INTERRACIAL ACCESS TO SELECTED CARDIAC PROCEDURES FOR PATIENTS HOSPITALIZED WITH CORONARY-ARTERY DISEASE IN NEW-YORK-STATE
INTERRACIAL ACCESS TO SELECTED CARDIAC PROCEDURES FOR PATIENTS HOSPITALIZED WITH CORONARY-ARTERY DISEASE IN NEW-YORK-STATE
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DOI：
10.1097/00005650-199105000-00004
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发表时间：
1991-05-01
期刊：
影响因子：
3
通讯作者：
SHIELDS, EP
中科院分区：
文献类型：
--
作者：
HANNAN, EL;KILBURN, H;SHIELDS, EP
本研究调查了 1987 年前 6 个月在纽约州因冠状动脉疾病住院的患者使用三种心脏手术（冠状动脉造影、冠状动脉搭桥术和冠状动脉成形术）的黑白差异。与之前的研究相比，除了各种严重程度指标外，还使用疾病阶段来控制疾病的严重程度。 另一个方法上的差异是，使用患者发作次数（初次入院后的固定时间段）作为分析单位，而不是出院时间，以准确计算初次到医院就诊但未经认证执行手术的患者。 在使用逻辑回归分析控制严重程度后，发现白人接受的每种手术明显多于黑人（血管造影、旁路移植和血管成形术的优势比分别为 1.25、2.06 和 1.69）。 这些显着差异存在于各种控制变量的大多数水平。
This study examines black/white differences in the utilization of three cardiac procedures (coronary angiography, coronary artery bypass graft, and coronary angioplasty) for patients hospitalized with coronary artery disease in New York State in the first 6 months of 1987. In contrast with previous studies, disease stages are used to control for severity of illness in addition to various severity proxies. Another methodological difference is that patient episodes (a fixed period of time after an initial hospital admission) are used as the unit of analysis rather than discharges to accurately account for patients whose initial visit to a hospital not certified to perform the procedure. After controlling for severity using logistic regression analysis, whites were found to undergo significantly more of each of the procedures than blacks (odds ratios of 1.25, 2.06, and 1.69 for angiography, bypass graft, and angioplasty, respectively). These significant differences existed for most levels of the various control variables.