Key result
Bedouin Arab ethnicity is linked to ~49% higher 1-year mortality after STEMI versus Jewish patients.
Why the study?
The study was conducted to compare short- and long-term management and outcomes between Bedouin Arab and Jewish patients in the Negev region to assess disparities in myocardial infarction care.
Does Bedouin Arab ethnicity compared to Jewish ethnicity affect short- and long-term outcomes in patients with STEMI requiring urgent catheterisation?
Cohort (n=1,530)
No
Does Bedouin Arab ethnicity compared to Jewish ethnicity affect short- and long-term outcomes in patients with STEMI requiring urgent catheterisation?
Answers are grounded in this paper and cite their sources.
While immediate STEMI treatment outcomes are comparable between Bedouin and Jewish patients in Israel, Bedouins face a higher risk of 1-year mortality, highlighting the need for tailored long-term interventions.
BACKGROUND: We compared short- and long-term management and outcomes between Bedouin Arabs and Jewish patients in the Negev region (Israel) to assess disparities in myocardial infarction care and subsequent impacts on patient health. METHODS: A retrospective cohort study was conducted at Soroka University Medical Center, Israel, spanning from 2016 to 2022. It included all cases of ST elevation myocardial infarction (STEMI) requiring urgent catheterisation. Data were extracted on demographics, comorbidities and key time metrics from symptom onset to intervention. Outcomes included in-hospital mortality, 1-year mortality and 1-year mortality for those who survived and were discharged. RESULTS: Among the 1530 participants (1092 Jews, 438 Bedouins), no significant differences were found in immediate treatment metrics. However, multivariable logistic regression revealed a difference in a long-term outcome; Bedouins had a higher risk of 1-year mortality (adjusted OR=1.49, 95% CI: 0.99 to 2.22). CONCLUSIONS: While the initial treatment outcomes for STEMI appear comparable between ethnic groups, ethnic disparities become apparent in long-term health outcomes. Tailored interventions such as improved follow-up systems, community-specific health education and enhanced access to rehabilitation services are essential for ensuring equitable health outcomes for all populations.
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Shashar et al. (2025) conducted a cohort in ST elevation myocardial infarction (STEMI) (n=1,530). Bedouin Arab ethnicity vs. Jewish ethnicity was evaluated on 1-year mortality (OR 1.49, 95% CI 0.99 to 2.22).
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