Navigation Links
Disparity In Survival Rates In US and Canadian heart Patients

According to new research, elderly heart failure patients in United States have better short-term survival rates than Canadian patients, but lose that advantage over time.//

Their study findings appear in the November 28 issue of Archives of Internal Medicine.

Heart failure is the most common cause of hospitalization for individuals aged 65 and older in both countries.

The authors compared process of care and 30-day and one-year risk-standardized mortality rates among 28,521 U.S. Medicare beneficiaries and 8,180 similarly aged patients in Ontario, Canada, who were hospitalized with heart failure from 1998 to 2001. The authors found that 61.2 % U.S. patients underwent left ventricular ejection fraction assessment during hospitalization as compared to 41.7 % patients in Canada.

The authors also report that at discharge, patients in the US were prescribed beta-blockers more frequently (28.7 % vs. 25.4 %), but angiotensin-converting enzyme inhibitors less frequently (54.3 % vs. 63.4 %).

The US patients had lower risk characteristics on admission and lower crude mortality rates at 30 days and 1 year. The death rate at 30 days was 8.9 % for U.S. patients, which was significantly lower as compared with 10.7 % for Canadian patients. But at one year, the death rates for patients in both countries were similar.

The authors conclude that heart failure patients hospitalized in the US had significantly better short-term mortality but equivalent long-term mortality compared with a sample of heart failure patients hospitalized in Canada.

The researchers propose that the initial results were perhaps because of more intensive initial treatment in US as compared to that in Canada, but the disparity disappeared in a year, perhaps because Canada's system provides better access to follow-up care and prescription drugs for the elderly.

The authors suggest further studies to explore the reasons underlying this difference in outcomes and to gain additional insights to improve the care and outcomes of heart failure patients in both countries.


'"/>




Related medicine news :

1. When prevalence Makes for Disparity in AIDS Care
2. A Discovery That may Lessen a Health Disparity
3. Long-Term Survival can be Predicted by a Simple Lung Test
4. Hepatitis G May Boost HIV Survival
5. Survival rates in breast cancer patients improved with "Dose Dense Chemotherapy"
6. Longer Lung Cancer Survival
7. ICU Survival can be improved by Antibiotic use
8. Vasopressin Found To Boost Survival In Sudden Cardiac arrest
9. Improving Survival Rate Of Lung Cancer Patients
10. Combination Therapy Effective In Improving Lung Cancer Survival
11. Symptoms Found To Be A Good Predictor Of Cancer Survival
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:7/20/2017)... ... ... ChenMed , a leading provider of value-based care for seniors, today announced ... Chief Medical Officer. Dr. McCarter, formerly Associate Professor of Family Medicine at the ... for the UVA Health System, brings 30 years of highly relevant experience to his ...
(Date:7/20/2017)... ... July 20, 2017 , ... For individuals with extended ... The adjustable beds used in such facilities are specially designed to accommodate patients with ... support. , An inventor from Rochester, Ind., has invented the patent-pending PORTABLE ARM ...
(Date:7/20/2017)... ... July 20, 2017 , ... Vixiar Medical, Inc. , ... systems for monitoring cardiopulmonary diseases, announced today that it has raised seed round ... submissions and fund final engineering and initial production of the Company’s first product, ...
(Date:7/20/2017)... ... July 20, 2017 , ... TCGRx announced ... its existing adherence automation lines. The ATP® Mini and InspectRx® Mini ... TCG’s standard products, but at a size and price point that can help ...
(Date:7/20/2017)... ... July 20, 2017 , ... A budget proposal to switch ... of - living - adjustment (COLA) is a bad deal for older and disabled ... price index (CPI) would grow even more slowly than the conventional one that is ...
Breaking Medicine News(10 mins):
(Date:7/14/2017)... International plc (NASDAQ: ENDP ) will announce its second-quarter ... senior management team will host a conference call and webcast before ... The dial-in number to access the call is U.S./ ... is 45397076. Please dial in 10 minutes prior to the scheduled ... of the call will be available from August 8, 2017 at ...
(Date:7/12/2017)... 2017 CarpalAID is a revolutionary new product that relieves ... Carpal tunnel syndrome affects more than 8 million people a ... of men. The common methods of treating CTS are painful surgery, ... braces or gloves. ... CarpalAID is a clear patch worn on the palm ...
(Date:7/11/2017)... , July 11, 2017  Sysmex America, Inc., ... diagnostic testing equipment as well as middleware information ... way to make quality assurance easier and more ... is well known for the innovation that it ... Monitor elevates quality assurance processes to a new ...
Breaking Medicine Technology: