Racial Disparities in Outcomes After Cardiac Surgery: the Role of Hospital Quality

Rohan Khera, Mary Vaughan-Sarrazin, Gary E. Rosenthal, Saket Girotra

Research output: Contribution to journalReview articlepeer-review

39 Scopus citations

Abstract

Patients from racial and ethnic minorities experience higher mortality after cardiac surgery compared to white patients, both during the early postoperative phase as well as long term. A number of factors likely explain poor outcomes in black and minority patients, which include differences in biology, comorbid health conditions, socioeconomic background, and quality of hospital care. Recent evidence suggests that a major factor underlying excess mortality in these groups is due to their over-representation in low-quality hospitals, where all patients regardless of race have worse outcomes. In this review, we examine the factors underlying racial disparities in outcomes after cardiac surgery, with a primary focus on the role of hospital quality.

Original languageEnglish (US)
JournalCurrent Cardiology Reports
Volume17
Issue number5
DOIs
StatePublished - May 1 2015
Externally publishedYes

Keywords

  • CABG
  • Coronary artery bypass grafting
  • Health disparities
  • Hospital outcomes
  • Hospital quality
  • Quality improvement
  • Racial disparity

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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