Key result
Black, female, and poor elderly patients with acute myocardial infarction were less likely to receive indicated medical therapies, such as reperfusion for black patients (RR 0.84; 95% CI 0.78-0.91).
Why the study?
Do race, sex, and poverty influence the use of indicated medical therapies in elderly patients treated for acute myocardial infarction?
Observational (n=169,079)
Do race, sex, and poverty influence the use of indicated medical therapies in elderly patients treated for acute myocardial infarction?
Effect estimate: RR 0.84 (95% CI 0.78-0.91)
Sociodemographic factors including black race, female sex, and poverty are associated with the underuse of evidence-based medical therapies for acute myocardial infarction in elderly patients.
No takes yet. Share an insight, caveat, or question.
Disparities in indicated AMI therapies by race, sex, and poverty warrant attention; extends prior observations but requires interventional confirmation.
Rathore et al. (2000) conducted an observational in Acute Myocardial Infarction (n=169,079). Black race, female sex, and poverty vs. Non-black, male, and non-poor patients was evaluated on Use of 2 admission (aspirin, reperfusion) and 2 discharge therapies (aspirin, beta-blockers) (RR 0.84, 95% CI 0.78-0.91). Black, female, and poor elderly patients with acute myocardial infarction were less likely to receive indicated medical therapies, such as reperfusion for black patients (RR 0.84; 95% CI 0.78-0.91).
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