dc.contributor.author |
Grey, Corina |
en |
dc.contributor.author |
Jackson, Rodney |
en |
dc.contributor.author |
Wells, Linda |
en |
dc.contributor.author |
Randall, D |
en |
dc.contributor.author |
Harwood, Matire |
en |
dc.contributor.author |
Mehta, Suneela |
en |
dc.contributor.author |
Exeter, Daniel |
en |
dc.contributor.author |
Kerr, Andrew |
en |
dc.date.accessioned |
2017-03-29T01:11:37Z |
en |
dc.date.issued |
2016-08 |
en |
dc.identifier.citation |
Heart, Lung and Circulation 25(8):820-828 Aug 2016 |
en |
dc.identifier.issn |
1443-9506 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/32353 |
en |
dc.description.abstract |
The aim of this study was to describe ethnic differences in angiography and revascularisation rates following an acute coronary syndrome (ACS) in New Zealand.National hospitalisation and mortality data were anonymously linked to determine receipt of angiography and revascularisation for 30-84 year-olds hospitalised with ACS between 2007 and 2012. Multilevel Cox regression, accounting for individual factors and admitting hospital, was used to estimate adjusted procedural rates within 30 days of admission.Of the 50,324 ACS patients included, 10% were Māori, 4% Pacific, 3% Indian and 83% New Zealand European or Other ethnicities (NZEO). A larger proportion of Māori (48%) than NZEO (36%), Pacific (19%) and Indian (14%) patients were admitted to hospitals without catheterisation facilities. More Māori and Pacific (22-24%) than NZEO and Indian patients (12-13%) had severe comorbidities. Māori and Pacific were less likely than NZEO patients to receive angiography (adjusted HRs 0.94 [0.91-0.98] and 0.93 [0.87-0.98] respectively) and revascularisation (adjusted HRs 0.79 [0.75-0.83] and 0.77 [0.71-0.83]), even after adjusting for important demographic and clinical factors.A higher comorbidity burden in Māori and Pacific patients and reduced access to catheterisation facilities for non-urban Māori contributed to lower procedure rates after ACS admission. Ethnic differences remained after adjustment for these factors and require further investigation. |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
eng |
en |
dc.publisher |
Blackwell Publishing Inc. |
en |
dc.relation.ispartofseries |
Heart, Lung and Circulation |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.title |
Ethnic Differences in Coronary Revascularisation following an Acute Coronary Syndrome in New Zealand: A National Data-linkage Study (ANZACS-QI 12) |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1016/j.hlc.2016.03.004 |
en |
pubs.issue |
8 |
en |
pubs.begin-page |
820 |
en |
pubs.volume |
25 |
en |
dc.rights.holder |
Copyright: Blackwell Publishing Inc. |
en |
dc.identifier.pmid |
27118265 |
en |
pubs.end-page |
828 |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Article |
en |
pubs.elements-id |
526965 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
Population Health |
en |
pubs.org-id |
Epidemiology & Biostatistics |
en |
pubs.org-id |
Gen.Practice& Primary Hlthcare |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Medicine Department |
en |
dc.identifier.eissn |
1444-2892 |
en |
pubs.record-created-at-source-date |
2017-03-29 |
en |
pubs.dimensions-id |
27118265 |
en |