ArticleCirculation2005
Mortality after acute myocardial infarction in hospitals that disproportionately treat black patients.
Article in Circulation, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 115 papers, 1 of them a synthesis that pooled it.
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Who cites it
115 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cardiovascular health disparities: a systematic review of health care interventions.Medical care research and review : MCRR · 2007Pooled it
- Patient Race/Ethnicity, Socioeconomic Status, and Acute Myocardial Infarction Mortality: Between-Hospital Versus Within-Hospital Disparities.Medical care · 2026Article
- Transporting difference-in-differences estimates to assess health equity impacts of payment and delivery models.Health services research · 2025Article
- Segregation in hospital care for Medicare beneficiaries by race and ethnicity and dual-eligible status from 2013 to 2021.Health services research · 2025Article
- The association between local hospital segregation and hospital quality for medicare enrollees.PloS one · 2025Article
- Not enough: Medicaid expansion, medical debt, and cost avoidance in rural American Indian and Alaska Native households.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Race/Ethnic Differences in In-Hospital Mortality after Acute Ischemic Stroke.Cerebrovascular diseases (Basel, Switzerland) · 2025Article
- Hospital Allocation and Racial Disparities in Health Care.The review of economics and statistics · 2024Article
- Persistent Inequities in Intravenous Thrombolysis for Acute Ischemic Stroke in the United States: Results From the Nationwide Inpatient Sample.Journal of the American Heart Association · 2024Article
- Article
- Within-Physician Differences in Patient Sharing Between Primary Care Physicians and Cardiologists Who Treat White and Black Patients With Heart Disease.Journal of the American Heart Association · 2023Article
- Race and Ethnicity and Emergency Department Discharge Against Medical Advice.JAMA network open · 2023Article
- Racial differences in low value care among older adult Medicare patients in US health systems: retrospective cohort study.BMJ (Clinical research ed.) · 2023Article
- Effects of System-Level Factors on Race/Ethnic Differences in In-Hospital Mortality after Acute Ischemic Stroke.medRxiv : the preprint server for health sciences · 2023Article
- Persistent Inequities in Intravenous Thrombolysis for Acute Ischemic Stroke in the United States: Results from the Nationwide Inpatient Sample.medRxiv : the preprint server for health sciences · 2023Article
- Factors Underlying Racial Disparity in Utilization of Hepatitis C-Viremic Kidneys in the United States.Journal of racial and ethnic health disparities · 2023Article
- Racial disparities in women with ST elevation myocardial infarction: A National Inpatient Sample review of baseline characteristics, co-morbidities, and outcomes in women with STEMI.Clinical cardiology · 2023Article
- What Can Economics Say about Alzheimer's Disease?Journal of economic literature · 2023Article
- Association between vehicle ownership and disparities in mortality after myocardial infarction.American journal of preventive cardiology · 2023Article
- The impact of ethnic background on ICU care and outcome in sepsis and septic shock - A retrospective multicenter analysis on 17,949 patients.BMC infectious diseases · 2023Article
55 more citing papers are in PubMed but not listed here.
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5 authors.
Funding
Abstract
backgroundAfrican Americans are more likely to be seen by physicians with less clinical training or to be treated at hospitals with longer average times to acute reperfusion therapies. Less is known about differences in health outcomes. This report compares risk-adjusted mortality after acute myocardial infarction (AMI) between US hospitals with high and low fractions of elderly black AMI patients. METHODS AND
resultsA prospective cohort study was performed for fee-for-service Medicare patients hospitalized for AMI during 1997 to 2001 (n=1,136,736). Hospitals (n=4289) were classified into approximate deciles depending on the extent to which the hospital served the black population. Decile 1 (12.5% of AMI patients) included hospitals without any black AMI admissions during 1997 to 2001. Decile 10 (10% of AMI patients) included hospitals with the highest fraction of black AMI patients (33.6%). The main outcome measures were 90-day and 30-day mortality after AMI. Patients admitted to hospitals disproportionately serving blacks experienced no greater level of morbidities or severity of the infarction, yet hospitals in decile 10 experienced a risk-adjusted 90-day mortality rate of 23.7% (95% CI 23.2% to 24.2%) compared with 20.1% (95% CI 19.7% to 20.4%) in decile 1 hospitals. Differences in outcomes between hospitals were not explained by income, hospital ownership status, hospital volume, census region, urban status, or hospital surgical treatment intensity.
conclusionsRisk-adjusted mortality after AMI is significantly higher in US hospitals that disproportionately serve blacks. A reduction in overall mortality at these hospitals could dramatically reduce black-white disparities in healthcare outcomes.
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