Disparities in the use of primary prevention and defibrillator therapy among blacks and women

Andre J. Gauri, Andrew Davis, Thomas Hong, Martin C. Burke, Bradley P. Knight*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

49 Scopus citations

Abstract

OBJECTIVES: This study determines whether there are racial or gender disparities in the use of implantable cardioverter-defibrillator therapy for primary prevention of sudden cardiac death. BACKGROUND: Primary prevention of sudden death with implantable cardioverter-defibrillator therapy has been shown to improve survival for high-risk patients with coronary artery disease and left ventricular dysfunction. METHODS: The Center for Medicare and Medicaid Services Medicare database from the year 2002 was used to identify patients who were potential candidates for implantable cardioverter-defibrillator therapy on the basis of a combination of International Classification of Diseases, Ninth Revision, Clinical Modification codes that reflected the presence of an ischemic cardiomyopathy. This cohort was analyzed to determine which patients received implantable cardioverter-defibrillator therapy during the same year. The clinical characteristics of the potential implantable cardioverter-defibrillator candidates were compared with those who actually received an implantable cardioverter-defibrillator. RESULTS: A total 132 565 Medicare patients hospitalized during 2002 were identified as having an ischemic cardiomyopathy; 10 370 (8%) of these patients underwent implantable cardioverter-defibrillator implantation during the same year. The percentage of patients who underwent implantable cardioverter-defibrillator implantation was higher for men compared with women (10.2% vs 3.5%; P

Original languageEnglish (US)
Pages (from-to)167.e17-167.e21
JournalAmerican Journal of Medicine
Volume119
Issue number2
DOIs
StatePublished - Feb 2006

Keywords

  • Disparity
  • Gender
  • Implantable defibrillator
  • Race
  • Sudden cardiac death

ASJC Scopus subject areas

  • Nursing(all)

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