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RACIAL DISPARITY IN RISK FACTORS AND OUTCOMES IN YOUNG ADULTS WITH ST ELEVATION MYOCARDIAL INFARCTION
A144 JACC April 1, 2014 Volume 63, Issue 12
Acute Coronary Syndromes Racial Disparity in Risk Factors and Outcomes in Young Adults with ST Elevation Myocardial Infarction Poster Contributions Hall C Sunday, March 30, 2014, 9:45 a.m.-10:30 a.m.
Session Title: Acute Coronary Syndromes: STEMI Abstract Category: 1. Acute Coronary Syndromes: Clinical Presentation Number: 1190-229 Authors: Nabil S. Zeineh, Raef Hajj-Ali, Kwame Akosah, Allegheny General Hospital, Pittsburgh, PA, USA Background: Coronary artery disease (CAD) is the leading cause of death in the US. The objective of our study was to compare the current shortterm outcome and risk factor profile of white and black patients presenting with ST elevation myocardial infarction (STEMI). Methods: The Nationwide Inpatient Sample (NIS), part of the healthcare cost and Utilization Project is the largest publicly available inpatient database designed to provide information on characteristics and outcomes of patients discharged from US hospitals. Using the NIS we identified our study population, composed of all white and black patients aged 18-55 years who were admitted with a primary diagnosis of STEMI during the years 2008 to 2010. Results: 23130 patients were identified, including 20465 white, and 2665 black patients. Black patients had a higher prevalence of diabetes mellitus, chronic kidney disease (CKD), end-stage renal disease (ESRD), and hypertension with lower prevalence of smoking. White patients were more likely to undergo percutaneous coronary intervention. Black patients had higher in-patient mortality but this association became statistically non-significant after adjusting for pertinent covariates using logistic regression analysis (p=0.409). Conclusion: Black patients presenting with STEMI appear to have a different risk factor profile compared to white patients.
Acute Coronary Syndromes Racial Disparity in Risk Factors and Outcomes in Young Adults with ST Elevation Myocardial Infarction Poster Contributions Hall C Sunday, March 30, 2014, 9:45 a.m.-10:30 a.m.
Session Title: Acute Coronary Syndromes: STEMI Abstract Category: 1. Acute Coronary Syndromes: Clinical Presentation Number: 1190-229 Authors: Nabil S. Zeineh, Raef Hajj-Ali, Kwame Akosah, Allegheny General Hospital, Pittsburgh, PA, USA Background: Coronary artery disease (CAD) is the leading cause of death in the US. The objective of our study was to compare the current shortterm outcome and risk factor profile of white and black patients presenting with ST elevation myocardial infarction (STEMI). Methods: The Nationwide Inpatient Sample (NIS), part of the healthcare cost and Utilization Project is the largest publicly available inpatient database designed to provide information on characteristics and outcomes of patients discharged from US hospitals. Using the NIS we identified our study population, composed of all white and black patients aged 18-55 years who were admitted with a primary diagnosis of STEMI during the years 2008 to 2010. Results: 23130 patients were identified, including 20465 white, and 2665 black patients. Black patients had a higher prevalence of diabetes mellitus, chronic kidney disease (CKD), end-stage renal disease (ESRD), and hypertension with lower prevalence of smoking. White patients were more likely to undergo percutaneous coronary intervention. Black patients had higher in-patient mortality but this association became statistically non-significant after adjusting for pertinent covariates using logistic regression analysis (p=0.409). Conclusion: Black patients presenting with STEMI appear to have a different risk factor profile compared to white patients.