Racial Disparities in Outcomes After Cardiac Surgery: the Role of Hospital Quality

Rohan Khera; Mary Vaughan-Sarrazin; Gary E Rosenthal; Saket Girotra

doi:10.1007/s11886-015-0587-7

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Journal article

Racial Disparities in Outcomes After Cardiac Surgery: the Role of Hospital Quality

Rohan Khera, Mary Vaughan-Sarrazin, Gary E Rosenthal and Saket Girotra

Current cardiology reports, Vol.17(5), pp.29-29

05/2015

DOI: 10.1007/s11886-015-0587-7

PMCID: PMC4780328

PMID: 25894800

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Abstract

Patients from racial and ethnic minorities experience higher mortality after cardiac surgery compared to white patients, both during the early postoperative phase as well as long term. A number of factors likely explain poor outcomes in black and minority patients, which include differences in biology, comorbid health conditions, socioeconomic background, and quality of hospital care. Recent evidence suggests that a major factor underlying excess mortality in these groups is due to their over-representation in low-quality hospitals, where all patients regardless of race have worse outcomes. In this review, we examine the factors underlying racial disparities in outcomes after cardiac surgery, with a primary focus on the role of hospital quality.

Quality improvement

Coronary artery bypass grafting

Hospital outcomes

CABG

Racial disparity

Hospital quality

Health disparities

Details

Title: Subtitle: Racial Disparities in Outcomes After Cardiac Surgery: the Role of Hospital Quality
Creators: Rohan Khera - Department of Internal Medicine, University of Iowa Hospitals & Clinics, 200 Hawkins Drive, E325 GH, Iowa City, IA 52242, USA
Mary Vaughan-Sarrazin - Department of Internal Medicine, University of Iowa Hospitals & Clinics, 200 Hawkins Drive, E325 GH, Iowa City, IA 52242, USA
Gary E Rosenthal - Institute of Clinical and Translational Science (ICTS), University of Iowa Carver College of Medicine, Iowa City, IA, USA
Saket Girotra - Institute of Clinical and Translational Science (ICTS), University of Iowa Carver College of Medicine, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: Current cardiology reports, Vol.17(5), pp.29-29
DOI: 10.1007/s11886-015-0587-7
PMID: 25894800
PMCID: PMC4780328
NLM abbreviation: Curr Cardiol Rep
ISSN: 1523-3782
eISSN: 1534-3170
Language: English
Date published: 05/2015
Academic Unit: Health Management and Policy; Cardiovascular Medicine; General Internal Medicine; Internal Medicine
Record Identifier: 9984063136102771

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