Racial differences in mortality among elderly patients admitted for heart failure

Said A. Ibrahim, C. Francis Cook, Chian K Kwoh, Gary E. Rosenthal, Richard J. Snow, Dwain L. Harper, David W. Baker

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Several studies have examined predictors of mortality among elderly patients hospitalized with heart failure. In some, elderly African American patients hospitalized for heart failure were reported to have lower risk-adjusted in-hospital mortality compared with Whites. Whether this difference is sustained in the long term and what factors account for this difference remain poorly understood. The objective of this study was to compare risk-adjusted short-term and long-term mortality of a cohort of elderly African American and White patients hospitalized for heart failure to all 30 hospitals in northeast Ohio. The database used for this analysis includes information on demographics and detailed clinical information abstracted from patients' hospital records. Crude and adjusted 30-day and 18-month survival were compared using Kaplan-Meier method and logistic regression models for multivariate analysis. African American patients had significantly lower 30-day mortality compared with Whites. However, this difference diminished over time and when adjusted for important explanatory covariates, including "do not resuscitate" orders.

Original languageEnglish (US)
Pages (from-to)457-472
Number of pages16
JournalResearch on Aging
Volume23
Issue number4
StatePublished - 2001
Externally publishedYes

Fingerprint

mortality
Heart Failure
Mortality
African Americans
Logistic Models
Resuscitation Orders
multivariate analysis
Hospital Records
Hospital Mortality
logistics
regression
Multivariate Analysis
Demography
Databases
Survival
American

ASJC Scopus subject areas

  • Aging
  • Public Health, Environmental and Occupational Health

Cite this

Ibrahim, S. A., Cook, C. F., Kwoh, C. K., Rosenthal, G. E., Snow, R. J., Harper, D. L., & Baker, D. W. (2001). Racial differences in mortality among elderly patients admitted for heart failure. Research on Aging, 23(4), 457-472.

Racial differences in mortality among elderly patients admitted for heart failure. / Ibrahim, Said A.; Cook, C. Francis; Kwoh, Chian K; Rosenthal, Gary E.; Snow, Richard J.; Harper, Dwain L.; Baker, David W.

In: Research on Aging, Vol. 23, No. 4, 2001, p. 457-472.

Research output: Contribution to journalArticle

Ibrahim, SA, Cook, CF, Kwoh, CK, Rosenthal, GE, Snow, RJ, Harper, DL & Baker, DW 2001, 'Racial differences in mortality among elderly patients admitted for heart failure', Research on Aging, vol. 23, no. 4, pp. 457-472.
Ibrahim SA, Cook CF, Kwoh CK, Rosenthal GE, Snow RJ, Harper DL et al. Racial differences in mortality among elderly patients admitted for heart failure. Research on Aging. 2001;23(4):457-472.
Ibrahim, Said A. ; Cook, C. Francis ; Kwoh, Chian K ; Rosenthal, Gary E. ; Snow, Richard J. ; Harper, Dwain L. ; Baker, David W. / Racial differences in mortality among elderly patients admitted for heart failure. In: Research on Aging. 2001 ; Vol. 23, No. 4. pp. 457-472.
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