Temporal Trends in Contemporary Use of Ventricular Assist Devices by Race and Ethnicity
Temporal Trends in Contemporary Use of Ventricular Assist Devices by Race and Ethnicity
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DOI：
10.1161/circheartfailure.118.005008
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发表时间：
2018-08-01
影响因子：
9.7
通讯作者：
Peterson, Pamela N.
中科院分区：
文献类型：
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作者：
Breathett, Khadijah;Allen, Larry A.;Peterson, Pamela N.
背景：接受心室辅助装置（VAD）的少数种族/民族比例以前低于预期。目前尚不清楚自2014年扩大保险范围和快速采用VAD技术以来趋势是否发生了变化。方法和结果：使用机械辅助循环支持的跨机构登记处，我们分析了10795例患者的种族/种族时间趋势（白色，67.4%;非洲裔美国人，24.8%;西班牙裔，6.3%;亚洲人，1.5%），在2012年至2015年期间植入了VAD。将线性模型拟合到每个种族/民族组的年度人口普查校正的VAD植入率，按性别和年龄组分层。从2012年到2015年，非裔美国人每10万人中的VAD植入率有所增加（0.26 [95%置信区间，0.17-0.34]），而其他种族组未显示出显著变化（白色：0.06 [-0.03至0.14];西班牙裔：0.04 [-0.05至0.12];亚裔：0.04 [-0.04至0.13]）。按性别分层，非裔美国男性和女性的发病率均有所增加（P
Background: The proportion of racial/ethnic minorities receiving ventricular assist devices (VADs) has previously been less than expected. It is unclear if trends have changed since the broadening of access to insurance in 2014 and the rapid adoption of VAD technology.Methods and Results: Using the Interagency Registry of Mechanically Assisted Circulatory Support, we analyzed time trends by race/ethnicity for 10 795 patients (white, 67.4%; African-American, 24.8%; Hispanic, 6.3%; Asian, 1.5%) who had a VAD implanted between 2012 and 2015. Linear models were fit to the annual census-adjusted rate of VAD implantation for each racial/ethnic group, stratified by sex and age group. From 2012 to 2015, African-Americans had an increase in the census-adjusted annual rate of VAD implantation per 100 000 (0.26 [95% confidence interval, 0.17-0.34]) while other ethnic groups exhibited no significant changes (white: 0.06 [-0.03 to 0.14]; Hispanic: 0.04 [-0.05 to 0.12]; Asian: 0.04 [-0.04 to 0.13]). Stratified by sex, rates increased in both African-American men and women (P