atkinson, Viswatej Avutu, Alexandra E. Bachorik, Omar Badri, Mariel Bailey, Katie Baird, Dellara F. Terry, Denis Balaban, Kenneth Barshop, Emily Baumrin, Omar Bayomy, Julia Beamesderfer, Nora V. Becker, David D. Berg, Berman Adam N., Steven M. Blum, Alexander P. Boardman, Kaeleen A. Boden, Robert A. Bonacci, Sarah Brown, Kirsti Campbell, Siobhan M. Case, Emily Cetrone, Alexandra Charrow, David J. Chiang, Devin Clark, Aarón Cohen, A. Feder Cooper, Tomas Cordova, C. Nicholas Cuneo, Alsina Alejandro de Feria, Karen Deffenbacher, Ersilia M. DeFilippis, Geneva DeGregorio, Aaron J. Deutsch, Bradford Diephuis, Sanjay Divakaran, Peter B. Dorschner, Nicholas S. Downing, Caitlin Drescher, Kristin M. D’Silva, Peter J. Dunbar, David Duong, Sarah E. Earp, Christine Eckhardt, Scott A. Elman, Ross England, Kay Everett, Natalie O. Fedotova, Tamara Feingold-Link, Mark Ferreira, H. Russell Fisher, Patricia K. Foo, Michael B. Foote, Idalid Franco, Thomas Gilliland, Jacqueline Greb, Katherine J. Greco, Sungat K. Grewal, Benjamin Grin, Matthew E. Growdon, Brendan J. Guercio, Cynthia K. Hahn, Brian W. Hasselfeld, Erika J Haydu, Zachary Hermes, Gordon J. Hildick-Smith, Zachary E. Holcomb, Kathryn B. Holroyd, Laura Horton, George T.‐J. Huang, Stanley Jablonski, Douglas Jacobs, Nina Jain, Sohan Japa, Richard Joseph, Mariya Kalashnikova, Neil Kalwani, Daniel G. Kang, Abraar Karan, Joel T. Katz, Daniel B. Kellner, Khameer Kidia, June‐Ho Kim, Scott M. Knowles, Laura Kolbe, Idil Kore, Yiannis Koullias, Ifedayo O. Kuye, Joshua M. Lang, Matthew Lawlor, Melissa G. Lechner, Ken Lee, Scott Lee, Zachary Lee, Neha Limaye, Stephanie Lin-Beckford, Marla Lipsyc, Jessica Little, Julia Loewenthal, Ranjani Logaraj, Diana López, Daniel B. Loriaux, Yi Lu, Kevin Ma, Nareh V. Marukian, Wilfredo R. Matias, Jared R. Mayers, Ian McConnell, Michael McLaughlin, Christina S. Meade, Catherine B. Meador, Anish Mehta, Elizabeth Messenger, Constantinos I. Michaelidis, Jacob Mirsky, Emilie Mitten, Alisa A. Mueller, Jyotsna Mullur, Amir Munir, Emily M. Murphy, Ellen H. Nagami, Abirami Natarajan, Michelle Nsahlai, Chijioke Nze, Noreen C. Okwara, Peter Olds, Rafael Páez, Michael Pardo, Siddharth Patel, Alec Petersen, Laura L. Phelan, Érica dos Santos Silva Pimenta, Daniel Pipilas, Molly Plovanich, Denise Pong, Brian W. Powers, Anita Rao, Haiyan Ramírez Batlle, Mattheus Ramsis, Anna D. Reichardt, Sheridan Reiger, Michelle Rengarajan, Stephanie Rico, Benjamin N. Rome, Rachael Rosales, Lisa S. Rotenstein, Alexis Roy, Sarah Royston, Hallie Rozansky, Meghan Rudder, Christine E. Ryan, Sanjay Salgado, Pablo Sanchez, Jennifer Schulte, Aswin Sekar, Nicholas P. Semenkovich, Evan Michael Shannon, N. Shaw, Andrew Ben Shorten, William Shrauner, Lauren Sinnenberg, James W. Smithy, Gregory F. Snyder, Anirudh Sreekrishnan, Hans F. Stabenau, Eleni Stavrou, Andrew B. Stergachis, Robert A. Stern, Alexander B. Stone, Shervin Tabrizi, Sam Tanyos, Cristina Thomas, Haley Thun, Kristine Torres‐Lockhart, An Binh Tran, Carolyn L. Treasure, Frederick D. Tsai, Stephen Tsaur, Evan Tschirhart, Justin Tuwatananurak, Ramkumar Venkateswaran, Anastasia Vishnevetsky, Lindsay Wahl, April Wall, Frances C. Wallace, Elisa C. Walsh, Priscilla Wang, Heather Burrell Ward, Lindsay N. Warner, Lachelle D. Weeks, Kipp Weiskopf, Jordan Wengrod, Jessica N. Williams, Marisa Winkler, Jeffrey L. Wong, Devin Worster, Aileen Wright, Caroline Wunsch, Jamila Wynter, Chase Yarbrough, Wai-Ying Yau, Daniel Yazdi, Jennifer M. Yeh, Maria A. Yialamas, Nicholas Yozamp, Marina E. Zambrotta, Rebecca L. Zon,

Stuttering Research and Treatment

Background: Racial inequities for patients with heart failure (HF) have been widely documented. HF patients who receive cardiology care during a hospital admission have better outcomes. It is unknown whether there are differences in admission to a cardiology or general medicine service by race. This study examined the relationship between race and admission service, and its effect on 30-day readmission and mortality Methods: We performed a retrospective cohort study from September 2008 to November 2017 at a single large urban academic referral center of all patients self-referred to the emergency department and admitted to either the cardiology or general medicine service with a principal diagnosis of HF, who self-identified as white, black, or Latinx. We used multivariable generalized estimating equation models to assess the relationship between race and admission to the cardiology service. We used Cox regression to assess the association between race, admission service, and 30-day readmission and mortality. Results: Among 1967 unique patients (66.7% white, 23.6% black, and 9.7% Latinx), black and Latinx patients had lower rates of admission to the cardiology service than white patients (adjusted rate ratio, 0.91; 95% CI, 0.84–0.98, for black; adjusted rate ratio, 0.83; 95% CI, 0.72–0.97 for Latinx). Female sex and age >75 years were also independently associated with lower rates of admission to the cardiology service. Admission to the cardiology service was independently associated with decreased readmission within 30 days, independent of race. Conclusions: Black and Latinx patients were less likely to be admitted to cardiology for HF care. This inequity may, in part, drive racial inequities in HF outcomes.