Hospitalization for congestive heart failure : explaining racial differences.
- To determine whether the higher rate of hospitalization among African Americans for congestive heart failure (CHF) could be explained by racial differences in the prevalence of clinical risk factors for CHF.
- Retrospective cohort study.
- A large health maintenance organization (HMO).
- A sample of 64 877 enrollees (27% African American and 73% white) of the Northern California Kaiser Permanente Medical Care Program who took at least one multiphasic health checkup (MHC) at or after the age of 40 years and were free of CHF at that time.
Main Outcome Measures
- First hospitalization with a principal diagnosis of CHF.
- Among cohort members younger than 60 years at baseline MHC, the age-adjusted risk ratio (RR) (African American/white) for CHF hospitalization was 2.14 for men and 2.73 for women, while for persons 60 years of age and older at MHC, the age-adjusted RR was 1.48 for both sexes.
- In this HMO population, the race differences in first hospitalization for CHF are largely explained by known clinical and behavioral risk factors, although in you.
Mots-clés Pascal : Insuffisance cardiaque, Hospitalisation, Race, Epidémiologie, Homme, Etats Unis, Amérique du Nord, Amérique, Appareil circulatoire pathologie, Cardiopathie
Mots-clés Pascal anglais : Heart failure, Hospitalization, Race, Epidemiology, Human, United States, North America, America, Cardiovascular disease, Heart disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0580701
Code Inist : 002B30A01A2. Création : 01/03/1996.