Sex and Racial Differences in the Management of Acute Myocardial Infarction, 1994 through 2002
Why the study?
Do sex and racial differences affect the management and in-hospital mortality of patients with acute myocardial infarction?
Population
598,911 patients hospitalized with myocardial infarction between 1994 and 2002 who were deemed to be 'ideal…
Comparison
Female sex and/or Black race vs Male sex and White race (White men)
Design
Cohort
Follow-up
in-hospital
Authors
Discussion
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Member takes
Implication
Disparities in AMI reperfusion and mortality for black women warrant clinical awareness; leaves open whether targeted interventions can narrow persistent gaps.
Structured PICO
Do sex and racial differences affect the management and in-hospital mortality of patients with acute myocardial infarction?
P
Population
598,911 patients hospitalized with myocardial infarction between 1994 and 2002 who were deemed to be 'ideal candidates' for particular treatments
I
Intervention
Female sex and/or Black race
C
Comparator
Male sex and White race (White men)
O
Outcome
Rates of reperfusion therapy, use of aspirin, use of beta-blockers, coronary angiography, and in-hospital mortalityhard clinical
Significant sex and racial disparities persist in the use of reperfusion therapy and coronary angiography, as well as in-hospital mortality, for patients with acute myocardial infarction.
Cite This Study
Vaccarino et al. (2005) studied this question.