Coronary arteriography and coronary bypass survey among whites and other racial groups relative to hospital-based incidence rates for coronary artery disease: findings from NHDS.
- 1 April 1989
- journal article
- research article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 79 (4), 437-440
- https://doi.org/10.2105/ajph.79.4.437
Abstract
To assess racial differences in health care utilization for coronary artery disease (CAD) the data of the National Hospital Discharge Survey (NHDS) from 1979-84 were examined. Discharge rates for acute myocardial infarction (AMI) were utilized as a measure of hospital-based incidence and relative need for the designated cardiac procedures. Although 35-74 year old Black men had discharge rates of AMI that were 77 per cent of those observed for White men, they underwent coronary arteriography half as often and were only a third as likely to have coronary artery bypass graft (CABG) surgery. Black women in this age range were hospitalized at a slightly higher rate than White women for AMI, yet experienced a 19 per cent lower rate of coronary arteriography and a 52 per cent lower rate of CABG surgery. These data suggest a racial bias in the pattern of care delivered for CAD in US hospitals at the present time.Keywords
This publication has 11 references indexed in Scilit:
- Coronary artery disease in blacks of lower socioeconomic status: Angiographic findings from the Cook County Hospital Heart Disease RegistryAmerican Heart Journal, 1988
- In-hospital mortality rates from acute myocardial infarction by race in U.S. hospitals: findings from the National Hospital Discharge Survey.Circulation, 1987
- Acute myocardial infarction in the United States, 1970–1983American Heart Journal, 1987
- Effects of gender and race on prognosis after myocardial infarction: Adverse prognosis for women, particularly black womenJournal of the American College of Cardiology, 1987
- Blacks in the coronary artery surgery study (CASS): race and clinical decision making.American Journal of Public Health, 1986
- Blacks in the Coronary Artery Surgery Study: risk factors and coronary artery disease.Circulation, 1986
- Coronary heart disease mortality/morbidity and risk in blacks. I: Clinical manifestations and diagnostic criteria: The experience with the Beta Blocker Heart Attack TrialAmerican Heart Journal, 1984
- Issues in the natural history and treatment of coronary heart disease in black populations: Surgical treatmentAmerican Heart Journal, 1984
- PrefaceAmerican Heart Journal, 1984
- Coronary heart disease in black populations I. Mortality and morbidityAmerican Heart Journal, 1982