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?
Population
169,079 Medicare beneficiaries ≥65 years of age treated for acute myocardial infarction between January 1994…
Comparison
Sociodemographic characteristics vs White race, male sex, non-poor status
Design
Cohort
Authors
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Disparities in indicated AMI therapies by race, sex, and poverty warrant attention; extends prior observations but requires interventional confirmation.
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.
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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