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dc.contributor.authorTandon, Varun
dc.contributor.authorStringer, Bryan
dc.contributor.authorConner, Chad
dc.contributor.authorGabriel, Andre
dc.contributor.authorTripathi, Byomesh
dc.contributor.authorBalakumaran, Kathir
dc.contributor.authorChen, Kai
dc.date.accessioned2021-01-09T01:47:23Z
dc.date.available2021-01-09T01:47:23Z
dc.date.issued2020-10-12
dc.identifier.citationTandon, V., Stringer, B., Conner, C., Gabriel, A., Tripathi, B., Balakumaran, K., & Chen, K. (2020). An Observation of Racial and Gender Disparities in Congestive Heart Failure Admissions Using the National Inpatient Sample. Cureus, 12(10).en_US
dc.identifier.issn2168-8184
dc.identifier.doi10.7759/cureus.10914
dc.identifier.urihttp://hdl.handle.net/10150/650675
dc.description.abstractBackground Congestive heart failure (CHF) is a frequent cause of inpatient admissions in the United States. The purpose of this study was to analyze the racial and gender disparities that occur in CHF admissions and determine the impact of these disparities on medical expenditure. Methods We analyzed the National Inpatient Sample (NIS) database from 2009 to 2014 for patients with a primary discharge diagnosis of CHF, and further stratified the cohort on the basis of race and sex. Multivariate analysis was performed to identify the association between CHF and total charges along with other variables such as mortality, length of stay (LOS), and number of procedures. Results There were a total of 5,491,050 admissions with a primary diagnosis of CHF from 977,850 in 2009 to 901,425 in 2014. Females accounted for 49.7%. Total charges for CHF admission were highest in Asians at an average cost of $59,668. African Americans had the lowest mortality rate at 1.75%, however, they also had an average age of admission of 63.47 years, compared to Caucasian at 76.76 (p<0.05). Total charges for males were $42,920 and $36,744 for females (p<0.05). Males also had more procedures at 1.16 vs 0.98 for females (p<0.05). Elixhauser mortality score was higher in males than females at 5.95 vs 5.42 (p<0.05). Conclusion Healthcare disparities exist in CHF admissions in both contexts of race and gender. Further studies are required to pinpoint the source of these differences not only to address mortality but also expenditure costs.en_US
dc.language.isoenen_US
dc.publisherCUREUS INCen_US
dc.rights© Copyright 2020 Tandon et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_US
dc.subjectcardiologyen_US
dc.subjectcongestive heart failureen_US
dc.subjecthealthcare disparitiesen_US
dc.titleAn Observation of Racial and Gender Disparities in Congestive Heart Failure Admissions Using the National Inpatient Sampleen_US
dc.typeArticleen_US
dc.contributor.departmentUniv Arizona, Cardiol, Coll Meden_US
dc.identifier.journalCUREUSen_US
dc.description.noteOpen access journalen_US
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.en_US
dc.eprint.versionFinal published versionen_US
dc.source.journaltitleCureus
refterms.dateFOA2021-01-09T01:47:39Z


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© Copyright 2020 Tandon et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Except where otherwise noted, this item's license is described as © Copyright 2020 Tandon et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.