Racial differences in long-term outcomes among black and white patients with drug eluting stents
American Heart Journal Apr 19, 2019
Sullivan LT, et al. - Among 4,474 consecutive patients who had a drug-eluting stent (DES) implanted at Duke University Medical Center between 2005 and 2013, researchers assessed the long-term outcomes of black vs white patients post- percutaneous coronary intervention (PCI). They followed up 915 black and 3,559 white patients over a period of 6 years to measure rates of myocardial infarction (MI), all-cause mortality, revascularization, and major bleeding. To adjust for potentially confounding variables, a multivariable Cox regression model was used. Black patients had higher unadjusted rates of MI and major bleeding vs white patients, but these differences could be explained by racial disparities in comorbid disease. Compared to white patients, black patients were younger, more often female, had higher BMIs, more diabetes mellitus, hypertension, and renal disease, and lower median household incomes.
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