Minority Health Archive

Racial Differences in 30-Day Mortality for Pulmonary Embolism

Ibrahim, Said A. and Stone, Roslyn A. and Obrosky, D. Scott and Sartorius, Jennifer and Fine, Michael J. and Aujesky, Drahomir (2006) Racial Differences in 30-Day Mortality for Pulmonary Embolism. American Journal of Public Health, 96 (12). pp. 2161-2164. ISSN 0090-0036

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Objectives. Previous studies reported a higher incidence of in-hospital mortality for Black patients who had pulmonary embolism than for White patients. We used a large statewide database to compare 30-day mortality (defined as death within 30 days from the date of latest hospital admission) for Black and White patients who were hospitalized because of pulmonary embolism. Methods. The study cohort consisted of 15531 discharged patients who had been treated for pulmonary embolism at 186 Pennsylvania hospitals between January 2000 and November 2002. We used random-effects logistic regression to model 30-day mortality for Black and White patients, and adjusted for patient demographic and clinical characteristics. Results. The unadjusted 30-day mortality rates were 9.0% for White patients, 10.3% for Blacks, and 10.9% for patients of other or unknown race. When adjustedfor severity of disease using a validated clinical prognostic model for pulmonary embolism, Black patients had 30% higher odds of 30-day mortality compared with White patients at the same site (adjusted odds ratio = 1.3; 95% confidence interval, 1.1,1.6). Neither insurance status nor hospital volume was a significant predictor of 30-day mortality. Conclusion. Black patients who had pulmonary embolism had significantly higher odds of 30-day mortality compared with White patients.

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Item Type: Article
Uncontrolled Keywords: in-hospital mortality; Black patients; pulmonary embolism; 30-day mortality
Subjects: Health > Disparities
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Depositing User: Users 141 not found.
Date Deposited: 29 Sep 2008
Last Modified: 30 Jun 2011 09:48
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/1004

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