Racial disparities among older adults with acute myocardial infarction: The SILVER-AMI study

• Published in: Journal of the American Geriatrics Society (JAGS) 2023-02, Vol.71 (2), p.474-483
• Main Authors: Demkowicz, Patrick C, Hajduk, Alexandra M, Dodson, John A, Oladele, Carol R, Chaudhry, Sarwat I
• Format: Article
• Language: English
• Subjects: Activities of Daily Living; Aging; Black or African American; Cognition; Elder care; Female; Geriatrics; Health Status Disparities; Heart attacks; Hospitalization; Hospitals; Humans; Inequality; Male; Mortality; Myocardial infarction; Myocardial Infarction - ethnology; Older people; Phenotypes; Racial differences; United States - epidemiology; White
• ISSN: 0002-8614; 1532-5415
• DOI: 10.1111/jgs.18084

Despite an aging population, little is known about racial disparities in aging-specific functional impairments and mortality among older adults hospitalized for acute myocardial infarction (AMI). We analyzed data from patients aged 75 years or older who were hospitalized for AMI at 94 US hospitals from 2013 to 2016. Functional impairments and geriatric conditions were assessed in-person during the AMI hospitalization. The association between race and risk of mortality (primary outcome) was evaluated with logistic regression adjusted sequentially for age, clinical characteristics, and measures of functional impairment and other conditions associated with aging. Among 2918 participants, 2668 (91.4%) self-identified as White and 250 (8.6%) as Black. Black participants were younger (80.8 vs 81.7 years; p = 0.010) and more likely to be female (64.8% vs 42.5%; p