BACKGROUND: Racial disparities in survival after out-of-hospital @entity1167 have been reported, but their causes remain uncertain. We sought to determine if hospital racial composition accounted for survival differences for @entity1 hospitalized after @entity1167 . METHODS: We evaluated hospitalizations of white and black Medicare beneficiaries (2000-2007) admitted from the emergency department to the intensive care unit with a diagnosis of @entity1167 or @entity2224 . We examined unadjusted survival rates and developed a multivariable logistic regression model that included @entity1 and hospital factors. RESULTS: We analyzed 68,115 @entity1167 admissions. Unadjusted survival to hospital discharge was worse for blacks (n = 7,942) compared with whites (n = 60,173) (30% vs 33%, P < .001). In multivariate analyses accounting for @entity1 and hospital factors, adjusted probability of survival was worse for black @entity1 at hospitals with higher proportions of black @entity1 (31%, 95% CI 29%-32%) compared with predominately white hospitals (46%, 95% CI 36%-57%; P = .003). Similarly, whites had worse risk-adjusted survival at hospitals with higher proportions of black @entity1 (28%, 95% CI 27%-30%) compared with predominately white hospitals (32%, 95% CI 31%-33%, P = .006). Blacks were more likely to be admitted to hospitals with low survival rates (23% vs 15%, P < .001). CONCLUSION: Hospitals with large black @entity1 populations had worse @entity1167 outcomes than predominantly white hospitals, and blacks were more likely to be admitted to these high-mortality hospitals. Understanding these differences in survival outcomes may uncover the causes for these disparities and lead to improved survival for all @entity1167 victims.

Hospital racial composition: a neglected factor in XXXX survival disparities.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2224 :: ('MESH:D014693', 'Disease') :: ['ventricular fibrillation'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest']
@entity1167 :: (MESH:D006323,Disease) :: ['cardiac arrest']
