Ethnic Differences in Coronary Revascularisation following an Acute Coronary Syndrome in New Zealand: A National Data-linkage Study (ANZACS-QI 12)

Show simple item record Grey, Corina en Jackson, Rodney en Wells, Linda en Randall, D en Harwood, Matire en Mehta, Suneela en Exeter, Daniel en Kerr, Andrew en 2017-03-29T01:11:37Z en 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 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 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 en
pubs.subtype Article en
pubs.elements-id 526965 en Medical and Health Sciences en Population Health en Epidemiology & Biostatistics en Gen.Practice& Primary Hlthcare en School of Medicine en Medicine Department en
dc.identifier.eissn 1444-2892 en
pubs.record-created-at-source-date 2017-03-29 en
pubs.dimensions-id 27118265 en

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