Racial Disparities in NSTEMI Management and Outcomes in the Southern United States - A population-based Retrospective Analysis

Authors' Affiliations

Mohannad Al Akeel MD, 2Sai K Kommineni MD, 2Dilpat Kumar MD, 1Joel Danisi MD, Jeetendra B Patel MD FACC Department of Internal Medicine, East Tennessee State University, Johnson City, TN Department of Cardiovascular Disease, East Tennessee State University, Johnson City, TN

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.

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Apr 5th, 2:30 PM Apr 5th, 3:30 PM

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.