Rey P. Vivo|Selim R. Krim|Nassim R. Krim|Xin Zhao|Adrian F. Hernandez|Eric D. Peterson|Ileana L. Piña|Deepak L. Bhatt|Lee H. Schwamm|Gregg C. Fonarow
Care and Outcomes of Hispanic Patients Admitted With Heart Failure With Preserved or Reduced Ejection Fraction
Montefiore Medical Center|Albert Einstein College of Medicine|Montefiore Medical Center|Albert Einstein College of Medicine|Montefiore Medical Center|Albert Einstein College of Medicine|Montefiore Medical Center|Albert Einstein College of Medicine|Montefiore Medical Center|Albert Einstein College of Medicine|Montefiore Medical Center|Albert Einstein College of Medicine|Montefiore Medical Center|Albert Einstein College of Medicine|Montefiore Medical Center|Albert Einstein College of Medicine|Montefiore Medical Center|Albert Einstein College of Medicine|Montefiore Medical Center|Albert Einstein College of Medicine
background although individuals hispanic ethnicity high risk developing heart failure hf little known differences hispanic hf patients stratified left ventricular ejection fraction ef compared characteristics quality care outcomes hispanic nonhispanic white patients hospitalized hf preserved ef pef reduced ef ref methods results 247 hospitals get guidelinesheart failure 20052010 6117 hispanics compared 71 859 nonhispanic whites fortysix percent hispanics pef ef gt40 whereas 54 ref ef lt40 55 45 nonhispanic whites pef ref respectively relative nonhispanic whites hispanics pef ref likely younger diabetes hypertension overweightobesity multivariate analysis lower mortality risk observed among hispanics pef odds ratio 050 95 confidence interval 031081 p 0005 hispanics ref odds ratio 094 95 confidence interval 062143 p 0784 compared nonhispanic whites groups composite performance improved within study period hispanics pef 752951 nonhispanic whites pef 790927 hispanics ref 677884 nonhispanic whites ref 608856 p lt00001 conclusions hispanic hf patients pef better inhospital survival nonhispanic whites pef inpatient mortality similar groups ref quality care similar improved time irrespective ethnicity highlighting potential benefit performance improvement programs promoting equitable care