Racial Disparities in NSTEMI Management and Outcomes in the Southern United States - A population-based Retrospective Analysis
Location
D.P. Culp Center Room 304
Start Date
4-5-2024 2:30 PM
End Date
4-5-2024 3:30 PM
Name of Project's Faculty Sponsor
Jeetendra Patel
Faculty Sponsor's Department
Internal Medicine
Competition Type
Competitive
Type
Oral Presentation
Presentation Category
Health
Abstract or Artist's Statement
Objective: This study aimed to assess the racial disparities in outcomes and management of Non-ST-Elevation Myocardial Infarction in the Southern United States. Methods: We conducted a retrospective analysis using data from the Nationwide Inpatient Sample Database, covering 2016 to 2020, to identify a cohort of NSTEMI patients. Excluding those under 18 and with incomplete data, we examined disparities in NSTEMI management—specifically cardiac catheterization rates—and associated outcomes across racial groups through multivariate logistic regression, adjusting for confounders including age, gender, income, insurance type, and comorbidities. Results: Among 1,353,225 NSTEMI admissions, cardiac catheterizations were performed in 663,615 cases. Notably, compared to Whites, Blacks (aOR=0.78), Hispanics (aOR=0.847), Asians (aOR=0.891), and Other races (aOR=0.925) had significantly lower odds of receiving cardiac catheterization, with p-values <0.05. In contrast to the catheterization findings, mortality outcomes presented differently. Asian and Other racial groups respectively showed higher odds of death (aOR=1.285 and aOR=1.148) with statistically significant p-values, while disparities in other racial groups were not significant. Conclusion: This study underscored significant racial disparities in the management and outcomes of NSTEMI patients in the Southern States. The findings highlight a critical need for targeted interventions to address these inequities in cardiovascular care.
Racial Disparities in NSTEMI Management and Outcomes in the Southern United States - A population-based Retrospective Analysis
D.P. Culp Center Room 304
Objective: This study aimed to assess the racial disparities in outcomes and management of Non-ST-Elevation Myocardial Infarction in the Southern United States. Methods: We conducted a retrospective analysis using data from the Nationwide Inpatient Sample Database, covering 2016 to 2020, to identify a cohort of NSTEMI patients. Excluding those under 18 and with incomplete data, we examined disparities in NSTEMI management—specifically cardiac catheterization rates—and associated outcomes across racial groups through multivariate logistic regression, adjusting for confounders including age, gender, income, insurance type, and comorbidities. Results: Among 1,353,225 NSTEMI admissions, cardiac catheterizations were performed in 663,615 cases. Notably, compared to Whites, Blacks (aOR=0.78), Hispanics (aOR=0.847), Asians (aOR=0.891), and Other races (aOR=0.925) had significantly lower odds of receiving cardiac catheterization, with p-values <0.05. In contrast to the catheterization findings, mortality outcomes presented differently. Asian and Other racial groups respectively showed higher odds of death (aOR=1.285 and aOR=1.148) with statistically significant p-values, while disparities in other racial groups were not significant. Conclusion: This study underscored significant racial disparities in the management and outcomes of NSTEMI patients in the Southern States. The findings highlight a critical need for targeted interventions to address these inequities in cardiovascular care.