Racial differences in treatment-seeking delays among heart failure patients

Lorraine Evangelista, Kathleen Dracup, Lynn V. Doering

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

Background: Treatment-seeking delays for heart failure (HF) symptoms are significantly high. However, earlier studies did not closely examine race as a characteristic that could potentially influence delay times. The purpose of this study was (1) to describe racial differences in treatment-seeking delays for HF symptoms and (2) to identify racial differences in hospital readmission rates, functional status, and total length of stay. Methods and Results: A retrospective chart review of all patients admitted with HF at a Veterans Administration facility was conducted. The study sample consisted of 753 patients: 456 Caucasians (60.6%), 220 African Americans (29.2%), 41 Asians (5.4%), and 36 Hispanics (4.8%). The average prehospital delay time was 2.9 ± 0.7 days. Mean delay times were significantly longer for African Americans than for Caucasians, Asians, and Hispanics (P = .019). African Americans also had significantly higher readmission rates (P = .001) and lower functional status (higher New York Heart Association functional class) (P = .034). There were no significant racial differences in total length of stay for HF admissions. Conclusion: The current study supports that racial differences exist in treatment-seeking behaviors for HF symptoms, hospital readmission rates, and functional status. A better understanding of treatment-seeking behaviors of HF patients with different racial characteristics may be key to early recognition and prevention of complications in this high-risk population; it may be beneficial in identifying patients at risk for treatment delays and potentially poorer outcomes.

Original languageEnglish (US)
Pages (from-to)381-386
Number of pages6
JournalJournal of Cardiac Failure
Volume8
Issue number6
DOIs
StatePublished - Jan 1 2002
Externally publishedYes

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Heart Failure
African Americans
Patient Readmission
Hispanic Americans
Length of Stay
Therapeutics
United States Department of Veterans Affairs
Population

Keywords

  • Functional status
  • Hospital readmission
  • Total length of stay
  • Veterans

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Racial differences in treatment-seeking delays among heart failure patients. / Evangelista, Lorraine; Dracup, Kathleen; Doering, Lynn V.

In: Journal of Cardiac Failure, Vol. 8, No. 6, 01.01.2002, p. 381-386.

Research output: Contribution to journalArticle

Evangelista, Lorraine ; Dracup, Kathleen ; Doering, Lynn V. / Racial differences in treatment-seeking delays among heart failure patients. In: Journal of Cardiac Failure. 2002 ; Vol. 8, No. 6. pp. 381-386.
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