Association of hospital racial composition and payer mix with mortality in acute coronary syndrome
Journal of the American Heart Association Oct 29, 2019
Srivastava PK, et al. - Researchers used the National Inpatient Sample to assess all-cause inpatient mortality for patients hospitalized with acute coronary syndrome (ACS) in relation to hospital racial composition and payer mix. A total of 550,005 adult hospitalizations for a primary diagnosis of ACS, from 2014, were identified. The categorization of National Inpatient Sample hospitals was done into quartiles depending on the percent of minority (black, Hispanic, Asian or Pacific Islander, Native American race/ethnicity) and low-income payer (Medicaid or uninsured) discharges in 2014. Findings revealed a positive association of hospital minority and low-income payer makeup with odds of all-cause inpatient death among patients admitted for ACS. A 14%, 13%, and 15% increased odds of all-cause inpatient mortality were observed in ACS patients admitted to hospitals with > 12.4% to 25.4%, > 25.4% to 44.3%, and > 44.3% minority discharges vs hospitals with ≤ 12.4% minority discharges, in adjusted models.
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