PMID- 17524109
OWN - NLM
STAT- MEDLINE
DCOM- 20070928
LR  - 20221207
IS  - 0896-4327 (Print)
IS  - 0896-4327 (Linking)
VI  - 20
IP  - 3
DP  - 2007 Jun
TI  - Racial disparity in clinical outcomes following primary percutaneous coronary 
      intervention for ST elevation myocardial infarction: influence of process of 
      care.
PG  - 182-7
AB  - Previous studies have shown that compared with white patients, non-white patients 
      with ST elevation myocardial infarction (STEMI) have worse clinical outcomes. 
      Differences in co-morbidities, extent and severity of coronary artery disease, 
      health insurance, and socioeconomic status have been identified as possible 
      reasons for this disparity. However, an alternative explanation for such observed 
      disparities in outcomes could be differences in process of care. For example, in 
      most of these studies, non-white patients were less likely to receive reperfusion 
      therapy, and if treated, were more likely to receive thrombolysis than to undergo 
      primary percutaneous coronary intervention (PCI). We hypothesized that if all 
      patients were treated similarly with primary PCI, there would be no difference in 
      clinical outcomes. We analyzed the demographic, angiographic, in-hospital 
      clinical outcomes, and long-term mortality rates of a racially diverse group of 
      patients presenting to the same hospital with STEMI, all of whom were treated 
      with primary PCI. Our data demonstrate that compared with white patients, 
      non-white patients with STEMI who undergo primary PCI have similar in-hospital 
      clinical outcomes and one-year mortality. This suggests that the previously 
      observed differences in mortality rates may be, at least in part, attributable to 
      differences in the process of care, and not solely to differences in patient 
      factors or differential therapeutic effects.
FAU - Jacobi, Joshua A
AU  - Jacobi JA
AD  - University of Texas Southwestern Medical Center, Dallas, TX, USA.
FAU - Parikh, Shailja V
AU  - Parikh SV
FAU - McGuire, Darren K
AU  - McGuire DK
FAU - Delemos, James A
AU  - Delemos JA
FAU - Murphy, Sabina A
AU  - Murphy SA
FAU - Keeley, Ellen C
AU  - Keeley EC
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Interv Cardiol
JT  - Journal of interventional cardiology
JID - 8907826
SB  - IM
MH  - Acute Disease
MH  - *Black or African American
MH  - Angioplasty, Balloon, Coronary/*statistics & numerical data
MH  - *Asian
MH  - Electrocardiography
MH  - Female
MH  - *Hispanic or Latino
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/diagnosis/*ethnology/mortality/*therapy
MH  - Process Assessment, Health Care
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Social Justice
MH  - Socioeconomic Factors
MH  - Texas/epidemiology
MH  - *Treatment Outcome
MH  - *White People
EDAT- 2007/05/26 09:00
MHDA- 2007/09/29 09:00
CRDT- 2007/05/26 09:00
PHST- 2007/05/26 09:00 [pubmed]
PHST- 2007/09/29 09:00 [medline]
PHST- 2007/05/26 09:00 [entrez]
AID - JOIC263 [pii]
AID - 10.1111/j.1540-8183.2007.00263.x [doi]
PST - ppublish
SO  - J Interv Cardiol. 2007 Jun;20(3):182-7. doi: 10.1111/j.1540-8183.2007.00263.x.