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:8/31/2020)... ... , ... Just found out your dear friend has cancer? , It’s hard to hear your ... shares their diagnosis. Once the shock wears off, the questions and fears can be overwhelming. ... best ways to help? Words are failing me. I’m scared. I want to DO something. ...
(Date:8/31/2020)... ... August 31, 2020 , ... Colorado State University Global (CSU ... affordable online education – is proud to announce its new master’s degree in ... its kind in the nation, the 60-credit hour program is designed to provide ...
(Date:8/31/2020)... ... August 31, 2020 , ... In an effort to give back to ... 10 percent of each hotel room booked with a special new rate code to ... Indiana (RMHC-CNI) , effective immediately. Donations will be applied to any room type, ...
(Date:8/28/2020)... ... 28, 2020 , ... Ernst & Young LLP (EY US) ... Of The Year® 2020 Florida Award finalist. Now in its 34th year, the ... growth and prosperity as they build and sustain successful businesses that transform our ...
(Date:8/28/2020)... (PRWEB) , ... August 28, 2020 , ... Integrated ... Miami is the first Florida school to deploy its breakthrough Mobile Biodefense Indoor Air ... airborne COVID-19. True North Classical Academy plans to fully reopen equipped with the filtration ...
Breaking Medicine News(10 mins):
(Date:9/1/2020)... ... September 01, 2020 , ... While coronavirus cases continue to increase across ... and community organizations remain closed. Because about 80% of blood donations are made at ... blood donors and blood drive hosts to ensure blood products are readily available for ...
(Date:8/31/2020)... (PRWEB) , ... August 31, 2020 , ... If you live in New York City ... real estate part makes sense, it’s the law of supply and demand, but are plastic ... has a significant percentage of their patients that make the four-hour trip to have ...
(Date:8/28/2020)... (PRWEB) , ... August 28, 2020 , ... Dr. ... reproductive and endoscopic surgeon and serves as a clinical professor in the Department of ... of the American Laparoscopy Society & Pacific Coast Reproductive Society and is a Clinical ...
Breaking Medicine Technology:
Cached News: