1. Racial Disparities in Type of Heart Failure and Hospitalization
- Author
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Mohamed Morsy, Kenneth D. Smith, Robert L. Ohsfeldt, Wei-Chen Lee, Ben G. Raimer, Hani Serag, Karl Eschbach, and Wissam Khalife
- Subjects
Adult ,Male ,medicine.medical_specialty ,Younger age ,Epidemiology ,Ethnic group ,White People ,03 medical and health sciences ,Indirect costs ,Young Adult ,0302 clinical medicine ,Sex Factors ,medicine ,Humans ,030212 general & internal medicine ,Aged ,Quality of Health Care ,Aged, 80 and over ,Heart Failure ,030505 public health ,business.industry ,Public health ,Racial Groups ,Public Health, Environmental and Occupational Health ,Age Factors ,Secondary data ,Health Status Disparities ,Hispanic or Latino ,Length of Stay ,Middle Aged ,medicine.disease ,Health equity ,United States ,Black or African American ,Hospitalization ,One Health ,Socioeconomic Factors ,Heart failure ,Female ,Health Expenditures ,0305 other medical science ,business ,Demography - Abstract
Heart failure (HF) is one of the leading causes of hospitalization and readmissions. Our study aimed to examine racial disparities in heart failure patients including onset, mortality, length of stay (LOS), direct costs, and readmission rates. This is a secondary data analysis. We analyzed the risk-adjusted inpatient data of all patients admitted with HF to one health academic center. We compared five health outcomes among three racial groups (white, black, and Hispanic). There were 1006 adult patients making 1605 visits from 10/01/2011 to 09/30/2015. Most black patients were admitted in younger age than other racial groups which indicates the needs for more public health preventions. With risk adjustments, the racial differences in LOS and readmission rates remain. We stratified health outcomes by race/ethnic and type of HF. The findings suggest that further studies to uncover underlying causes of these disparities are necessary. Using risk-adjusted hospitalization data allows for comparisons of quality of care across three racial groups. The study suggests that more prevention and protection services are needed for African American patients with heart failure.
- Published
- 2018