Racial differences in the use of cardiac catheterization after acute myocardial infarction.
Racial differences in the use of cardiac catheterization after acute myocardial infarction.
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DOI：
10.1056/nejm200105103441906
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发表时间：
2001-05-10
影响因子：
158.5
通讯作者：
Krumholz, HM
中科院分区：
文献类型：
--
作者：
Chen, J;Rathore, SS;Krumholz, HM
背景资料：几项研究报告说，黑人患者比白色患者更不可能在急性心肌梗死后接受心导管插入术。医生的种族在这种模式中的作用是未知的。我们分析了来自心血管合作项目的数据，该项目是一项对1994年和1995年因急性心肌梗死住院的医疗保险受益人的研究，为了评估黑人患者和白色患者在急性心肌梗死后60天内使用心导管检查的差异是否因其种族而异，结果：我们的研究队列包括35，676名白色和4039名黑人急性心肌梗死患者，他们由17，550名白色和588名黑人医生治疗。黑人患者的心导管插入率低于白色患者，无论他们的主治医生是否为白色（导管插入率，38.4%对45.7%; P
Background: Several studies have reported that black patients are less likely than white patients to undergo cardiac catheterization after acute myocardial infarction. The role of the race of the physician in this pattern is unknown.Methods: We analyzed data from the Cooperative Cardiovascular Project, a study of Medicare beneficiaries hospitalized for acute myocardial infarction in 1994 and 1995, to evaluate whether differences between black patients and white patients in the use of cardiac catheterization within 60 days after acute myocardial infarction varied according to the race of their attending physician.Results: Our study cohort consisted of 35,676 white and 4039 black patients with acute myocardial infarction who were treated by 17,550 white and 588 black physicians. Black patients had lower rates of cardiac catheterization than white patients, regardless of whether their attending physician was white (rate of catheterization, 38.4 percent vs. 45.7 percent; P