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February 11, 2011Ethnicity and Health

Racial disparity in access to cardiac intensive care over 20 years

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Key result

Over a 20-year period among 4,227 adults, Black individuals were less likely than White individuals to be admitted to a cardiac care unit and had higher post-discharge mortality.

Why the study?

Are there racial disparities between Black and White adults in access to cardiac care units and post-hospital mortality?

Population

4,227 adults aged 25 and older at baseline from the National Health and Nutrition Examination Survey I…

Comparison

Black race (exposure) vs White race

Design

Cohort

Follow-up

20 years

Authors

TSTetyana ShippeeMinnesota Department of HealthKFKenneth F. FerraroPurdue University West LafayetteRTRoland J. ThorpeJohns Hopkins University

Discussion

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Implication

May indicate disparities in CCU access meriting review; leaves open whether unmeasured factors explain mortality differences.

Study Design

Type

Cohort (n=4,227)

Multicenter

Yes

Structured PICO

Are there racial disparities between Black and White adults in access to cardiac care units and post-hospital mortality?

P
Population
4,227 adults aged 25 and older at baseline followed over 20 years to track cardiac care unit use and post-hospital mortality.
E
Exposure
Black race (exposure)
C
Comparator
White race
O
Outcome
Access to and use of cardiac care units (CCUs) in acute-care hospitals, and post-hospital mortality following CCU stayshard clinical

Black adults experience significant disparities in access to and utilization of cardiac care units compared to White adults, highlighting systemic inequalities in critical cardiac care.

Cite This Study

Shippee et al. (2011) conducted a cohort in Hospitalization requiring cardiac care (n=4,227). Black race vs. White race was evaluated on Admission to a cardiac care unit and post-hospital mortality. Over a 20-year period among 4,227 adults, Black individuals were less likely than White individuals to be admitted to a cardiac care unit and had higher post-discharge mortality.

synapsesocial.com/papers/6a916676a97dfa43b7464584https://doi.org/10.1080/13557858.2010.544292
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