Quality of Care and Clinical Outcomes for Patients With Heart Failure at Hospitals Caring for a High Proportion of Black Adults
Why the study?
Black adults with HF experience higher population-level mortality than White adults, but whether HF care quality differs at hospitals caring for high proportions of Black patients was unknown.
Does care at hospitals with high proportions of Black patients affect quality of care and clinical outcomes in patients hospitalized for heart failure?
Population
422 483 patients hospitalized for HF across 480 GWTG-HF sites
Comparison
Hospitals caring for high proportions of Black patients vs other hospitals
Design
Registry-based retrospective cohort study
Follow-up
30 days
Authors
Discussion
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Member takes
Implication
Comparable HF care quality at high-Black-proportion hospitals supports process equity; leaves open postdischarge factors in readmission differences.
Structured PICO
Does care at hospitals with high proportions of Black patients affect quality of care and clinical outcomes in patients hospitalized for heart failure?
P
Population
422,483 patients hospitalized for heart failure at 480 Get With The Guidelines (GWTG) HF sites, mean age 73.0 years, 53.1% male, 67.4% White.
I
Intervention
Care at hospitals with high proportions of Black patients (96 hospitals)
C
Comparator
Care at other hospitals
O
Outcome
Quality of HF care based on 14 evidence-based measures, overall defect-free HF care, and 30-day readmissions and mortality in Medicare patients
Hospitals caring for a high proportion of Black adults provide similar quality of evidence-based heart failure care compared to other hospitals, though 30-day readmission rates remain slightly higher.
Cite This Study
Diamond et al. (2023) studied this question.