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October 4, 1995JAMA

Hospitalization for congestive heart failure. Explaining racial differences

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Why the study?

Does African American race independently increase the risk of first hospitalization for congestive heart failure compared to white race after adjusting for clinical risk factors in adults aged ≥40 years?

Population

64,877 enrollees of a large health maintenance organization, aged ≥40 years and free of congestive heart…

Comparison

African American race vs White race

Design

Cohort

Authors

MAM. Alexander

Discussion

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Implication

Emphasizes modifiable risk factor control to address disparities in older adults; leaves open unmeasured contributors to excess risk in younger African American women.

Structured PICO

Does African American race independently increase the risk of first hospitalization for congestive heart failure compared to white race after adjusting for clinical risk factors in adults aged ≥40 years?

P
Population
64,877 enrollees of a large health maintenance organization (Northern California Kaiser Permanente Medical Care Program), aged ≥40 years and free of congestive heart failure at baseline, comprising 27% African American and 73% white individuals.
I
Intervention
African American race
C
Comparator
White race
O
Outcome
First hospitalization with a principal diagnosis of congestive heart failurehard clinical

Higher rates of congestive heart failure hospitalization among African Americans are largely explained by a greater prevalence of clinical risk factors such as hypertension and diabetes, highlighting the critical need for targeted risk factor management.

Cite This Study

M. Alexander (1995) studied this question.

synapsesocial.com/papers/6a0ff1fd4fb650da4ffeb613https://doi.org/10.1001/jama.274.13.1037

Topics

Heart failure hospitalizationHeart failureHFrEF treatment
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hospitalization for Congestive Heart Failure1995 · 116 citations
  2. 2The Risk of Hospitalization for Congestive Heart Failure Among Older Adults1997 · 70 citations
  3. 3Epidemiology of Congestive Heart Failure in Three Ethnic Groups2001 · 12 citations
  4. 4Differences in the Incidence of Congestive Heart Failure by Ethnicity2008 · 555 citations
  5. 5Racial and Ethnic Differences in Incident Hospitalized Heart Failure in Postmenopausal Women2012 · 44 citations