1. An Observation of Racial and Gender Disparities in Congestive Heart Failure Admissions Using the National Inpatient Sample
- Author
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Andre Gabriel, Byomesh Tripathi, Chad Conner, Varun Tandon, Kai Chen, Bryan Stringer, and Kathir Balakumaran
- Subjects
Discharge diagnosis ,Multivariate analysis ,business.industry ,Mortality rate ,General Engineering ,Cardiology ,030204 cardiovascular system & hematology ,medicine.disease ,healthcare disparities ,03 medical and health sciences ,Medical expenditure ,0302 clinical medicine ,congestive heart failure ,Heart failure ,Cohort ,medicine ,business ,030217 neurology & neurosurgery ,Demography - Abstract
Background Congestive heart failure (CHF) is a frequent cause of inpatient admissions in the United States. The purpose of this study was to analyze the racial and gender disparities that occur in CHF admissions and determine the impact of these disparities on medical expenditure. Methods We analyzed the National Inpatient Sample (NIS) database from 2009 to 2014 for patients with a primary discharge diagnosis of CHF, and further stratified the cohort on the basis of race and sex. Multivariate analysis was performed to identify the association between CHF and total charges along with other variables such as mortality, length of stay (LOS), and number of procedures. Results There were a total of 5,491,050 admissions with a primary diagnosis of CHF from 977,850 in 2009 to 901,425 in 2014. Females accounted for 49.7%. Total charges for CHF admission were highest in Asians at an average cost of $59,668. African Americans had the lowest mortality rate at 1.75%, however, they also had an average age of admission of 63.47 years, compared to Caucasian at 76.76 (p
- Published
- 2020