The effect of race on long term mortality in mechanically ventilated patients

Hatice Kaya; Katherine E.B. Rider; Richard L. Amdur; Marian Wulf-Gutierrez; Jessica A. Smith; Abdullah Al Ghamdi; Robert B. Maximos; Aparna Das; Arshan Beyzaei-Arani; Guillermo Ballarino; Hülya Türkan; Bashar Bargoty; Jalil Ahari; Guillermo Gutierrez

doi:10.1016/j.hrtlng.2015.04.005

The effect of race on long term mortality in mechanically ventilated patients

Hatice Kaya, Katherine E.B. Rider, Richard L. Amdur, Marian Wulf-Gutierrez, Jessica A. Smith, Abdullah Al Ghamdi, Robert B. Maximos, Aparna Das, Arshan Beyzaei-Arani, Guillermo Ballarino, Hülya Türkan, Bashar Bargoty, Jalil Ahari, Guillermo Gutierrez

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	321-326
Number of pages	6
Journal	Heart and Lung: Journal of Acute and Critical Care
Volume	44
Issue number	4
DOIs	https://doi.org/10.1016/j.hrtlng.2015.04.005
State	Published - Jul 1 2015
Externally published	Yes

Keywords

African American
Intensive care
Mechanical ventilation
Mortality
Race

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Critical Care and Intensive Care Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.hrtlng.2015.04.005

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Kaya, H., Rider, K. E. B., Amdur, R. L., Wulf-Gutierrez, M., Smith, J. A., Al Ghamdi, A., Maximos, R. B., 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), 321-326. https://doi.org/10.1016/j.hrtlng.2015.04.005

Kaya, H, Rider, KEB, Amdur, RL, Wulf-Gutierrez, M, Smith, JA, Al Ghamdi, A, Maximos, RB, 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, vol. 44, no. 4, pp. 321-326. https://doi.org/10.1016/j.hrtlng.2015.04.005

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abstract = "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.",

keywords = "African American, Intensive care, Mechanical ventilation, Mortality, Race",

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AU - Kaya, Hatice

AU - Rider, Katherine E.B.

AU - Amdur, Richard L.

AU - Wulf-Gutierrez, Marian

AU - Smith, Jessica A.

AU - Al Ghamdi, Abdullah

AU - Maximos, Robert B.

AU - Das, Aparna

AU - Beyzaei-Arani, Arshan

AU - Ballarino, Guillermo

AU - Türkan, Hülya

AU - Bargoty, Bashar

AU - Ahari, Jalil

AU - Gutierrez, Guillermo

PY - 2015/7/1

Y1 - 2015/7/1

N2 - 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.

AB - 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.

KW - African American

KW - Intensive care

KW - Mechanical ventilation

KW - Mortality

KW - Race

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The effect of race on long term mortality in mechanically ventilated patients

Abstract

Keywords

ASJC Scopus subject areas

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