Mauricio G. Cohen|Gregg C. Fonarow|Eric D. Peterson|Mauro Moscucci|David Dai|Adrian F. Hernandez|Robert O. Bonow|Sidney C. Smith
Racial and Ethnic Differences in the Treatment of Acute Myocardial Infarction
University of Miami|Northwestern University|Clinical Research Institute|University of North Carolina at Chapel Hill|Duke University Hospital|Duke Medical Center|University of California, Los Angeles|University of Miami|Northwestern University|Clinical Research Institute|University of North Carolina at Chapel Hill|Duke University Hospital|Duke Medical Center|University of California, Los Angeles|University of Miami|Northwestern University|Clinical Research Institute|University of North Carolina at Chapel Hill|Duke University Hospital|Duke Medical Center|University of California, Los Angeles|University of Miami|Northwestern University|Clinical Research Institute|University of North Carolina at Chapel Hill|Duke University Hospital|Duke Medical Center|University of California, Los Angeles|University of Miami|Northwestern University|Clinical Research Institute|University of North Carolina at Chapel Hill|Duke University Hospital|Duke Medical Center|University of California, Los Angeles|University of Miami|Northwestern University|Clinical Research Institute|University of North Carolina at Chapel Hill|Duke University Hospital|Duke Medical Center|University of California, Los Angeles|University of Miami|Northwestern University|Clinical Research Institute|University of North Carolina at Chapel Hill|Duke University Hospital|Duke Medical Center|University of California, Los Angeles|University of Miami|Northwestern University|Clinical Research Institute|University of North Carolina at Chapel Hill|Duke University Hospital|Duke Medical Center|University of California, Los Angeles
racialethnic differences cardiovascular care well documented sought determine whether racialethnic differences evidencebased acute myocardial infarction care persist among hospitals participating national quality improvement programwe analyzed 142 593 acute myocardial infarction patients 121 528 whites 10 882 blacks 10 183 hispanics 443 hospitals participating get guidelinescoronary artery disease gwtgcad program january 2002 june 2007 examined individual overall composite rates defectfree care defined proportion patients receiving eligible performance measures addition examined temporal trends use performance measures according raceethnicity calendar quarter overall individual performance measure use high ranging 78 use angiotensinconverting enzyme inhibitors 96 use aspirin discharge use improved significantly 5 years study overall defectfree care 809 whites 795 hispanics adjusted odds ratio versus whites 100 95 confidence interval 094 106 p094 777 blacks adjusted odds ratio versus whites 093 95 confidence interval 087 098 p001 significant gap defectfree care observed blacks mostly first half study longer present remainder study overall progressive improvements defectfree care observed regardless raceethnic groupsamong hospitals engaged national quality monitoring improvement program evidencebased care acute myocardial infarction appeared improve time patients irrespective raceethnicity differences care raceethnicity care reduced eliminated