HOME >> MEDICINE >> NEWS
Do minorities survive hospitalization better than others?

A Do Not Resuscitate (DNR) order can certainly guide family members who are faced with difficult end-of-life decisions and might have simplified the plight of Terry Schiavo. Increasing usage of these orders can factor into the interpretation of clinical observations. While two recent studies showed lower in-hospital mortality for African-Americans than for non-Hispanic whites, in a study published in the current issue of The American Journal of Medicine, researchers from the University of California, San Francisco investigated the incidence of DNR orders in a large population of hospital patients. When sex and ethnicity differences in the use of DNR orders were taken into account, the apparent mortality advantage for minorities disappeared.

Over 300,000 patients admitted to non-federal California hospitals in 1999 were part of this study. Over 25,000 of these patients had DNR orders. Women were 19% more likely to have DNR orders than men and non-Hispanic whites were 43% more likely to have DNR orders than other ethnicities. Those with a DNR were more likely to die during their hospital stay.

Writing in the article, S. Claiborne Johnston, MD, PhD, writes, "Non-Whites were less likely to die in the hospital in an analysis ignoring DNR status, but this apparent mortality benefit disappeared after adjustment for DNR status. Thus, higher rates of DNR orders in Whites may create the appearance of a survival advantage for other ethnicities, and unmeasured differences in use of DNR orders may mask ethnic and sex disparities. In addition, odds of in-hospital mortality tended to be lower for women, and the survival advantage for women was even greater after DNR status was included in the models. Failure to capture DNR in the model could misrepresent the component of outcome that is due to disparities in the delivery of medical care. Furthermore, DNR may be a confounder in other studies of risk factors for mortality."

The study is reported in "Adjustmen
'"/>

Contact: Pam Poppalardo
ajmmedia@elsevier.com
212-633-3944
Elsevier Health Sciences
29-Mar-2005


Page: 1 2

Related medicine news :

1. Stroke awareness low among women, especially minorities
2. Hospital admissions for asthma more likely for ethnic minorities in the UK
3. Intervention boosts activity in kids, especially minorities
4. New report highlights lack of minorities in medicine
5. Significant disparities still exist in screening mammography rates; minorities underestimated
6. Nursing home residents, minorities under-treated for recurrent stroke
7. Homeless sexual minorities at greater risk for physical and sexual violence, mental illness
8. Racial and ethnic minorities may receive less appropriate cancer treatment
9. Most minorities dont reap benefits of Californias strong labor market, according to UCSF researchers
10. Insured minorities continue to face obstacles to health care, UCSF study reports
11. Women in ethnic minorities may be missing benefits of HRT

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:1/10/2020)... ... ... The value of healthy vision can’t be overstated, and the most potent ... doctor, Brent Bellotte MD., champions such proactive care, advising that annual examinations are pivotal ... that many take for granted until a problem occurs. Eye disease is very common ...
(Date:1/10/2020)... (PRWEB) , ... January 10, 2020 , ... ... located in Portland, Oregon, provides a friendly, non-intimidating environment for all women. In ... Balanced Habits to its current and prospective members. , For nearly 30 ...
(Date:1/8/2020)... ... 2020 , ... Pyxa Solutions, a leading provider of consulting, ... is rebranding as Red Nucleus R&D, a division of Red Nucleus. Red Nucleus ... industry. , The addition of Red Nucleus R&D under the Red Nucleus ...
(Date:1/8/2020)... ... January 08, 2020 , ... ... in Living Magazine’s 2019 Best of Memorial Readers’ Choice Awards. Located ... skincare. Being named Best MedSpa in Memorial reflects Mirror Mirror Beauty Boutique’s commitment ...
(Date:1/8/2020)... ... 2020 , ... Quality Health Care Concierge was founded by Michelle ... maintain a comfortable and preferred lifestyle with their Companion Care services in the Boca ... has been a leader in the healthcare field for over a decade. Thanks to ...
Breaking Medicine News(10 mins):
(Date:1/8/2020)... ... January 08, 2020 , ... ... compliance consulting, is proud to announce the attainment of a national certification as ... certifying partner of the Women’s Business Enterprise National Council (WBENC). , "We are ...
(Date:1/7/2020)... ... January 07, 2020 , ... Valencell ... sensor system for integration in hearables and wearables. Valencell will provide the BP ... for inclusion in their products. Embedded in an earbud reference design, the technology ...
(Date:1/5/2020)... , ... January 04, 2020 , ... ... worldwide. Device makers and software firms are fighting for leadership in both devices ... Wellbeing 2020 research report, during the past few years, multiple health-related voice ...
Breaking Medicine Technology:
Cached News: