Characteristics, quality of care, and in-hospital outcomes of Asian-American heart failure patients: Findings from the American Heart Association Get With The Guidelines-Heart Failure Program

Feng Qian*, Gregg C. Fonarow, Selim R. Krim, Rey P. Vivo, Margueritte Cox, Edward L. Hannan, Benjamin A. Shaw, Adrian F. Hernandez, Zubin J. Eapen, Clyde W. Yancy, Deepak L. Bhatt

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Background: Because little was previously known about Asian-American patients with heart failure (HF), we compared clinical profiles, quality of care, and outcomes between Asian-American and non-Hispanic white HF patients using data from the American Heart Association Get With The Guidelines-Heart Failure (GWTG-HF) program. Methods: We analyzed 153,023 HF patients (149,249 whites, 97.5%; 3774 Asian-Americans, 2.5%) from 356 U.S. centers participating in the GWTG-HF program (2005-2012). Baseline characteristics, quality of care metrics, inhospital mortality, discharge to home, and length of stay were examined. Results: Relative to white patients, Asian-American HF patients were younger, more likely to be male, uninsured or covered by Medicaid, and recruited in the western region. They had higher prevalence of diabetes, hypertension, and renal insufficiency, but similar ejection fraction. Overall, Asian-American HF patients had comparable quality of care except that they were less likely to receive aldosterone antagonists at discharge (relative risk <RR>, 0.88; 95% confidence interval <CI>, 0.78-0.99), and anticoagulation for atrial fibrillation (RR, 0.91; 95% CI, 0.85-0.97) even after risk adjustment. Compared with white patients, Asian-American patients had comparable risk adjusted in-hospital mortality (RR, 1.11; 95% CI, 0.91-1.35), lengthofstay> 4 days (RR, 1.01; 95% CI, 0.95-1.08), and were more likely to be discharged to home (RR, 1.08; 95% CI, 1.06-1.11). Conclusions: Despite some differences in clinical profiles, Asian-American patients hospitalized with HF receive very similar quality of care and have comparable health outcomes to their white counterparts.

Original languageEnglish (US)
Pages (from-to)141-147
Number of pages7
JournalInternational Journal of Cardiology
Volume189
Issue number1
DOIs
StatePublished - Jun 15 2015

Keywords

  • Asian-American
  • Clinical characteristics
  • Heart failure
  • Outcome
  • Quality of care

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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