PMID- 27470676
OWN - NLM
STAT- MEDLINE
DCOM- 20181126
LR  - 20221207
IS  - 1552-8456 (Electronic)
IS  - 0193-9459 (Linking)
VI  - 39
IP  - 4
DP  - 2017 Apr
TI  - African American Race Is Associated With Poorer Outcomes in Heart Failure 
      Patients.
PG  - 524-538
LID - 10.1177/0193945916661277 [doi]
AB  - Health care disparities associated with African American race may influence 
      event-free survival in patients with heart failure (HF). A secondary data 
      analysis included 863 outpatients enrolled in a multicenter HF registry. Cox 
      regression was used to determine whether African American race was associated 
      with shorter HF event-free survival after controlling for covariates. The 
      multivariable-adjusted hazard ratios (95% confidence intervals [CI]) of older age 
      (1.03, 95% CI = [1.01, 1.04]), New York Heart Association (NYHA) functional class 
      (1.73, 95% CI = [1.29, 2.31]), depressive symptoms (1.05, 95% CI = [1.02, 1.07]), 
      and African American race (1.64, 95% CI = [1.01, 2.68]) were predictors of 
      shorter event-free survival (all ps < .05). Comparisons showed that NYHA 
      functional class was predictive of shorter event-free survival in Caucasians 
      (1.81, 95% CI = [1.33, 2.46]) but not in African Americans (1.24, 95% CI = [.40, 
      3.81]). African Americans with HF experienced a disparate risk of shorter 
      event-free survival not explained by a variety of risk factors.
FAU - Wierenga, Kelly L
AU  - Wierenga KL
AD  - 1 Case Western Reserve University, Cleveland, OH, USA.
FAU - Dekker, Rebecca L
AU  - Dekker RL
AD  - 2 University of Kentucky, Lexington, KY, USA.
FAU - Lennie, Terry A
AU  - Lennie TA
AD  - 2 University of Kentucky, Lexington, KY, USA.
FAU - Chung, Misook L
AU  - Chung ML
AD  - 2 University of Kentucky, Lexington, KY, USA.
FAU - Dracup, Kathleen
AU  - Dracup K
AD  - 3 University of California, San Francisco, CA, USA.
LA  - eng
GR  - F31 NR014754/NR/NINR NIH HHS/United States
GR  - P20 NR010679/NR/NINR NIH HHS/United States
GR  - R01 HL083176/HL/NHLBI NIH HHS/United States
GR  - R01 NR008567/NR/NINR NIH HHS/United States
GR  - K23 NR013480/NR/NINR NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20160728
PL  - United States
TA  - West J Nurs Res
JT  - Western journal of nursing research
JID - 7905435
SB  - IM
MH  - Black or African American/*statistics & numerical data
MH  - Aged
MH  - *Disease-Free Survival
MH  - Female
MH  - Healthcare Disparities/ethnology
MH  - Heart Failure/*ethnology/*mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Registries
MH  - White People/statistics & numerical data
OTO - NOTNLM
OT  - health disparities
OT  - heart failure
OT  - race
EDAT- 2016/07/30 06:00
MHDA- 2018/11/27 06:00
CRDT- 2016/07/30 06:00
PHST- 2016/07/30 06:00 [pubmed]
PHST- 2018/11/27 06:00 [medline]
PHST- 2016/07/30 06:00 [entrez]
AID - 0193945916661277 [pii]
AID - 10.1177/0193945916661277 [doi]
PST - ppublish
SO  - West J Nurs Res. 2017 Apr;39(4):524-538. doi: 10.1177/0193945916661277. Epub 2016 
      Jul 28.