Racial differences in the utilization of oral anticoagulant therapy in heart failure: A study of elderly hospitalized patients

被引:16
作者
Ibrahim, SA [1 ]
Kwoh, CK [1 ]
Harper, DL [1 ]
Baker, DW [1 ]
机构
[1] Univ Hosp Cleveland, Louis Stokes Dept VA Med Ctr, Dept Med, Div Gen Internal Med, Cleveland, OH 44106 USA
关键词
heart failure; anticoagulation; race;
D O I
10.1046/j.1525-1497.2000.05199.x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
To assess racial differences in the use of oral anticoagulant therapy for patients with heart failure, we conducted a cohort study of 30 hospitals in northeast Ohio. For 12,911 Medicare enrollees consecutively admitted in 1992 through 1994 with heart failure, crude and adjusted odds of being on oral anticoagulation were determined. The crude and adjusted odds of being African Americans on oral anticoagulant therapy relative to whites were 0.57 (95% confidence interval 0.47-0.69) and 0.55 (95% confidence interval 0.45-0.67), respectively. African-Americans with heart failure were much less likely than whites to receive oral anticoagulant therapy, even after adjusting for other variables associated with anticoagulant use.
引用
收藏
页码:134 / 137
页数:4
相关论文
共 17 条
[1]   Warfarin anticoagulation and survival: A cohort analysis from the studies of left ventricular dysfunction [J].
Al-Khadra, AS ;
Salem, DN ;
Rand, WM ;
Udelson, JE ;
Smith, JJ ;
Konstam, MA .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1998, 31 (04) :749-753
[2]  
ANDERSON G M, 1948, South Med J, V41, P365, DOI 10.1097/00007611-194804000-00018
[3]   Failure to prescribe warfarin to patients with nonrheumatic atrial fibrillation [J].
Antani, MR ;
Beyth, RJ ;
Covinsky, KE ;
Anderson, PA ;
Miller, DG ;
Cebul, RD ;
Quinn, LM ;
Landefeld, CS .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1996, 11 (12) :713-720
[4]   PHYSICIAN VARIATION IN ANTICOAGULATING PATIENTS WITH ATRIAL-FIBRILLATION [J].
CHANG, HJ ;
BELL, JR ;
DEROO, DB ;
KIRK, JW ;
WASSON, JH .
ARCHIVES OF INTERNAL MEDICINE, 1990, 150 (01) :83-86
[5]  
Cooper R S, 1993, Ann Epidemiol, V3, P137
[6]  
*DEPT HHS, 1986, REP SECR TASK FORC B
[7]   Racial differences in the outcome of left ventricular dysfunction [J].
Dries, DL ;
Exner, DV ;
Gersh, BJ ;
Cooper, HA ;
Carson, PE ;
Domanski, MJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 340 (08) :609-616
[8]   Ejection fraction and risk of thromboembolic events in patients with systolic dysfunction and sinus rhythm: Evidence for gender differences in the studies of left ventricular dysfunction trials [J].
Dries, DL ;
Rosenberg, YD ;
Waclawiw, MA ;
Domanski, MJ .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 29 (05) :1074-1080
[9]  
DUNKMAN WB, 1993, CIRCULATION, V87, P94
[10]   THE NATURAL-HISTORY OF IDIOPATHIC DILATED CARDIOMYOPATHY [J].
FUSTER, V ;
GERSH, BJ ;
GIULIANI, ER ;
TAJIK, AJ ;
BRANDENBURG, RO ;
FRYE, RL .
AMERICAN JOURNAL OF CARDIOLOGY, 1981, 47 (03) :525-531