Racial differences in 30-day mortality for pulmonary embolism

Détails

ID Serval
serval:BIB_3506CA9208A3
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Racial differences in 30-day mortality for pulmonary embolism
Périodique
American Journal of Public Health
Auteur(s)
Ibrahim  S. A., Stone  R. A., Obrosky  D. S., Sartorius  J., Fine  M. J., Aujesky  D.
ISSN
1541-0048 (Electronic)
Statut éditorial
Publié
Date de publication
12/2006
Volume
96
Numéro
12
Pages
2161-4
Notes
Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S. --- Old month value: Dec
Résumé
OBJECTIVES: Previous studies reported a higher incidence of in-hospital mortality for Black patients who had pulmonary embolism than for White patients. We used a large statewide database to compare 30-day mortality (defined as death within 30 days from the date of latest hospital admission) for Black and White patients who were hospitalized because of pulmonary embolism. METHODS: The study cohort consisted of 15531 discharged patients who had been treated for pulmonary embolism at 186 Pennsylvania hospitals between January 2000 and November 2002. We used random-effects logistic regression to model 30-day mortality for Black and White patients, and adjusted for patient demographic and clinical characteristics. RESULTS: The unadjusted 30-day mortality rates were 9.0% for White patients, 10.3% for Blacks, and 10.9% for patients of other or unknown race. When adjusted for severity of disease using a validated clinical prognostic model for pulmonary embolism, Black patients had 30% higher odds of 30-day mortality compared with White patients at the same site (adjusted odds ratio = 1.3; 95% confidence interval, 1.1,1.6). Neither insurance status nor hospital volume was a significant predictor of 30-day mortality. CONCLUSION: Black patients who had pulmonary embolism had significantly higher odds of 30-day mortality compared with White patients.
Mots-clé
Adolescent Adult African Americans/*statistics & numerical data Aged Aged, 80 and over Cohort Studies Databases European Continental Ancestry Group/*statistics & numerical data Female *Hospitalization Humans Logistic Models Male Middle Aged Odds Ratio Pennsylvania/epidemiology Pulmonary Embolism/*ethnology/*mortality Risk Adjustment *Risk Assessment Severity of Illness Index Socioeconomic Factors Survival Analysis Time Factors
Pubmed
Web of science
Création de la notice
25/01/2008 14:38
Dernière modification de la notice
20/08/2019 14:22
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