ArticleBMC medicine2014
Trends in and disparities for acute myocardial infarction: an analysis of Medicare claims data from 1992 to 2010.
Article in BMC medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Atorvastatin treatment improves effects of implanted mesenchymal stem cells: meta-analysis of animal models with acute myocardial infarction.BMC cardiovascular disorders · 2015Pooled it
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- The COVID-19 impact on STEMI disparities.Heliyon · 2024Article
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- 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
- Sex Disparities in Management and Outcomes Among Patients With Acute Coronary Syndrome.JAMA network open · 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
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- US Initiative to Eliminate Racial and Ethnic Disparities in Health: The Impact on the Outcomes of ST-Segment-Elevation Myocardial Infarction in New Jersey.Journal of the American Heart Association · 2023Article
- Design and Development of a Hospital-Based Coronary Artery Disease (CAD) Registry in Iran.BioMed research international · 2023Article
- Relation of glycemic status with unrecognized MI and the subsequent risk of mortality: The Jackson Heart Study.American journal of preventive cardiology · 2022Article
- Association of Race and Ethnicity on the Management of Acute Non-ST-Segment Elevation Myocardial Infarction.Journal of the American Heart Association · 2022Article
- Are we any WISER yet? Progress and contemporary need for smart trials to include women in coronary artery disease trials.Contemporary clinical trials · 2022Review
- Getting the right patient to angiography: Can we level the playing field?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022Article
- Barriers and enablers in the implementation of a quality improvement program for acute coronary syndromes in hospitals: a qualitative analysis using the consolidated framework for implementation research.Implementation science : IS · 2022Article
- Article
- Association between race/ethnicity and income on the likelihood of coronary revascularization among postmenopausal women with acute myocardial infarction: Women's health initiative study.American heart journal · 2022Article
- In-hospital and 30-day major adverse cardiac events in patients referred for ST-segment elevation myocardial infarction in Dhaka, Bangladesh.BMC cardiovascular disorders · 2021Observational
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Authors and funding
4 authors.
Funding
Abstract
backgroundIt is unknown whether previously reported disparities for acute myocardial infarction (AMI) by race and sex have declined over time.
methodsWe used Medicare Part A administrative data files for 1992 to 2010 to evaluate changes in per-capita hospitalization rates for AMI, rates of revascularization (percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG)), and 30-day mortality for four distinct patient subcohorts: black women; black men; white women; and white men, adjusted for age, comorbidities and year using logistic regression.
resultsThe study sample consisted of 4,045,267 AMI admissions between the years 1992 and 2010 (166,660 black women; 116,201 black men; 1,870,816 white women; 1,891,590 white men). AMI hospitalization rates differed significantly in 1992 to 1993 among black women (61.6 hospitalizations per 10,000 Medicare enrollees), black men (73.2 hospitalizations), white women (72.0 hospitalizations) and white men (113.2 hospitalizations) (P<0.0001). By 2009 to 2010 AMI hospitalization rates had declined substantially in all cohorts but disparities remained with significantly lower hospitalization rates among women and blacks compared to men and whites, respectively (P<0.0001). In multivariable-adjusted analyses, despite narrowing of the differences between cohorts over time, disparities in AMI hospitalization rates by race and sex remained statistically significant in 2009 to 2010 (P<0.001). In 1992 to 1993 and 2009 to 2010, rates of PCI within 30-days of AMI differed significantly among black women (8.6% in 1992 to 1993; 24.2% in 2009 to 2010), black men (10.4% and 32.6%), white women (12.8% and 30.5%), and white men (16.1% and 40.7%) (P<0.0001). In multivariable-adjusted analyses, racial disparities in procedure utilization appeared somewhat larger and sex-based disparities remained significant. Unadjusted 30-day mortality after AMI in 1992 to 1993 for black women, black men, white women and white men was 20.4%, 17.9%, 23.1% and 19.5%, respectively (P<0.0001); in 2009 to 2010 mortality was 17.1%, 15.3%, 18.2% and 16.2%, respectively (P<0.0001). In adjusted analyses, racial differences in mortality declined over time but differences by sex (higher mortality for women) persisted.
conclusionsDisparities in AMI have declined modestly, but remain a problem, particularly with respect to patient sex.
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