Prolonged length of hospital stay in black and ethnic minority patients with cardiomyopathy

B.L. Green, Nicholas D. Gollop, Hardeep Uppal, M. Baig, Suresh Chandran, Rahul Potluri

Research output: Contribution to journalMeeting abstract

Abstract

Purpose: Cardiomyopathies represent a heterogeneous group of conditions affect- ing the myocardium, accounting for 0.05% of all National Health Service hospital admissions, as well as a prolonged length of inpatient hospital stay (LOS). There is limited evidence regarding the inuence of ethnicity on LOS in patients with car- diomyopathy: this study aimed to determine factors affecting LOS amongst Cau- casian and ethnic minority patients presenting with cardiomyopathy. Methods: Patients admitted to hospitals across Greater Manchester, North West England, from 2000 through 2013, with an ICD (International Classication of Dis- eases) coded diagnosis of cardiomyopathy were eligible for inclusion using the ACALM (Algorithm for Comorbidities, Associations, Length of stay and Mortal- ity) study protocol. Participants were examined by LOS, ethnicity, age, gender, co-morbidities, and type of admission. Data was analysed using a logistic regression model adjusted for age, sex and co-morbidity, with the Caucasian group serving as the reference population. Results: Of 1884 patients with cardiomyopathy, a higher proportion of males (70.1%) were admitted with cardiomyopathy. Patients of mixed ethnicity showed a female preponderance (55.6%), tended to present at a younger age(44 vs. 56.7 years), suffer less comorbidities (55.6 vs. 66%), and have fewer emergency admis- sions (55.6 vs. 78.8%); however this did not impact on LOS as compared to Cau- casians (7.16 vs. 6.31 days respectively, p>0.05). Patients including Afro-Caribbean, Oriental and other ethnicities had signicantly longer LOS (p < 0.05) and higher rate of emergency admissions after accounting for variations in age, gender and co-morbidities. Conclusions: This study presents novel data suggesting that factors including eth- nicity and emergency admission may contribute to a prolonged LOS. This study may
help to raise awareness and facilitate the improvement of care provision at thosehospitals serving ethnically diverse populations.
Original languageEnglish
Article numberP186
Pages (from-to)32-33
Number of pages2
JournalEuropean Journal of Heart Failure
Volume16
Issue numbers2
DOIs
Publication statusPublished - 1 May 2014

    Fingerprint

Cite this

Green, B. L., Gollop, N. D., Uppal, H., Baig, M., Chandran, S., & Potluri, R. (2014). Prolonged length of hospital stay in black and ethnic minority patients with cardiomyopathy. European Journal of Heart Failure, 16(s2), 32-33. [P186]. https://doi.org/10.1002/ejhf.2014.16.issue-s2