The effect of race on long term mortality in mechanically ventilated patients
Document Type
Journal Article
Publication Date
7-1-2015
Journal
Heart and Lung: Journal of Acute and Critical Care
Volume
44
Issue
4
DOI
10.1016/j.hrtlng.2015.04.005
Keywords
African American; Intensive care; Mechanical ventilation; Mortality; Race
Abstract
© 2015 Elsevier Inc. Objective: Determine the impact of race on one-year mortality following mechanical ventilation. Background: There is a lack of prospective studies on the effect of race on survival following mechanical ventilation. Methods: Observational study of adult patients on ventilatory support for <24h prior to enrollment. Socioeconomic factors, laboratory and clinical data were recorded. Primary outcome was one-year mortality. Results: We enrolled 178 patients; 100 African American (AA), 78 other races (OTH). One-year mortality for AA was 49% and 33% for OTH (p=0.035). After correcting for covariates, race was not significantly associated with mortality (p=0.42). AA patients had higher mean arterial blood pressure, serum creatinine, heart rate, and peak (p<0.01) and mean (p=0.05) airway pressures. Conclusions: AA patients who underwent mechanical ventilation had greater one-year mortality, although race per se was not a significant factor. It remains to be determined if strict blood pressure control and lower airway pressures may improve survival in this racial group.
APA Citation
Kaya, H., Rider, K., Amdur, R., Wulf-Gutierrez, M., Smith, J., Al Ghamdi, A., Maximos, R., Das, A., Beyzaei-Arani, A., Ballarino, G., Türkan, H., Bargoty, B., Ahari, J., & Gutierrez, G. (2015). The effect of race on long term mortality in mechanically ventilated patients. Heart and Lung: Journal of Acute and Critical Care, 44 (4). http://dx.doi.org/10.1016/j.hrtlng.2015.04.005