Racial and Ethnic Differences in Hospitalizations for Heart Failure
Author Information
Author(s): Dhingra Radha, Xu Hanzhang, Hammill Bradley, Lynch Scott, West Jessica, Green Michael, Dupre Matthew
Primary Institution: Duke University
Hypothesis
What are the racial/ethnic differences in long-term hospitalization patterns following a heart failure diagnosis?
Conclusion
Non-Hispanic Black patients are at higher risk for early, late, and consistently high hospitalizations after being diagnosed with heart failure compared to non-Hispanic White patients.
Supporting Evidence
- Approximately 45.6% of HF patients had low risks of hospitalization.
- 36.6% had elevated risks of admission shortly after diagnosis.
- 9.9% had elevated risks at later stages of illness.
- 7.9% had consistently high risks of hospitalization.
- Non-Hispanic Black patients were more likely to exhibit early, late, and consistently high risks of hospitalization compared to non-Hispanic White patients.
- Diabetes, chronic kidney disease, and residence in a disadvantaged neighborhood contributed to excess risks among non-Hispanic Black patients.
Takeaway
This study found that Black patients with heart failure go to the hospital more often than White patients, and some health problems make this worse.
Methodology
Group-based trajectory models and multinomial logistic regression were used to analyze hospitalization patterns.
Participant Demographics
Patients included were newly diagnosed with heart failure, with a focus on racial/ethnic differences.
Statistical Information
P-Value
<.001
Confidence Interval
[1.16-1.52], [1.58-2.34], [1.52-2.35]
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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