Disparities in Hospital Length of Stay Across Race and Ethnicity Among Patients With Heart Failure
Key result
Black, Hispanic, and Indigenous American/Pacific Islander patients hospitalized for heart failure had significantly longer adjusted lengths of stay compared with non-Hispanic White patients.
Why the study?
Reducing hospital length of stay is important for minimizing heart failure burden, but the impact of social and structural determinants of health on length of stay has received little attention.
Does race/ethnicity impact hospital length of stay in patients hospitalized for heart failure?
Population
Three thousand three seven hundred thirty patients hospitalized for heart failure
Comparison
Disparities across race/ethnicity
Design
Registry-based observational study
Authors
Discussion
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Member takes
Implication
Hospital factors may drive racial/ethnic HF LOS disparities; hypothesis-generating for system-level interventions.
Study Design
Type
Observational (n=303,730)
Multicenter
Yes
Structured PICO
Does race/ethnicity impact hospital length of stay in patients hospitalized for heart failure?
P
Population
303,730 patients hospitalized for heart failure from 2017 to 2020 in the Get With The Guidelines-Heart Failure registry.
E
Exposure
Black, Hispanic, and Indigenous American/Pacific Islander race/ethnicity
C
Comparator
Non-Hispanic White race/ethnicity
O
Outcome
Hospital length of stay (LOS)
Main Result
Absolute Event Rate: 5.72% vs 5.32%
Racial and ethnic disparities in hospital length of stay for heart failure are primarily driven by hospital-level differences rather than individual patient factors.
Cite This Study
Zheng et al. (2022) conducted an observational in Heart failure (n=303,730). Minority race/ethnicity (Black, Hispanic, Indigenous American/Pacific Islander) vs. Non-Hispanic White race/ethnicity was evaluated on Adjusted hospital length of stay (LOS). Black, Hispanic, and Indigenous American/Pacific Islander patients hospitalized for heart failure had significantly longer adjusted lengths of stay compared with non-Hispanic White patients.