Treating Acute Myocardial Infarction for Hispanic Americans

Results: Compared to non-Hispanic White patients, Hispanic patients were associated with a greater comorbidity index, less likely to be treated in small (odds ratios [OR], 0.67), rural (OR, 0.39), or low-volume hospitals (OR, 0.90), but more likely to be treated in teaching hospitals (OR, 1.74). Further, Hispanic patients were less likely to receive arteriography, PTCA, and CABG, but positively associated with more resource use; also, Hispanic patients were less likely to be discharged to non-acute health facilities (OR, 0.80) or to die in hospital (OR, 0.78). Finally, comorbidities and the receiving of PTCA interacted with ethnicity, respectively, to affect mortality.