Disparities in race/ethnicity and gender in in-hospital mortality rates for coronary artery bypass surgery patients

J Natl Med Assoc. 2006 Nov;98(11):1729-39.

Abstract

Background: While dramatic progress has been made lowering in-hospital mortality for coronary artery bypass graft surgery (CABG), few comprehensive studies have been done that include Caucasian, African-American, Hispanic and Asian-American/Pacific-Islander CABG inpatients and simultaneously evaluate the influence of gender. This study, analyzing five years of national data for 1.2 million CABG admissions, examines trends in in-hospital CABG mortality rates for gender and four racial/ethnic categories for CABG patients.

Methods: Using data from the Health Care Utilization Project (HCUP) for 1998-2002, 1.2 million CABG admissions were analyzed using descriptive and logistic regression analyses to evaluate the extent of the disparities in in-hospital CABG mortality rates. HCUP is a sample of nearly 1,000 hospitals from 35 states designed by the Agency for Healthcare Research and Quality (AHRQ) to approximate a 20% stratified sample of the nation's community hospitals: approximately 94% of all hospital discharges in the United States.

Results: Although significant progress has been made in recent years in lowering in-hospital CABG mortality, after controlling for relevant patient and socioeconomic factors, female CABG patients, regardless of their racial/ethnic group, still experience significantly higher in-hospital mortality rates than their male counterparts. Additionally, among these racial and ethnic groups, black CABG patients, whether male or female, continue to experience significantly worse in-hospital mortality rates than other races/ethnicities.

Conclusions: The declines in CABG in-hospital mortality rates have not been equal across race/ethnicity and gender.

MeSH terms

  • Adult
  • African Americans / statistics & numerical data
  • Aged
  • Aged, 80 and over
  • Asian Americans / statistics & numerical data
  • Comorbidity
  • Coronary Artery Bypass / mortality*
  • Coronary Artery Bypass / statistics & numerical data
  • Coronary Disease / epidemiology*
  • Coronary Disease / ethnology
  • Coronary Disease / mortality
  • Coronary Disease / surgery
  • Ethnic Groups / statistics & numerical data*
  • European Continental Ancestry Group / statistics & numerical data
  • Female
  • Hispanic Americans / statistics & numerical data
  • Hospital Mortality*
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Sex Factors
  • United States / epidemiology