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Takotsubo Syndrome in Black Americans: Insights From the National Inpatient Sample.
Vriz, Olga; Mushtaq, Ali Hassan; Elshaer, Ahmed Nahid; Shaik, Abdullah; Landi, Irene; Alzahrani, Talal.
Afiliación
  • Vriz O; Heart Centre, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
  • Mushtaq AH; Department of Cardiology and Sport Medicine, San Antonio Hospital, San Daniele del Friuli, Udine, Italy.
  • Elshaer AN; School of Medicine, College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
  • Shaik A; School of Medicine, College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
  • Landi I; School of Medicine, College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
  • Alzahrani T; Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Tex Heart Inst J ; 50(5)2023 10 17.
Article en En | MEDLINE | ID: mdl-37853912
BACKGROUND: Data on race-related differences in the clinical outcomes of Takotsubo syndrome are limited, particularly for Black patients. This study aimed to assess whether race and sex may have an additional impact on the inpatient mortality of patients with Takotsubo syndrome. METHODS: A total of 4,628 patients from the United States' National Inpatient Sample from 2012 to 2016 were identified; propensity score analysis revealed a similar propensity score between Black patients (n = 2,314) and White patients (n = 2,314), which was used to balance observed covariates. Sex and age distributions were identical between the 2 groups. The groups were also similar in baseline characteristics, including cardiovascular risk factors. White patients were compared with Black patients on in-hospital outcomes and inpatient mortality. A logistic regression analysis was conducted to measure the difference in mortality based on race and sex. RESULTS: Compared with White patients, Black patients had a higher percentage of in-hospital complications, including cerebrovascular accidents (4.9% vs 2.5%, P ≤ .01), acute kidney injury (25% vs 19%, P ≤ .01); longer lengths of stay (8 vs 7 days, P ≤ .01); and higher inpatient mortality (6.1% vs 4.5%, P < .01). When analysis was conducted with race and sex combined, inpatient mortality was higher among Black men than among White women (odds ratio, 2.7 [95% CI, 1.80-3.95]; P ≤ .01). CONCLUSION: This study showed that Black patients with Takotsubo syndrome have higher in-hospital complications and inpatient mortality rates. When race and sex were combined, inpatient mortality was significantly higher among Black men than among either White men and women or Black women.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Negro o Afroamericano / Cardiomiopatía de Takotsubo Límite: Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Tex Heart Inst J Año: 2023 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Negro o Afroamericano / Cardiomiopatía de Takotsubo Límite: Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Tex Heart Inst J Año: 2023 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: Estados Unidos