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REPRINTED) ARCH INTERN MED
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ORIGINAL INVESTIGATION Characteristics and Outcomes in African American Patients With Decompensated Heart Failure Sandeep A. Kamath, MD; Mark H. Drazner, MD, MSc; Janet Wynne, MS; Gregg C. Fonarow, MD; Clyde W. Yancy, MD Background: Outcomes in patients with chronic heart lar ejection fractions. The prevalence of hypertension, dia- failure vary by race. Racial differences in the character- betes mellitus, and obesity was higher in African Ameri- istics and outcomes of patients with acute decompen- can patients. African American race was associated with sated heart failure (ADHF) have not been well charac- lower in-hospital mortality after adjustment for known terized. Therefore, we assessed race-related differences predictors (2.1% vs 4.5%; adjusted odds ratio [OR], 0.79; in presentation, treatment, in-patient experiences, and 95% confidence interval [CI], 0.72-0.87; P.001). This short-term mortality due to ADHF before and after ac- association persisted for all age cohorts, was indepen- counting for known covariates. dent of the use of intravenous vasoactive drugs, and was especially present in African American patients in the Methods: The Acute Decompensated Heart Failure Na- nonischemic subgroup (adjusted OR, 0.74; 95% CI, 0.57- tional Registry database was analyzed to evaluate demo- 0.96) but not the ischemic subgroup (adjusted OR, 0.91; graphic and
JAMA Internal Medicine – American Medical Association
Published: Jun 9, 2008
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