Serious disparities in care and outcomes found among Black and non-white heart patients

November 09, 2020

Embargoed until 4 a.m. CT / 5 a.m. ET Nov. 9, 2020

DALLAS, Nov. 9, 2020 - Adults from underrepresented racial groups who have acute heart blockages and cardiac arrests received fewer early interventions, had longer hospital stays and higher death rates than their white counterparts, according to preliminary research to be presented at the American Heart Association's Resuscitation Science Symposium 2020. The 2020 meeting will be held virtually, November 14-16 and will feature the most recent advances related to treating cardiopulmonary arrest and life-threatening traumatic injury.

Researchers set out to investigate whether health inequities exist for racial and ethnic minorities with heart problems that could increase their risk for hospitalization or poorer outcomes after a heart event.

"As medical professionals, we need to continue to evaluate our own practice and perceptions. Race is a powerful determinant of a patient's health, along with their sex, age, insurance status and socio-economic status, and these factors work additively from a risk standpoint. For example, an older Black woman from a low-income household without medical insurance will likely have worse health outcomes than a middle-aged white man from an affluent home with good health insurance," said Saraschandra Vallabhajosyula, M.D., M.Sc., the study's senior author and a fellow of interventional cardiology at Emory University School of Medicine in Atlanta. "The complex interplay of these important non-clinical risk factors, also called social determinants of health, need careful evaluation. Only when we eliminate these disparities can we say health care is truly equitable."

Using data from the National Inpatient Sample, researchers examined more than 3 million hospital admissions across the U.S. between 2012 and 2017, 182,000 of which had cardiac arrest complications, making it the largest study of its kind.

The analysis found: Further research into equitable care is required to address the disparities in care and outcomes for people from racial subgroups. This study is a retrospective analysis, so authors suggest careful validation is needed in future research. Additionally, patients self-reported race, and the information was not independently verified.
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Co-authors are Anna Subramaniam, M.D.; and Sri Harsha Patlolla, M.B.B.S. Author disclosures are in the abstract.

The study was funding by the National Center for Advancing Translational Sciences at the National Institutes of Health.

Note: Session: AOS.03 Lightning Round Oral Abstract Presentations: Best of the Best Oral Abstracts.

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Statements and conclusions of studies that are presented at the American Heart Association's scientific meetings are solely those of the study authors and do not necessarily reflect the Association's policy or position. The Association makes no representation or guarantee as to their accuracy or reliability. The Association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific Association programs and events. The Association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and biotech companies, device manufacturers and health insurance providers are available here, and the Association's overall financial information is available here.

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