African American race was associated with an increased risk of complications following venous thromboembolism

Details

Serval ID
serval:BIB_74FC40A2C14F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
African American race was associated with an increased risk of complications following venous thromboembolism
Journal
Journal of Clinical Epidemiology
Author(s)
Aujesky  D., Long  J. A., Fine  M. J., Ibrahim  S. A.
ISSN
0895-4356 (Print)
Publication state
Published
Issued date
04/2007
Volume
60
Number
4
Pages
410-6
Notes
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S. --- Old month value: Apr
Abstract
OBJECTIVE: Limited data exist on the quality of care for patients with venous thromboembolism (VTE), and it is unknown whether the processes and outcomes of care for this illness differ between African Americans and whites. STUDY DESIGN AND SETTING: We retrospectively studied 168 patients hospitalized for VTE in two Veterans Affairs hospitals during fiscal years 2000-2002. Patient characteristics, information about processes of care, and medical outcomes at 90 days after the index VTE event were abstracted from medical records. We used logistic regression to explore associations between race, processes of care, and the overall 90-day complication rate (i.e., death, bleeding, or recurrent VTE), adjusting for patient baseline characteristics. RESULTS: Multivariable analysis demonstrated that administration of warfarin within 1 day of starting heparin (odds ratio [OR] 0.20, 95% confidence interval [CI]: 0.05-0.42) and overlap of heparin and warfarin treatment >or=4 days (OR 0.09, 95% CI: 0.02-0.50) were associated with a lower complication rate, and African American race was associated with a higher complication rate (OR 5.2, 95% CI: 1.3-21.6). Race was not significantly associated with the performance of processes of care in multivariable analysis. CONCLUSION: Although African Americans had an increased risk of complications following VTE, race was not independently associated with the use of processes of care for VTE.
Keywords
*African Americans Anticoagulants/therapeutic use Female Heparin/therapeutic use Humans Male Middle Aged Quality of Health Care Retrospective Studies Risk Factors Thromboembolism/complications/drug therapy/*ethnology Treatment Outcome Venous Thrombosis/complications/drug therapy/*ethnology Warfarin/therapeutic use
Pubmed
Web of science
Create date
25/01/2008 13:38
Last modification date
20/08/2019 14:32
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