Racial / ethnic differences in CHD outcomes not due to statins

Racial/Ethnic differences in CHD outcomes not due to statins

(HealthDay)—For hospitalized patients with coronary heart disease (CHD), racial and ethnic differences in one-year outcomes are due to demographics and comorbidity, not differential statin prescriptions, according to a study published in the Feb. 1 issue of The American Journal of Cardiology.

Heidi Mochari-Greenberger, Ph.D., M.P.H., from Columbia University Medical Center in New York City, and colleagues examined the correlation between race and ethnicity, statin prescriptions, and among 3,067 hospitalized patients (35 percent black or Hispanic; 65 percent white or Asian) with preexisting CHD. Electronic medical records, National Death Index, and/or standardized surveys were used to extract baseline clinical and medication data and 30-day and one-year outcomes.

The researchers found that, compared with white and Asian patients, black and Hispanic patients were significantly more likely to be dead or rehospitalized at one year (odds ratio, 1.23) and were significantly less likely to report pre-admission statin use (62 versus 72 percent; odds ratio, 0.64). At discharge, statin prescriptions were similar for blacks and Hispanics (81 percent) compared with whites and Asians (84 percent). Compared with whites and Asians, blacks and Hispanics were more likely to have hypertension, diabetes, or renal failure, and were less likely to have health insurance (P < 0.05). Demographics and comorbidities, but not differential statin prescription, accounted for the increased one-year odds of death or rehospitalization in minorities versus whites and Asians (adjusted odds ratio, 1.10; 95 percent confidence interval, 0.93 to 1.30).

"Efforts to reduce CHD rehospitalizations should consider the greater burden of comorbidities among racial and ethnic minorities," the authors conclude.

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Odds of uncontrolled and unreported HTN up for blacks

Dec 28, 2013

(HealthDay)—Blacks are more likely to have hypertension and to have uncontrolled and unreported hypertension than whites, according to a study published online Dec. 23 in Circulation: Cardiovascular Qu ...

Race a bigger health care barrier than insurance status

Nov 08, 2013

Race appears to be a larger factor in disparities in health care use than whether or not a person has health insurance, finds a new study in the Journal of Health Care for the Poor and Underserved. Blacks ...

Recommended for you

Gene variant raises risk for aortic tear and rupture

Apr 17, 2014

Researchers from Yale School of Medicine and Celera Diagnostics have confirmed the significance of a genetic variant that substantially increases the risk of a frequently fatal thoracic aortic dissection or full rupture. ...

Considerable variation in CT use in ischemic stroke

Apr 17, 2014

(HealthDay)—For patients with ischemic stroke there is considerable variation in the rates of high-intensity computed tomography (CT) use, according to a study published online April 8 in Circulation: Ca ...

Beating the clock for ischemic stroke sufferers

Apr 17, 2014

A ground-breaking computer technology raises hope for people struck by ischemic stroke, which is a very common kind of stroke accounting for over 80 per cent of overall stroke cases. Developed by research experts at The Hong ...

User comments