Observational studyCirculation. Heart failure2019
Identification of Racial Inequities in Access to Specialized Inpatient Heart Failure Care at an Academic Medical Center.
Observational study in Circulation. Heart failure, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
78 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Influence of Social Determinants of Health on Heart Failure Outcomes: A Systematic Review.Journal of the American Heart Association · 2023Pooled it
- Long-term clinical outcomes and healthcare resource utilization in male and female patients following hospitalization for heart failure.European journal of heart failure · 2025Trial
- Creating the Healthcare Racial Justice Assessment Tool (HC-RJAT): A Novel Tool to Identify Modifiable Loci of Structural Racism in the Healthcare Setting to Guide Equity-Focused Improvements.Journal of racial and ethnic health disparities · 2026Article
- Trends in access disparities and equitable outcomes in intravascular lithotripsy: a 2021-2023 nationwide analysis.Proceedings (Baylor University. Medical Center) · 2026Article
- Transforming Advanced Heart Failure Programs: Addressing Institutional and Systemic Drivers of Racial and Ethnic Disparities in Care.Circulation. Heart failure · 2026Review
- Accuracy and Bias of Pulse Oximetry in the Intensive Care Unit: A Prospective Observational Study.Nursing in critical care · 2026Observational
- Bridging the divide in digital therapeutics (DTx): Partnership strategies for broader representation across DTx development and deployment.PLOS digital health · 2026Article
- No short cuts: building trust in community-based research with ethnocultural groups.International journal for equity in health · 2026Article
- Associations between readmission disparities and hospital equity efforts: an analysis of U.S. hospitals.BMC health services research · 2025Article
- Patterns in Duration of Emergency Department Boarding and Variation by Sociodemographic Factors.The western journal of emergency medicine · 2025Article
- Comparison of inpatient subspecialty care delivery models: Clinical outcomes and racial disparities in dedicated versus consultative pulmonary care.Journal of hospital medicine · 2025Article
- Is pharmacogenetics being racialized? An investigation into the reinscription of racial beliefs in modern biomedicine.Theoretical medicine and bioethics · 2025Article
- Society for Maternal-Fetal Medicine Consult Series #73: Diagnosis and management of right and left heart failure during pregnancy and postpartum.Pregnancy (Hoboken, N.J.) · 2025Article
- Review
- Comprehensive reporting guidelines and checklist for studies developing and utilizing artificial intelligence models.Korean journal of anesthesiology · 2025Article
- Guideline-directed medical therapy rates in heart failure patients with reduced ejection fraction in a diverse cohort.ESC heart failure · 2025Article
- A review on generative AI models for synthetic medical text, time series, and longitudinal data.NPJ digital medicine · 2025Article
- The application of neighborhood area deprivation index to improve health equity across the spectrum of heart failure: a review.Heart failure reviews · 2025Review
- Factors Associated with Completeness of Sex and Gender Fields in Electronic Health Records.LGBT health · 2025Observational
- Racial Bias in Clinical and Population Health Algorithms: A Critical Review of Current Debates.Annual review of public health · 2025Review
18 more citing papers are in PubMed but not listed here.
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Authors and funding
227 authors.
Funding
Abstract
backgroundRacial inequities for patients with heart failure (HF) have been widely documented. HF patients who receive cardiology care during a hospital admission have better outcomes. It is unknown whether there are differences in admission to a cardiology or general medicine service by race. This study examined the relationship between race and admission service, and its effect on 30-day readmission and mortality Methods: We performed a retrospective cohort study from September 2008 to November 2017 at a single large urban academic referral center of all patients self-referred to the emergency department and admitted to either the cardiology or general medicine service with a principal diagnosis of HF, who self-identified as white, black, or Latinx. We used multivariable generalized estimating equation models to assess the relationship between race and admission to the cardiology service. We used Cox regression to assess the association between race, admission service, and 30-day readmission and mortality.
resultsAmong 1967 unique patients (66.7% white, 23.6% black, and 9.7% Latinx), black and Latinx patients had lower rates of admission to the cardiology service than white patients (adjusted rate ratio, 0.91; 95% CI, 0.84-0.98, for black; adjusted rate ratio, 0.83; 95% CI, 0.72-0.97 for Latinx). Female sex and age >75 years were also independently associated with lower rates of admission to the cardiology service. Admission to the cardiology service was independently associated with decreased readmission within 30 days, independent of race.
conclusionsBlack and Latinx patients were less likely to be admitted to cardiology for HF care. This inequity may, in part, drive racial inequities in HF outcomes.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.