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d'Entremont MA, Wee CC, Nguyen M, et al. Racial Disparities in Acute Coronary Syndrome Management Within a Universal Healthcare Context: Insights From the AMI-OPTIMA Trial. CJC Open. 2021;3(12):S28-S35doi: 10.1016/j.cjco.2021.07.006.
d'Entremont, M. A., Wee, C. C., Nguyen, M., Couture, �. �. L., Lemaire-Paquette, S., Kouz, S., Afilalo, M., Rinfret, S., Schampaert, E., Mansour, S., Montigny, M., Eisenberg, M., Lauzon, C., Déry, J. P., L'Allier, P., Tardif, J. C., & Huynh, T. (2021). Racial Disparities in Acute Coronary Syndrome Management Within a Universal Healthcare Context: Insights From the AMI-OPTIMA Trial. CJC open, 3(12), S28-S35. https://doi.org/10.1016/j.cjco.2021.07.006
d'Entremont, Marc-André, et al. "Racial Disparities in Acute Coronary Syndrome Management Within a Universal Healthcare Context: Insights From the AMI-OPTIMA Trial." CJC open vol. 3,12 (2021): S28-S35. doi: https://doi.org/10.1016/j.cjco.2021.07.006
d'Entremont MA, Wee CC, Nguyen M, Couture ÉL, Lemaire-Paquette S, Kouz S, Afilalo M, Rinfret S, Schampaert E, Mansour S, Montigny M, Eisenberg M, Lauzon C, Déry JP, L'Allier P, Tardif JC, Huynh T. Racial Disparities in Acute Coronary Syndrome Management Within a Universal Healthcare Context: Insights From the AMI-OPTIMA Trial. CJC Open. 2021 Jul 24;3(12):S28-S35. doi: 10.1016/j.cjco.2021.07.006. eCollection 2021 Dec. PMID: 34993431; PMCID: PMC8712605.
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CJC Open. 2021 Jul 24;3(12):S28-S35. doi: 10.1016/j.cjco.2021.07.006. eCollection 2021 Dec.

Racial Disparities in Acute Coronary Syndrome Management Within a Universal Healthcare Context: Insights From the AMI-OPTIMA Trial.

CJC open

Marc-André d'Entremont, Christina C Wee, Michel Nguyen, Étienne L Couture, Samuel Lemaire-Paquette, Simon Kouz, Marc Afilalo, Stéphane Rinfret, Erick Schampaert, Samer Mansour, Martine Montigny, Mark Eisenberg, Claude Lauzon, Jean-Pierre Déry, Philippe L'Allier, Jean-Claude Tardif, Thao Huynh

Affiliations

  1. Sherbrooke University Hospital Centre (CHUS), Department of Medicine, Division of Cardiology, Sherbrooke, Quebec, Canada.
  2. Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
  3. Beth Israel Deaconess Medical Centre, Department of Medicine, Division of General Medicine, Boston, Massachusetts, USA.
  4. Harvard Medical School, Boston, Massachusetts, USA.
  5. Centre Hospitalier Régional de Lanaudière, Department of Medicine, Saint-Charles-Borromée, Quebec, Canada.
  6. Jewish General Hospital, Department of Emergency Medicine, Montreal, Quebec, Canada.
  7. McGill Health University Centre, Department of Medicine, Division of Cardiology, Montreal, Quebec, Canada.
  8. Hôpital du Sacré-Cœur de Montreal, Department of Medicine, Division of Cardiology, Montreal, Quebec, Canada.
  9. Montreal University Hospital Centre (CHUM), Department of Medicine, Division of Cardiology, Montreal, Quebec, Canada.
  10. Cité-de-la-Santé, Department of Medicine, Division of Cardiology, Laval, Quebec, Canada.
  11. Centre Hospitalier Régional de l'Amiante, Department of Medicine, Thetford Mines, Quebec, Canada.
  12. Quebec Heart and Lung Institute, Department of Medicine, Division of Cardiology, Quebec City, Quebec, Canada.
  13. Montreal Heart Institute, Department of Medicine, Division of Cardiology, Montreal, Quebec, Canada.

PMID: 34993431 PMCID: PMC8712605 DOI: 10.1016/j.cjco.2021.07.006

Abstract

BACKGROUND: Although prior studies have demonstrated racial disparities regarding acute coronary syndrome (ACS) care within private or mixed healthcare systems, few researchers have explored such disparities within universal healthcare systems. We aimed to evaluate the quality and outcomes of in-hospital ACS management for White patients vs patients of colour, within a universal healthcare context.

METHODS: We performed a post hoc analysis of the

RESULTS: Of 3444 included patients, 2738 were White, and 706 were people of colour. The mean age was 68.2 years (33.3% women) among White patients and 69.5 years (36.0% women) among patients of colour. Patients of colour were less likely to undergo in-hospital coronary catheterization than were White patients (74.5% vs 80.3%,

CONCLUSIONS: Racial disparity in coronary catheterization for ACS persists within a universal healthcare context. Patients' comorbidities and hospital-level factors may be partially responsible for this inequality. Future research on cardiovascular healthcare in patients with diverse racial/ethnic backgrounds in universal healthcare systems is needed to remediate racial inequality in ACS management.

© 2021 The Authors.

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