Blacks Had Lower Inpatient Mortality Rates Than Whites When Hospitalized for Common Medical Conditions, AHRQ Study Finds
Black hospital patients had lower mortality rates than white hospital patients for six common medical conditions, according to a new AHRQ study. Researchers compared data from 2009 on outcomes for heart attack, congestive heart failure, gastrointestinal hemorrhage, hip fracture, pneumonia and stroke. The biggest difference shown, after adjustment for risk factors, was that the black mortality rate for congestive heart failure was about 38 percent less than the white mortality rate (16.6 versus 26.6 deaths per 1,000 hospital stays) and the smallest difference in black and white mortality rates was shown for pneumonia at 5 percent (29.6 versus 31.1 deaths per 1,000 stays). Blacks experienced higher mortality rates, however, for two common surgical procedures, coronary artery bypass graft (13 percent higher) and craniotomy (10 percent higher). Mortality rates were 20 percent lower among blacks for abdominal aortic aneurysm repair, but were similar to whites for percutaneous transluminal coronary angioplasty. The study authors, Roxanne M. Andrews, Ph.D., and Ernest Moy, M.D., used AHRQ’s Inpatient Quality Indicators software to measure risk-adjusted hospital mortality rates. The study, “Racial Differences in Hospital Mortality for Medical and Surgical Admissions: Variations by Patient and Hospital Characteristics,” and abstract were published in the winter 2015 issue of the journal Ethnicity & Disease.
Ethn Dis. 2015 Winter;25(1):90-7.
Racial differences in hospital mortality for medical and surgical admissions: variations by patient and hospitalcharacteristics.
DESIGN, SETTING, PARTICIPANTS:
MAIN OUTCOME MEASURES:
- [PubMed - indexed for MEDLINE]