Top Rated Devices Suitable for CT99021

2% vs 63.0%, respectively; P?PLX4032 mw that differences in readmission rates may be related to differences in adherence to pharmacotherapy and diet regimens, 43 failure to recognize the early symptoms of worsening HF, delays in seeking care, 23 generally lower functional status, 44 and/or poorer-quality follow-up care. 19 In a more recent study, Joynt et?al41 found that high readmission rates continue to be disproportionately problematic for African Americans compared with whites. Those authors evaluated 30-day readmission rates for Medicare beneficiaries discharged after hospitalization for acute myocardial infarction, HF, or pneumonia from 2006 to 2008 and?found that among patients with HF (n?=?1,346,768), readmission rates were higher for African Americans than for whites: 27.9% vs 27.1%, respectively (odds ratio, 1.04; 95% confidence interval, 1.03�C1.06). These findings are again suggestive of a lack of high-quality outpatient care in elderly African-American populations.41 In a prospective cohort study of 82 African-American and 316 white patients ��50?years of age who were hospitalized with AHF, these 2 groups had similar age-adjusted this website 6-month mortality rates (19.5% vs 17.2%); however, African Americans had a greater functional decline (37.6% vs 24.7%) and a nearly 50% increased risk of either death or functional decline in activities of daily living (relative risk, 1.45; 95% confidence interval, 1.06�C1.81).42 These differences could not be explained by clinical, socioeconomic, access to care, or quality of life differences, but may have been due to differences in the pathogenesis of HF and response to treatment.42 Another significant difference in the care received by African-American versus white patients with AHF is that African Americans are less likely to have a cardiologist as their primary attending physician. In an analysis of data from the Study to Understand Prognoses and Preferences for PDGFRB Outcomes and Risks of Treatments (SUPPORT; n?=?1,298), African Americans were significantly less likely to receive care from a cardiologist (adjusted odds ratio, 0.53; 95% confidence interval, 0.35�C0.80).45 Other factors associated with a decreased likelihood of being treated by a cardiologist included annual income 80?years, and education