Category: Health and Health Care

9 - Disparities in Hospital Admissions and Mortality for Women with Cardiovascular Disease (CVD)

Title: Disparities in Hospital Admissions and Mortality for Women with Cardiovascular Disease (CVD)


Background: CVD continues to be the leading cause of death among women in the United States and accounts for one in four female deaths. Women are comparatively under-treated and less is known about their risk factors for CVD1



Methods:
Selected measures come from the 2016 National Healthcare Quality and Disparities Report (QDR) database. The significant differences between comparison and reference groups for most recent year require a minimum relative difference of 10% between the comparison and reference group, with statistical significance based on p-value less than 0.05 (two-tailed tests). Disparities for a baseline year and for the most current year of data are compared to assess trends in disparities.


Results:


Acute Myocardial Infarction (AMI) Deaths per 1,000 hospital admission



AMI hospital patients who received fibrinolytic medication within 30 minutes of arrival



Hospital admissions for heart failure (HF) per 100,000 population



Deaths per 1,000 hospital admissions with coronary artery bypass graft (CABG)



 


 


Conclusion: This analysis shows that disparities exist for females across racial and ethnic groups in CVD outcomes and treatment patterns. In response to CMS’ Hospital Readmissions Reduction Program2, healthcare institutions seeking to reduce readmissions and penalties associated with AMI, HF, and CABG can use this data to spur additional outreach and quality improvement projects.


 

Barbara Barton

Health Scientist Administrator
Agency for Healthcare Research and Quality
Rockville, Maryland

Barbara Barton is a Health Scientist Administrator with more than 10 years of experience as a health service researcher . She is currently a member of the National Healthcare Quality and Disparities team at the Agency for Healthcare Research and Quality where she has authored numerous reports and chartbooks on health care quality and disparities in health care. Areas of research includes cardiovascular disease, cancer, diabetes, and chronic kidney disease. Barbara also researches patient safety and person-centered care.

Irim Azam

Health Scientist Administrator
Agency for Healthcare Research and Quality

Irim Azam, MPH, is a Health Scientist Administrator for the National Healthcare Quality and Disparities Reports (QDR) division at AHRQ. On this team she provides operational support to the team and works with other team members on the publication of the QDR and its associated chartbooks. The QDR team produces an annual Congressional report about the state of quality and disparities in healthcare for the United States.

Karen Chaves

Director, National Healthcare Quality and Disparities Report Program
Agency for Healthcare Research and Quality

LCDR Karen Chaves is the director of the National Healthcare Quality and Disparities Report (QDR) Program at AHRQ. The QDR team produces an annual Congressional report about the state of quality and disparities in healthcare for the United States.