Key result
Adjusting for distance, White patients with acute myocardial infarction were more likely than Black patients to present to high-technology cardiac hospitals (OR 1.68; 95% CI 1.42-1.98).
Why the study?
Does race affect the likelihood of admission to a hospital with high-technology cardiac services among patients with acute myocardial infarction?
Observational (n=11,410)
Yes
Does race affect the likelihood of admission to a hospital with high-technology cardiac services among patients with acute myocardial infarction?
Effect estimate: OR 1.68 (95% CI 1.42, 1.98)
While White and Black patients with acute myocardial infarction present equally to high-technology hospitals overall, adjusting for geographic proximity reveals that White patients are significantly more likely to travel beyond their nearest hospital to access these services.
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Geography does not fully explain racial disparities in high-tech AMI hospital access; leaves open patient preferences and systemic factors.
Blustein et al. (1995) conducted an observational in acute myocardial infarction (n=11,410). White race vs. Black race was evaluated on likelihood of presentation to a hospital offering high-technology cardiac services (OR 1.68, 95% CI 1.42, 1.98). Adjusting for distance, White patients with acute myocardial infarction were more likely than Black patients to present to high-technology cardiac hospitals (OR 1.68; 95% CI 1.42-1.98).
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