National Healthcare Disparities Report 2004: Table 2.4A

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National Healthcare Disparities Report, 2004

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Racial and Ethnic Differences

Table 2.4a. Racial and Ethnic Differences in Effectiveness of Care: Heart Disease

Measure	Racial Differenceⁱ					Ethnic Differenceⁱⁱ
Measure	Black	Asian	NHOPI	AI/ AN	>1 Race	Hispanic
Counseling on Risk Factorsⁱⁱⁱ
Current smokers age 18 and over receiving advice to quit smoking	=					=
Treatment of Acute Myocardial Infarction?
AMI patients administered aspirin within 24 hours of admission	↓^iv	↑^iv		=		↓
AMI patients with aspirin prescribed at discharge	↓^iv	=^iv		=		↓
AMI patients administered beta-blocker within 24 hours of admission	=^iv	=^iv		=		↓
AMI patients with beta blocker prescribed at discharge	=^iv	=^iv		=		↓
AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge	=^iv	=^iv		=		=
AMI patients given smoking cessation counseling while hospitalized	↓^iv	=^iv		=		=
Treatment of Acute Heart Failure ^iv
Heart failure patients with evaluation of left ventricular ejection fraction	↑^iv	↑^iv		↓		↓
Heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge	=^iv	=^iv		=		=
Management of Congestive Heart Failure^v
Hospital admissions for congestive heart failure per 100,000 population	↓
Inpatient Mortality for Cardiovascular Conditions and Procedures^v
Deaths per 1,000 adult admissions with acute myocardial infarction	=^vi	=^vi				=
Deaths per 1,000 adult admissions with congestive heart failure	↑^vi	=^vi				↑
Deaths per 1,000 admissions with coronary artery bypass surgery, age 40+	=^vi	=^vi				=
Deaths per 1,000 admissions with Percutaneous transluminal coronary angioplasty, age 40+	↓^vi	=^vi				↓
Deaths per 1,000 admissions with abdominal aortic aneurysm repair	=^vi					=
Deaths per 1,000 pediatric heart surgery admissions, age <18	=^vi	=^vi				=

ⁱCompared with whites.
ⁱⁱCompared with non-Hispanic whites.
ⁱⁱⁱSource: Medical Expenditure Panel Survey, 2001. This source did not collect information on Asians and NHOPIs separately but in aggregate as Asian or Pacific Islander. This source did not collect information for >1 race.
^ivSource: CMS Quality Improvement Organization program, 2001-2002. This source categorizes race/ethnicity very differently from other sources. Race/ethnicity information is categorized as a single item: non-Hispanic white, non-Hispanic black, Hispanic, Asian or Pacific Islander, American Indian or Alaska Native. These contrasts compare each group with non-Hispanic whites.
^vSource: National Hospital Discharge Survey, 2001. This source did not collect information for >1 race. Missing rates preclude analysis by ethnicity.
^viSource: HCUP State Inpatient Databases disparities analysis file, 2001. This source categorizes race/ethnicity very differently from other sources.

Race/ethnicity information is categorized as a single item: non-Hispanic white, non-Hispanic black, Hispanic, Asian or Pacific Islander. These contrasts compare each group with non-Hispanic whites.

Key: NHOPI=Native Hawaiian or Other Pacific Islander; AI/AN=American Indian or Alaska Native; AMI=acute myocardial infarction.

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