Sex and Race/Ethnicity Differences in Implantable Cardioverter-Defibrillator Counseling and Use Among Patients Hospitalized With Heart Failure
Why the study?
Does sex or race/ethnicity affect the rates of ICD counseling and receipt in patients hospitalized with heart failure?
Population
21,059 patients admitted with heart failure and an ejection fraction ≤35% without an ICD, from 236 sites.
Comparison
Female sex and racial/ethnic minority status vs Male sex and white race
Design
Cohort
Authors
Discussion
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Member takes
Implication
Low ICD counseling rates persist with disparities in women and minorities; leaves open whether interventions can improve equitable primary prevention ICD access.
Structured PICO
Does sex or race/ethnicity affect the rates of ICD counseling and receipt in patients hospitalized with heart failure?
P
Population
21,059 patients admitted with heart failure and an ejection fraction ≤35% without an ICD, from 236 sites.
I
Intervention
Female sex and racial/ethnic minority status (black, Hispanic, other)
C
Comparator
Male sex and white race
O
Outcome
Rates of predischarge ICD counseling among eligible patients and ICD receipt among counseled patients
Significant sex and racial/ethnic disparities exist in ICD counseling and receipt among eligible hospitalized heart failure patients, highlighting a gap in equitable care delivery.
Cite This Study
Hess et al. (2016) studied this question.