| Title |
African Americans Are Less Likely to Receive Care by a Cardiologist During an Intensive Care Unit Admission for Heart Failure
|
|---|---|
| Published in |
JACC: Heart Failure, May 2018
|
| DOI | 10.1016/j.jchf.2018.02.015 |
| Pubmed ID | |
| Authors |
Khadijah Breathett, Wenhui G. Liu, Larry A. Allen, Stacie L. Daugherty, Irene V. Blair, Jacqueline Jones, Gary K. Grunwald, Marc Moss, Tyree H. Kiser, Ellen Burnham, R. William Vandivier, Brendan J. Clark, Eldrin F. Lewis, Sula Mazimba, Catherine Battaglia, P. Michael Ho, Pamela N. Peterson |
| Abstract |
This study sought to determine whether the likelihood of receiving primary intensive care unit (ICU) care by a cardiologist versus a noncardiologist was greater for Caucasians than for African Americans admitted to an ICU for heart failure (HF). The authors further evaluated whether primary ICU care by a cardiologist is associated with higher in-hospital survival, irrespective of race. Increasing data demonstrate an association between better HF outcomes and care by a cardiologist. It is unclear if previously noted racial differences in cardiology care persist in an ICU setting. Using the Premier database, adult patients admitted to an ICU with a primary discharge diagnosis of HF from 2010 to 2014 were included. Hierarchical logistic regression models were used to determine the association between race and primary ICU care by a cardiologist, adjusting for patient and hospital variables. Cox regression with inverse probability weighting was used to assess the association between cardiology care and in-hospital mortality. Among 104,835 patients (80.3% Caucasians, 19.7% African Americans), Caucasians had higher odds of care by a cardiologist than African Americans (adjusted odds ratio: 1.42; 95% confidence interval: 1.34 to 1.51). Compared with a noncardiologist, primary ICU care by a cardiologist was associated with higher in-hospital survival (adjusted hazard ratio: 1.20, 95% confidence interval: 1.11 to 1.28). The higher likelihood of survival did not differ by patient race (interaction p = 0.32). Among patients admitted to an ICU for HF, African Americans were less likely than Caucasians to receive primary care by a cardiologist. Primary care by a cardiologist was associated with higher survival for both Caucasians and African Americans. |
X Demographics
The data shown below were collected from the profiles of 67 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 36 | 54% |
| United Kingdom | 1 | 1% |
| Colombia | 1 | 1% |
| Canada | 1 | 1% |
| Ireland | 1 | 1% |
| Unknown | 27 | 40% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 49 | 73% |
| Scientists | 11 | 16% |
| Practitioners (doctors, other healthcare professionals) | 4 | 6% |
| Science communicators (journalists, bloggers, editors) | 3 | 4% |
Mendeley readers
The data shown below were compiled from readership statistics for 82 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 82 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 13 | 16% |
| Student > Bachelor | 7 | 9% |
| Student > Ph. D. Student | 5 | 6% |
| Student > Doctoral Student | 5 | 6% |
| Student > Postgraduate | 3 | 4% |
| Other | 13 | 16% |
| Unknown | 36 | 44% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 24 | 29% |
| Nursing and Health Professions | 7 | 9% |
| Social Sciences | 4 | 5% |
| Psychology | 2 | 2% |
| Mathematics | 1 | 1% |
| Other | 5 | 6% |
| Unknown | 39 | 48% |
Attention Score in Context
This research output has an Altmetric Attention Score of 213. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 May 2023.
All research outputs
#185,572
of 25,768,270 outputs
Outputs from JACC: Heart Failure
#32
of 1,625 outputs
Outputs of similar age
#4,205
of 340,307 outputs
Outputs of similar age from JACC: Heart Failure
#2
of 48 outputs
Altmetric has tracked 25,768,270 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,625 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 30.5. This one has done particularly well, scoring higher than 98% of its peers.
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We're also able to compare this research output to 48 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 95% of its contemporaries.