1. Association between Hispanic or Latino ethnicity and pulmonary embolism severity, management, and in-hospital outcomes.
- Author
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Snyder, Daniel J, Zilinyi, Robert S, V Madhavan, Mahesh, Alsaloum, Marissa, Saleem, Danial, Buyske, John J, Healy, Emma W, McGredy, Maxine J, Da Silva, Bernardo T, Rosenzweig, Erika B, Takeda, Koji, Brodie, Daniel, Agerstrand, Cara, Eisenberger, Andrew, Kirtane, Ajay J, Parikh, Sahil A, and Sethi, Sanjum S
- Subjects
PULMONARY embolism ,HISPANIC Americans ,ETHNICITY ,HOSPITAL mortality ,UNIVARIATE analysis ,HEALTH equity - Abstract
Background: Hispanic and Latino patients are under-represented in existing healthcare disparities research in pulmonary embolism (PE). The goal of this study was to determine if differences in PE severity, treatment modality, or in-hospital outcomes exist for Hispanic or Latino patients with PE. Methods: All PE cases from 2013 to 2019 at a single institution were reviewed. Clinical characteristics, imaging findings, intervention types, and in-hospital and 30-day outcomes were collected. Two cohorts were created based on patients' self-reported ethnicity. Outcomes were compared using univariate and multivariate analysis. Results: A total of 1265 patients were identified with confirmed PE; 474 (37%) identified as Hispanic or Latino. Hispanic or Latino patients presented with high-risk PE significantly less often (19% vs 25%, p = 0.03). On univariate analysis, Hispanic or Latino patients had lower rates of PE-specific intervention (15% vs 19%, p = 0.03) and similar rates of inpatient mortality (6.8% vs 7.5%, p = 0.64). On ordinal regression analysis, Hispanic or Latino ethnicity was associated with lower PE severity (OR 0.69, 95% CI 0.54–0.89, p = 0.003). In subgroup analyses of intermediate and high-risk PEs, ethnicity was not a significant predictor of receipt of PE-specific intervention or in-hospital mortality. Conclusions: At this institution, Hispanic or Latino patients were less likely to present with high-risk PE but had similar rates of inpatient mortality. Future research is needed to identify if disparities in in-hospital care are driving perceived differences in PE severity and what addressable systematic factors are driving higher-than-expected in-hospital mortality for Hispanic or Latino patients. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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