Relation of age and race with hospital death after acute myocardial infarction

Prior studies have suggested that young blacks with acute myocardial infarction (AMI) may have higher hospital mortality rates than whites of similar age. However, the influence of age and race on short-term death has not been explored in detail. We examined the relation of age and race on short-ter...

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Bibliographic Details
Published in:The American heart journal 2004-07, Vol.148 (1), p.92-98
Main Authors: Manhapra, Ajay, Canto, John G, Vaccarino, Viola, Parsons, Lori, Kiefe, Catarina I, Barron, Hal V, Rogers, William J, Weaver, W.Douglas, Borzak, Steven
Format: Article
Language:English
Subjects:
African Continental Ancestry Group - statistics & numerical data
Age Factors
Aged
Aged, 80 and over
Biological and medical sciences
Cardiology. Vascular system
Cardiovascular disease
Coronary heart disease
European Continental Ancestry Group - statistics & numerical data
Fatalities
Female
Heart
Heart attacks
Hospital Mortality
Hospitals
Humans
Male
Medical sciences
Middle Aged
Mortality
Multivariate Analysis
Myocardial Infarction - ethnology
Myocardial Infarction - mortality
Myocardial Infarction - therapy
Odds Ratio
Registries
Risk Factors
United States - epidemiology
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Summary:Prior studies have suggested that young blacks with acute myocardial infarction (AMI) may have higher hospital mortality rates than whites of similar age. However, the influence of age and race on short-term death has not been explored in detail. We examined the relation of age and race on short-term death in a large AMI population and ascertained the factors that may have contributed to differences in mortality rates. We compared the crude and adjusted hospital mortality rates stratified by age among 40,903 blacks and 501,995 whites with AMI enrolled in the National Registry of Myocardial Infarction-2 in 1482 participating US hospitals from June 1994 through March 1998. Overall crude mortality was lower among blacks compared with whites (10.9% vs 12.0%, P < .0001). However, blacks had a significantly higher crude mortality rate compared with the whites in the age groups
ISSN:0002-8703
1097-6744
1097-6744
DOI:10.1016/j.ahj.2004.02.010