schliessen

Filtern

 

Bibliotheken

Characteristics of black patients admitted to coronary care units in metropolitan Seattle: Results from the Myocardial Infarction Triage and Intervention Registry (MITI)

Since 1988, 641 Mack and 11,892 white patients with chest pain of presumed cardiac origin have been admitted to coronary care units in 19 hospitals in metropolitan Seattle. Black men and women were younger (58 vs 66, p < 0.0001), more often admitted to central city hospitals (p < 0.0001), and develo... Full description

Journal Title: The American journal of cardiology 1991, Vol.67 (1), p.18-23
Main Author: Maynard, Charles
Other Authors: Litwin, Paul E , Martin, Jenny S , Cerqueira, Manuel , Kudenchuk, Peter J , Ho, Mary T , Kennedy, J.Ward , Cobb, Leonard A , Schaeffer, Sharon M , Hallstrom, Alfred P , Weaver, W.Douglas
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: New York, NY: Elsevier Inc
ID: ISSN: 0002-9149
Zum Text:
SendSend as email Add to Book BagAdd to Book Bag
Staff View
recordid: cdi_proquest_miscellaneous_80365212
title: Characteristics of black patients admitted to coronary care units in metropolitan Seattle: Results from the Myocardial Infarction Triage and Intervention Registry (MITI)
format: Article
creator:
  • Maynard, Charles
  • Litwin, Paul E
  • Martin, Jenny S
  • Cerqueira, Manuel
  • Kudenchuk, Peter J
  • Ho, Mary T
  • Kennedy, J.Ward
  • Cobb, Leonard A
  • Schaeffer, Sharon M
  • Hallstrom, Alfred P
  • Weaver, W.Douglas
subjects:
  • Abridged Index Medicus
  • African Americans
  • Aged
  • Angioplasty, Balloon, Coronary - statistics & numerical data
  • Biological and medical sciences
  • Blacks
  • Cardiology. Vascular system
  • Care and treatment
  • Coronary artery bypass
  • Coronary Artery Bypass - statistics & numerical data
  • Coronary Care Units
  • Coronary heart disease
  • Demographic aspects
  • Female
  • Health aspects
  • Heart
  • Heart attack
  • Humans
  • Male
  • Medical sciences
  • Middle Aged
  • Myocardial Infarction - ethnology
  • Prospective Studies
  • Registries
  • Thrombolytic drugs
  • Triage
  • Usage
  • Washington - epidemiology
ispartof: The American journal of cardiology, 1991, Vol.67 (1), p.18-23
description: Since 1988, 641 Mack and 11,892 white patients with chest pain of presumed cardiac origin have been admitted to coronary care units in 19 hospitals in metropolitan Seattle. Black men and women were younger (58 vs 66, p < 0.0001), more often admitted to central city hospitals (p < 0.0001), and developed evidence of acute myocardial infarction (AMI) less often (19 vs 23%, p = 0.01). In the subset of 2,870 AMI patients, blacks (n = 121) were younger (59 vs 67, p < 0.0001) and had less prior coronary artery bypass graft surgery (2 vs 10%, p = 0.005) and more prior hypertension (67 vs 46%, p < 0.0001). During hospitalization, whites (n = 2,749) had higher rates of coronary angioplasty (18 vs 10%, p = 0.03) and coronary artery bypass graft surgery (10 vs 4%, p = 0.04), although thrombolytic therapy and cardiac catheterization were used equally in the 2 groups. Hospital mortality was 7.4% for black and 13.1% for white patients (p = 0.07). However, after adjustment for key demographic and clinical variables by logistic regression, this difference was not as apparent (p = 0.38). Questions about the premature onset of coronary artery disease, excess systemic hypertension, and the differential use of interventions in black persons have been raised by other investigators. Despite differences in age, referral patterns and the use of coronary angioplasty and bypass surgery, black and white patients with AMI in metropolitan Seattle had similar outcomes.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0002-9149
fulltext: fulltext
issn:
  • 0002-9149
  • 1879-1913
url: Link


@attributes
NO1
SEARCH_ENGINEprimo_central_multiple_fe
SEARCH_ENGINE_TYPEPrimo Central Search Engine
RANK1.7598481
LOCALfalse
PrimoNMBib
record
control
sourceidgale_proqu
recordidTN_cdi_proquest_miscellaneous_80365212
sourceformatXML
sourcesystemPC
galeidA10345619
sourcerecordidA10345619
originalsourceidFETCH-LOGICAL-c393t-9effe964af3222a0bd31753c12323d6f4cfce792c78ca97e79d456eaada0cec83
addsrcrecordideNp9kltrFDEUxwdRal39BgpBUNqH0WQyOzvxQSiLl4UWoa4PfQpnk5NtdCbZJtlCP5Lf0rPuon0QCeRyzu9cOP9U1XPB3wguurec86ZWolUnSpwqzlVTXz2ojkU_U7VQQj6sjv8gj6snOX-npxDT7qg6EqrvWtUfVz_n15DAFEw-F28yi46tBjA_2AaKx1AyAzv6UtCyEpmJKQZId8xAQrYNnvw-sBFLips4-AKBfUUoZcB37BLzdiDApTiyco3s4i5SnPUwsEVwkEzxMbBl8rBGBsGSlRq5pao7-yWuqSeqdXKxWC5On1aPHAwZnx3OSfXt44fl_HN9_uXTYn52XhupZKkVOoeqa8HJpmmAr6wUs6k0opGNtJ1rjTM4U42Z9QbUjK62nXYIYIEbNL2cVK_3eTcp3mwxFz36bHAYIGDcZt1z2U0bSjepXu7BNQyofXCx0CR3sD4TXFJWoQiq_wHRsjh6EwM6T_b7fLvnTYo5J3R6k_xIE9eC653seqep3mlKm_4tu76isBeHprerEe3foL3O5H918EM2MLgEwfh8D5u1015y4t7vOaQJ33pMOhv6BQatT2iKttH_v5FfMZLMIw
sourcetypeAggregation Database
isCDItrue
recordtypearticle
pqid80365212
display
typearticle
titleCharacteristics of black patients admitted to coronary care units in metropolitan Seattle: Results from the Myocardial Infarction Triage and Intervention Registry (MITI)
sourceAlma/SFX Local Collection
creatorMaynard, Charles ; Litwin, Paul E ; Martin, Jenny S ; Cerqueira, Manuel ; Kudenchuk, Peter J ; Ho, Mary T ; Kennedy, J.Ward ; Cobb, Leonard A ; Schaeffer, Sharon M ; Hallstrom, Alfred P ; Weaver, W.Douglas
creatorcontribMaynard, Charles ; Litwin, Paul E ; Martin, Jenny S ; Cerqueira, Manuel ; Kudenchuk, Peter J ; Ho, Mary T ; Kennedy, J.Ward ; Cobb, Leonard A ; Schaeffer, Sharon M ; Hallstrom, Alfred P ; Weaver, W.Douglas
descriptionSince 1988, 641 Mack and 11,892 white patients with chest pain of presumed cardiac origin have been admitted to coronary care units in 19 hospitals in metropolitan Seattle. Black men and women were younger (58 vs 66, p < 0.0001), more often admitted to central city hospitals (p < 0.0001), and developed evidence of acute myocardial infarction (AMI) less often (19 vs 23%, p = 0.01). In the subset of 2,870 AMI patients, blacks (n = 121) were younger (59 vs 67, p < 0.0001) and had less prior coronary artery bypass graft surgery (2 vs 10%, p = 0.005) and more prior hypertension (67 vs 46%, p < 0.0001). During hospitalization, whites (n = 2,749) had higher rates of coronary angioplasty (18 vs 10%, p = 0.03) and coronary artery bypass graft surgery (10 vs 4%, p = 0.04), although thrombolytic therapy and cardiac catheterization were used equally in the 2 groups. Hospital mortality was 7.4% for black and 13.1% for white patients (p = 0.07). However, after adjustment for key demographic and clinical variables by logistic regression, this difference was not as apparent (p = 0.38). Questions about the premature onset of coronary artery disease, excess systemic hypertension, and the differential use of interventions in black persons have been raised by other investigators. Despite differences in age, referral patterns and the use of coronary angioplasty and bypass surgery, black and white patients with AMI in metropolitan Seattle had similar outcomes.
identifier
0ISSN: 0002-9149
1EISSN: 1879-1913
2DOI: 10.1016/0002-9149(91)90092-Y
3PMID: 1986498
4CODEN: AJCDAG
languageeng
publisherNew York, NY: Elsevier Inc
subjectAbridged Index Medicus ; African Americans ; Aged ; Angioplasty, Balloon, Coronary - statistics & numerical data ; Biological and medical sciences ; Blacks ; Cardiology. Vascular system ; Care and treatment ; Coronary artery bypass ; Coronary Artery Bypass - statistics & numerical data ; Coronary Care Units ; Coronary heart disease ; Demographic aspects ; Female ; Health aspects ; Heart ; Heart attack ; Humans ; Male ; Medical sciences ; Middle Aged ; Myocardial Infarction - ethnology ; Prospective Studies ; Registries ; Thrombolytic drugs ; Triage ; Usage ; Washington - epidemiology
ispartofThe American journal of cardiology, 1991, Vol.67 (1), p.18-23
rights
01991
11991 INIST-CNRS
2COPYRIGHT 1991 Elsevier B.V.
lds50peer_reviewed
links
openurl$$Topenurl_article
openurlfulltext$$Topenurlfull_article
thumbnail$$Usyndetics_thumb_exl
backlink
0$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19745830$$DView record in Pascal Francis
1$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1986498$$D View this record in MEDLINE/PubMed
search
creatorcontrib
0Maynard, Charles
1Litwin, Paul E
2Martin, Jenny S
3Cerqueira, Manuel
4Kudenchuk, Peter J
5Ho, Mary T
6Kennedy, J.Ward
7Cobb, Leonard A
8Schaeffer, Sharon M
9Hallstrom, Alfred P
10Weaver, W.Douglas
title
0Characteristics of black patients admitted to coronary care units in metropolitan Seattle: Results from the Myocardial Infarction Triage and Intervention Registry (MITI)
1The American journal of cardiology
addtitleAm J Cardiol
descriptionSince 1988, 641 Mack and 11,892 white patients with chest pain of presumed cardiac origin have been admitted to coronary care units in 19 hospitals in metropolitan Seattle. Black men and women were younger (58 vs 66, p < 0.0001), more often admitted to central city hospitals (p < 0.0001), and developed evidence of acute myocardial infarction (AMI) less often (19 vs 23%, p = 0.01). In the subset of 2,870 AMI patients, blacks (n = 121) were younger (59 vs 67, p < 0.0001) and had less prior coronary artery bypass graft surgery (2 vs 10%, p = 0.005) and more prior hypertension (67 vs 46%, p < 0.0001). During hospitalization, whites (n = 2,749) had higher rates of coronary angioplasty (18 vs 10%, p = 0.03) and coronary artery bypass graft surgery (10 vs 4%, p = 0.04), although thrombolytic therapy and cardiac catheterization were used equally in the 2 groups. Hospital mortality was 7.4% for black and 13.1% for white patients (p = 0.07). However, after adjustment for key demographic and clinical variables by logistic regression, this difference was not as apparent (p = 0.38). Questions about the premature onset of coronary artery disease, excess systemic hypertension, and the differential use of interventions in black persons have been raised by other investigators. Despite differences in age, referral patterns and the use of coronary angioplasty and bypass surgery, black and white patients with AMI in metropolitan Seattle had similar outcomes.
subject
0Abridged Index Medicus
1African Americans
2Aged
3Angioplasty, Balloon, Coronary - statistics & numerical data
4Biological and medical sciences
5Blacks
6Cardiology. Vascular system
7Care and treatment
8Coronary artery bypass
9Coronary Artery Bypass - statistics & numerical data
10Coronary Care Units
11Coronary heart disease
12Demographic aspects
13Female
14Health aspects
15Heart
16Heart attack
17Humans
18Male
19Medical sciences
20Middle Aged
21Myocardial Infarction - ethnology
22Prospective Studies
23Registries
24Thrombolytic drugs
25Triage
26Usage
27Washington - epidemiology
issn
00002-9149
11879-1913
fulltexttrue
rsrctypearticle
creationdate1991
recordtypearticle
recordideNp9kltrFDEUxwdRal39BgpBUNqH0WQyOzvxQSiLl4UWoa4PfQpnk5NtdCbZJtlCP5Lf0rPuon0QCeRyzu9cOP9U1XPB3wguurec86ZWolUnSpwqzlVTXz2ojkU_U7VQQj6sjv8gj6snOX-npxDT7qg6EqrvWtUfVz_n15DAFEw-F28yi46tBjA_2AaKx1AyAzv6UtCyEpmJKQZId8xAQrYNnvw-sBFLips4-AKBfUUoZcB37BLzdiDApTiyco3s4i5SnPUwsEVwkEzxMbBl8rBGBsGSlRq5pao7-yWuqSeqdXKxWC5On1aPHAwZnx3OSfXt44fl_HN9_uXTYn52XhupZKkVOoeqa8HJpmmAr6wUs6k0opGNtJ1rjTM4U42Z9QbUjK62nXYIYIEbNL2cVK_3eTcp3mwxFz36bHAYIGDcZt1z2U0bSjepXu7BNQyofXCx0CR3sD4TXFJWoQiq_wHRsjh6EwM6T_b7fLvnTYo5J3R6k_xIE9eC653seqep3mlKm_4tu76isBeHprerEe3foL3O5H918EM2MLgEwfh8D5u1015y4t7vOaQJ33pMOhv6BQatT2iKttH_v5FfMZLMIw
startdate1991
enddate1991
creator
0Maynard, Charles
1Litwin, Paul E
2Martin, Jenny S
3Cerqueira, Manuel
4Kudenchuk, Peter J
5Ho, Mary T
6Kennedy, J.Ward
7Cobb, Leonard A
8Schaeffer, Sharon M
9Hallstrom, Alfred P
10Weaver, W.Douglas
general
0Elsevier Inc
1Elsevier
2Elsevier B.V
scope
0IQODW
1CGR
2CUY
3CVF
4ECM
5EIF
6NPM
7AAYXX
8CITATION
9BSHEE
107X8
sort
creationdate1991
titleCharacteristics of black patients admitted to coronary care units in metropolitan Seattle: Results from the Myocardial Infarction Triage and Intervention Registry (MITI)
authorMaynard, Charles ; Litwin, Paul E ; Martin, Jenny S ; Cerqueira, Manuel ; Kudenchuk, Peter J ; Ho, Mary T ; Kennedy, J.Ward ; Cobb, Leonard A ; Schaeffer, Sharon M ; Hallstrom, Alfred P ; Weaver, W.Douglas
facets
frbrtype5
frbrgroupidcdi_FETCH-LOGICAL-c393t-9effe964af3222a0bd31753c12323d6f4cfce792c78ca97e79d456eaada0cec83
rsrctypearticles
prefilterarticles
languageeng
creationdate1991
topic
0Abridged Index Medicus
1African Americans
2Aged
3Angioplasty, Balloon, Coronary - statistics & numerical data
4Biological and medical sciences
5Blacks
6Cardiology. Vascular system
7Care and treatment
8Coronary artery bypass
9Coronary Artery Bypass - statistics & numerical data
10Coronary Care Units
11Coronary heart disease
12Demographic aspects
13Female
14Health aspects
15Heart
16Heart attack
17Humans
18Male
19Medical sciences
20Middle Aged
21Myocardial Infarction - ethnology
22Prospective Studies
23Registries
24Thrombolytic drugs
25Triage
26Usage
27Washington - epidemiology
toplevel
0peer_reviewed
1online_resources
creatorcontrib
0Maynard, Charles
1Litwin, Paul E
2Martin, Jenny S
3Cerqueira, Manuel
4Kudenchuk, Peter J
5Ho, Mary T
6Kennedy, J.Ward
7Cobb, Leonard A
8Schaeffer, Sharon M
9Hallstrom, Alfred P
10Weaver, W.Douglas
collection
0Pascal-Francis
1Medline
2MEDLINE
3MEDLINE (Ovid)
4MEDLINE
5MEDLINE
6PubMed
7CrossRef
8Academic OneFile (A&I only)
9MEDLINE - Academic
jtitleThe American journal of cardiology
delivery
delcategoryRemote Search Resource
fulltextfulltext
addata
au
0Maynard, Charles
1Litwin, Paul E
2Martin, Jenny S
3Cerqueira, Manuel
4Kudenchuk, Peter J
5Ho, Mary T
6Kennedy, J.Ward
7Cobb, Leonard A
8Schaeffer, Sharon M
9Hallstrom, Alfred P
10Weaver, W.Douglas
formatjournal
genrearticle
ristypeJOUR
atitleCharacteristics of black patients admitted to coronary care units in metropolitan Seattle: Results from the Myocardial Infarction Triage and Intervention Registry (MITI)
jtitleThe American journal of cardiology
addtitleAm J Cardiol
date1991
risdate1991
volume67
issue1
spage18
epage23
pages18-23
issn0002-9149
eissn1879-1913
codenAJCDAG
abstractSince 1988, 641 Mack and 11,892 white patients with chest pain of presumed cardiac origin have been admitted to coronary care units in 19 hospitals in metropolitan Seattle. Black men and women were younger (58 vs 66, p < 0.0001), more often admitted to central city hospitals (p < 0.0001), and developed evidence of acute myocardial infarction (AMI) less often (19 vs 23%, p = 0.01). In the subset of 2,870 AMI patients, blacks (n = 121) were younger (59 vs 67, p < 0.0001) and had less prior coronary artery bypass graft surgery (2 vs 10%, p = 0.005) and more prior hypertension (67 vs 46%, p < 0.0001). During hospitalization, whites (n = 2,749) had higher rates of coronary angioplasty (18 vs 10%, p = 0.03) and coronary artery bypass graft surgery (10 vs 4%, p = 0.04), although thrombolytic therapy and cardiac catheterization were used equally in the 2 groups. Hospital mortality was 7.4% for black and 13.1% for white patients (p = 0.07). However, after adjustment for key demographic and clinical variables by logistic regression, this difference was not as apparent (p = 0.38). Questions about the premature onset of coronary artery disease, excess systemic hypertension, and the differential use of interventions in black persons have been raised by other investigators. Despite differences in age, referral patterns and the use of coronary angioplasty and bypass surgery, black and white patients with AMI in metropolitan Seattle had similar outcomes.
copNew York, NY
pubElsevier Inc
pmid1986498
doi10.1016/0002-9149(91)90092-Y