Abstract 10467: Rising Burden of Cardiovascular Disease Risk and Major Adverse Cardiac Events in Young African American Patients: A National Analysis of Two Cohorts 10-Years Apart (2017 vs. 2007)
| Autor: | Rupak Desai, Terry R Went, Hiren Koshiya, Dwayne Wiltshire, Vibhor Garg, Theresa Allagoa, Arashpreet Chhina, Mir Zeeshan Ali Khan, Ankit Vyas |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Circulation. 144 |
| ISSN: | 1524-4539 0009-7322 |
| Popis: | Background: Previous reports have suggested disparities in healthcare access in the US. We aim to compare the burden of CVD risk factors and major adverse cardiac events (MACE) and in-hospital outcomes among young hospitalized African Americans (18-44 years) selecting two nationally representative samples a decade apart. Methods: Hospitalizations among young (18-44 years) African Americans were identified using The National Inpatient Sample databases in 2007 and 2017. Then, we compared the sociodemographic, comorbidities, and inpatient outcomes including MACE (all-cause mortality, AMI, cardiogenic shock, cardiac arrest, ventricular fibrillation/flutter, pulmonary embolism, coronary intervention) between 2017 vs. 2007 cohort. Multivariable analyses were performed controlling potential covariates. Results: A total of 2,922,743 (mean age 31 years, 70.3% female) admissions among young African Americans were studied (1,341,068 in 2007 & 1,581,675 in 2017). The 2017 cohort often had younger (mean 30 vs. 31 years), male (30.4% vs. 28.8%) patients with higher non-elective admissions (76.8% vs. 75%) (p Conclusion: Young African American patients have had an increasing burden of CVD risk factors and worsened in-hospital outcomes including MACE and stroke in the last decade, though with improved survival odds. |
| Databáze: | OpenAIRE |
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