Racial disparities in hospitalized elderly patients with chronic heart failure.
The purpose of this study was to examine the impact of race on length of hospital stay (LOS) and number of procedures on elderly persons hospitalized with chronic heart failure (CHF). Secondary data analysis was used to obtain data on 99,543 hospitalized Medicare patients with CHF age 65 years or older. MANOVA was utilized to examine the effects of race, age, and total hospital charges on LOS, number of procedures, and diagnosis. Asian American Pacific Islanders had significantly higher number of procedures and LOS compared to Whites. The combined dependent variables were significantly affected by race, F(9, 99,543) = 121.95, p =.000; the covariates of age, F(3, 99,543) = 720.65, p =.000; and total charges F(3, 99,543) = 38,962.95, p =.000. LOS accounted for 50% of the variance. Studies that examine cultural variables and their effect on LOS and number of procedures are needed.
Wheeler
Erlinda C
EC
Department of Nursing, University of Delaware, Newark, USA.
Klemm
Paula
P
Hardie
Thomas
T
Plowfield
Lisa
L
Birney
Margaret
M
Polek
Carolee
C
Lynch
Kevin G
KG
D001741:Black or African American / Q000208:ethnology / Q000706:statistics & numerical data; D000367:Age Factors; D000368:Aged / Q000706:statistics & numerical data*; D000369:Aged, 80 and over; D001213:Asian / Q000208:ethnology / Q000706:statistics & numerical data; D002908:Chronic Disease; D003431:Cross-Cultural Comparison; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006333:Heart Failure / Q000208:ethnology / Q000628:therapy; D006630:Hispanic or Latino / Q000208:ethnology / Q000706:statistics & numerical data; D017722:Hospital Charges / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data*; D006278:Medicare / Q000706:statistics & numerical data; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000706:statistics & numerical data; D018579:Patient Selection; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D044469:Racial Groups / Q000208:ethnology / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D044465:White People / Q000208:ethnology / Q000706:statistics & numerical data