Racial and Ethnic Differences in the Treatment of Acute Myocardial Infarction
Why the study?
Do racial and ethnic differences in evidence-based acute myocardial infarction care persist among hospitals participating in a national quality improvement program?
Population
142,593 acute myocardial infarction patients at 443 hospitals participating in the Get With the…
Comparison
Black and Hispanic race/ethnicity vs White race/ethnicity
Design
Cohort
Authors
Discussion
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Member takes
Implication
May support QI participation to narrow AMI disparities; leaves open whether gains extend beyond participating hospitals.
Structured PICO
Do racial and ethnic differences in evidence-based acute myocardial infarction care persist among hospitals participating in a national quality improvement program?
P
Population
142,593 acute myocardial infarction patients (121,528 whites, 10,882 blacks, and 10,183 Hispanics) at 443 hospitals participating in the Get With the Guidelines-Coronary Artery Disease (GWTG-CAD) program between January 2002 and June 2007.
I
Intervention
Black and Hispanic race/ethnicity
C
Comparator
White race/ethnicity
O
Outcome
Overall composite rates of defect-free care, defined as the proportion of patients receiving all eligible performance measurescomposite
Participation in a national quality improvement program is associated with improved evidence-based care for acute myocardial infarction over time, reducing or eliminating racial and ethnic disparities.
Cite This Study
Cohen et al. (2010) studied this question.