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 journalArticlepeer-review

1 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 languageEnglish (US)
Pages (from-to)321-326
Number of pages6
JournalHeart and Lung: Journal of Acute and Critical Care
Volume44
Issue number4
DOIs
StatePublished - Jul 1 2015
Externally publishedYes

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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