Racial and ethnic differences in the use of cardiovascular procedures: Findings from the California Cooperative Cardiovascular Project
Racial and ethnic differences in the use of cardiovascular procedures: Findings from the California Cooperative Cardiovascular Project
复制标题
DOI：
10.2105/ajph.90.7.1128
复制
发表时间：
2000-07-01
影响因子：
12.7
通讯作者：
Deosaransingh, K
中科院分区：
文献类型：
--
作者：
Ford, E;Newman, J;Deosaransingh, K
目标。本研究使用来自加州合作心血管项目的数据来检查白人、非裔美国人和西班牙裔美国人中侵入性和非侵入性心血管手术的使用情况。方法。研究人员对 1994 年至 1995 年间在非联邦医院确诊为急性心肌梗死的所有 65 岁或以上患者进行了导管插入术、经皮腔内冠状动脉成形术 (PTCA)、冠状动脉旁路移植术 (CABG) 手术和多项无创检查的使用情况进行了研究。结果。非裔美国人 (n = 527) 比白人 (n = 9489) 接受导管插入术的可能性更小（调整后优势比 [OR] = 0.62，95% 置信区间 [CI] = 0.50, 0.76）、PTCA（OR = 0.64。95% CI = 0.49, 0.85）。或 CABG 手术（OR = 0.42，95% CI = 0.27，0.64）；更有可能接受压力测试或超声心动图；并且同样有可能收到多门控采集扫描。西班牙裔 (n = 689) 也比白人接受导管插入术 (OR = 0.82, 95% CI = 0.68, 0.98) 或 PTCA (OR = 0.58, 95% CI = 0.45, 0.75) 的可能性更低。结论。与白人相比，非裔美国人接受昂贵的侵入性心血管手术的可能性较小。此外，西班牙裔人接受导管插入术和 PTCA 的可能性低于白人。
Objectives. This study used data from the California Cooperative Cardiovascular Project to examine the use of invasive and noninvasive cardiovascular procedures among Whites, African Americans, and Hispanics.Methods. The use of catheterization, percutaneous transluminal coronary angioplasty (PTCA), coronary artery bypass graft (CABG) surgery, and several noninvasive tests among all patients 65 years or older with a confirmed acute myocardial infarction in nonfederal hospitals from 1994 to 1995 was studied.Results. African Americans (n = 527) were less likely than Whites (n = 9489) to have received catheterization (adjusted odds ratio [OR] = 0.62, 95% confidence interval [CI] = 0.50, 0.76), PTCA (OR = 0.64. 95% CI = 0.49, 0.85). or CABG surgery (OR = 0.42, 95% CI = 0.27, 0.64); somewhat more likely to have received a stress test or an echocardiogram; and equally likely to have received a multiple-gated acquisition scan. Hispanics (n = 689) also were less likely than Whites to have received catheterization (OR = 0.82, 95% CI = 0.68, 0.98) or PTCA (OR = 0.58, 95% CI = 0.45, 0.75).Conclusions. African Americans were less likely than Whites to undergo costly invasive cardiovascular procedures. In addition Hispanics were less likely than Whites to have received catheterization and PTCA.