TY - JOUR
T1 - African American race is associated with poorer outcomes in heart failure patients
AU - Wierenga, Kelly L.
AU - Dekker, Rebecca L.
AU - Lennie, Terry A.
AU - Chung, Misook L.
AU - Dracup, Kathleen
N1 - Publisher Copyright:
© The Author(s) 2016.
PY - 2017/4
Y1 - 2017/4
N2 - Health care disparities associated with African American race may influence event-free survival in patients with heart failure (HF). A secondary data analysis included 863 outpatients enrolled in a multicenter HF registry. Cox regression was used to determine whether African American race was associated with shorter HF event-free survival after controlling for covariates. The multivariable-adjusted hazard ratios (95% confidence intervals [CI]) of older age (1.03, 95% CI = [1.01, 1.04]), New York Heart Association (NYHA) functional class (1.73, 95% CI = [1.29, 2.31]), depressive symptoms (1.05, 95% CI = [1.02, 1.07]), and African American race (1.64, 95% CI = [1.01, 2.68]) were predictors of shorter event-free survival (all ps <.05). Comparisons showed that NYHA functional class was predictive of shorter event-free survival in Caucasians (1.81, 95% CI = [1.33, 2.46]) but not in African Americans (1.24, 95% CI = [.40, 3.81]). African Americans with HF experienced a disparate risk of shorter eventfree survival not explained by a variety of risk factors.
AB - Health care disparities associated with African American race may influence event-free survival in patients with heart failure (HF). A secondary data analysis included 863 outpatients enrolled in a multicenter HF registry. Cox regression was used to determine whether African American race was associated with shorter HF event-free survival after controlling for covariates. The multivariable-adjusted hazard ratios (95% confidence intervals [CI]) of older age (1.03, 95% CI = [1.01, 1.04]), New York Heart Association (NYHA) functional class (1.73, 95% CI = [1.29, 2.31]), depressive symptoms (1.05, 95% CI = [1.02, 1.07]), and African American race (1.64, 95% CI = [1.01, 2.68]) were predictors of shorter event-free survival (all ps <.05). Comparisons showed that NYHA functional class was predictive of shorter event-free survival in Caucasians (1.81, 95% CI = [1.33, 2.46]) but not in African Americans (1.24, 95% CI = [.40, 3.81]). African Americans with HF experienced a disparate risk of shorter eventfree survival not explained by a variety of risk factors.
KW - Health disparities
KW - Heart failure
KW - Race
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U2 - 10.1177/0193945916661277
DO - 10.1177/0193945916661277
M3 - Article
C2 - 27470676
AN - SCOPUS:85018272828
SN - 0193-9459
VL - 39
SP - 524
EP - 538
JO - Western Journal of Nursing Research
JF - Western Journal of Nursing Research
IS - 4
ER -