title: The effect of race on long term mortality in mechanically ventilated patients.
abstract: OBJECTIVE
  Determine the impact of race on one-year mortality following mechanical ventilation.
  
  
  BACKGROUND
  There is a lack of prospective studies on the effect of race on survival following mechanical ventilation.
  
  
  METHODS
  Observational study of adult patients on ventilatory support for <24 h prior to enrollment. Socioeconomic factors, laboratory and clinical data were recorded. Primary outcome was one-year mortality.
  
  
  RESULTS
  We enrolled 178 patients; 100 African American (AA), 78 other races (OTH). One-year mortality for AA was 49% and 33% for OTH (p = 0.035). After correcting for covariates, race was not significantly associated with mortality (p = 0.42). AA patients had higher mean arterial blood pressure, serum creatinine, heart rate, and peak (p < 0.01) and mean (p = 0.05) airway pressures.
  
  
  CONCLUSIONS
  AA patients who underwent mechanical ventilation had greater one-year mortality, although race per se was not a significant factor. It remains to be determined if strict blood pressure control and lower airway pressures may improve survival in this racial group.
authors.affiliation: Pulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, USA; Gülhane Military Medical Faculty, Ankara, Turkey; TUBITAK Research Scholar, Ankara, Turkey. Electronic address: drhaticekaya@yahoo.com.
authors.forename: Hatice
authors.initials: H
authors.lastname: Kaya
authors.affiliation: Pulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, USA.
authors.forename: Katherine E B
authors.initials: KE
authors.lastname: Rider
authors.affiliation: Department of Surgery, The George Washington University MFA, USA.
authors.forename: Richard L
authors.initials: RL
authors.lastname: Amdur
authors.affiliation: Department of Obstetrics and Gynecology, Georgetown University, USA.
authors.forename: Marian
authors.initials: M
authors.lastname: Wulf-Gutierrez
authors.affiliation: Pulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, USA.
authors.forename: Jessica A
authors.initials: JA
authors.lastname: Smith
authors.affiliation: Pulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, USA.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Al Ghamdi
authors.affiliation: Pulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, USA.
authors.forename: Robert B
authors.initials: RB
authors.lastname: Maximos
authors.affiliation: Pulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, USA.
authors.forename: Aparna
authors.initials: A
authors.lastname: Das
authors.affiliation: Pulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, USA.
authors.forename: Arshan
authors.initials: A
authors.lastname: Beyzaei-Arani
authors.affiliation: Pulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, USA.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Ballarino
authors.affiliation: Gülhane Military Medical Faculty, Ankara, Turkey; TUBITAK Research Scholar, Ankara, Turkey.
authors.forename: Hülya
authors.initials: H
authors.lastname: Türkan
authors.affiliation: Pulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, USA.
authors.forename: Bashar
authors.initials: B
authors.lastname: Bargoty
authors.affiliation: Pulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, USA.
authors.forename: Jalil
authors.initials: J
authors.lastname: Ahari
authors.affiliation: Pulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, USA.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Gutierrez
mesh_terms: D001741:Black or African American / Q000208:ethnology*; D000368:Aged; D001794:Blood Pressure / Q000502:physiology; D016638:Critical Illness / Q000401:mortality* / Q000534:rehabilitation; D005260:Female; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012121:Respiration, Artificial / Q000401:mortality*; D016896:Treatment Outcome
keywords: African American; Intensive care; Mechanical ventilation; Mortality; Race