Do Gender and Race/Ethnicity Influence Acute Myocardial Infarction Quality of Care in a Hospital with a Large Hispanic Patient and Provider Representation?

Table 3

Odds ratio for selected outcomes in Hispanic and non-Hispanic white patients with a confirmed AMI.

Predictors	Death		Cardiac cath		PCI		CABG
	OR (95% CI)	P value	OR (95% CI)	P value	OR (95% CI)	P value	OR (95% CI)	P value
Age	1.04 (1.00, 1.09)	0.037	0.97 (0.95, 0.99)	<0.001	0.98 (0.97, 1.0)	0.059	0.99 (0.97, 1.01)	0.155
Men versus women	1.33 (0.55, 3.22)	0.53	1.39 (0.87, 2.21)	0.16	1.37 (0.87, 2.16)	0.19	1.77 (0.99, 3.16)	0.05
Hisp. versus Non Hispanic Whites	0.84 (0.34, 2.07)	0.71	1.04 (0.64, 1.67)	0.88	1.02 (0.64,1.63)	0.92	1.56 (0.86, 2.83)	0.14
Hx diabetes.	0.79 (0.32, 1.93)	0.60	1.06 (0.66, 1.71)	0.81	1.54 (0.97, 2.46)	0.049	2.26 (1.26, 4.07)	0.006
Hx hypertension.	1.38 (0.44, 4.40)	0.58	1.22 (0.71, 2.11)	0.47	0.71 (0.43, 1.18)	0.191	0.69 (0.37, 1.28)	0.24
Hx smoking	0.71 (0.26, 1.96)	0.51	1.55 (0.94, 2.57)	0.087	1.38 (0.86, 2.20)	0.179	0.62 (1.99, 0.48)	1.11
Renal failure	3.03 (1.25, 7.37)	0.014	0.39 (0.22, 0.67)	0.001	0.47 (0.26, 0.86)	0.014	0.72 (0.35, 1.47)	0.36
Hx Prev. MI	0.82 (0.29, 2.27)	0.70	0.81 (0.47, 1.40)	0.45	1.01 (0.60, 1.71)	0.96	1.43 (0.76, 2.70)	0.26
Hx Prev. Revasc.	1.66 (0.60, 4.63)	0.33	0.89 (0.49, 1.61)	0.69	1.22 (0.68, 2.17)	0.51	0.24 (0.09, 0.63)	0.003
Private versus nonprivate insurance	0.35 (0.12, 0.99)	0.049	0.66 (0.41, 1.07)	0.093	0.81 (0.51, 1.30)	0.39	1.27 (0.71, 2.26)	0.42

AMI: acute myocardial infarction; CATH: cardiac catheterization; PCI: percutaneous coronary intervention; CABG: coronary artery by-pass graft; Hisp.: Hispanic; Hx: History; Prev. MI: previous myocardial infarction; Prev. Revasc.: Previous coronary revascularization (PCI and/or CABG). *Outcomes adjusted for age, gender, race/ethnicity, history of diabetes, hypertension, smoking, renal failure, previous MI, and previous CABG/PCI.