Impact of Hispanic Ethnicity, Geography, and Insurance Status on Cardiovascular Outcomes in Patients Undergoing Percutaneous Coronary Intervention
Authors' conclusion
In socioeconomically disadvantaged areas, Hispanic patients had worse outcomes compared to non-Hispanic Whites compounded by uninsured status. There are complex demographic disparities in PCI outcomes for Hispanic patients and those residing in border zones which need to be recognized and mitigated.
Study context
- Population
- Patients who underwent percutaneous coronary intervention (PCI) at UC San Diego Health from January 2007 to September 2022age 66 years [IQR: 58–75 years], 72% male, 33% Hispanic ethnicity, and 30% from Imperial County
- Participants
- 8,295 patients
- Exposure
- Hispanic ethnicity, geography, insurance status, and PCI outcomes
- Outcome
- Mortality rates, Hispanic vs non-Hispanic Whites, entire population
Methodological detailsUC San Diego Health internal National Cardiovascular Data Registry CathPCI Registry
- UC San Diego Health internal National Cardiovascular Data Registry CathPCI Registry
Main finding
As reported in the abstract
- No difference in mortality rates between Hispanic and non-Hispanic Whites in the entire population
Observational data: associations, not effects.
Further findings
| Outcome | Hispanics | non-Hispanic Whites | Imperial County | Outside of Imperial County |
|---|---|---|---|---|
| Mortality, within Imperial County, Hispanics vs non-Hispanic Whites · 30-day, 6-month, 1-year | ||||
| 30-day | 1.4% | 0.3% | — not stated in the abstract | — not stated in the abstract |
| 6-month | 2.2% | 0.8% | — not stated in the abstract | — not stated in the abstract |
| 1-year | 2.9% | 0.9% | — not stated in the abstract | — not stated in the abstract |
| Mortality, Imperial County vs outside of Imperial County · 30-day, 6-month, 1-year | ||||
| 30-day | — not stated in the abstract | — not stated in the abstract | 1.2% | 1.9% |
| 6-month | — not stated in the abstract | — not stated in the abstract | 1.9% | 3.3% |
| 1-year | — not stated in the abstract | — not stated in the abstract | 2.4% | 5% |
— not stated in the abstract
- Mortality, within Imperial County, Hispanics vs non-Hispanic Whites: 30-day P = 0.02
- Mortality, within Imperial County, Hispanics vs non-Hispanic Whites: 6-month P = 0.01
- Mortality, within Imperial County, Hispanics vs non-Hispanic Whites: 1-year P = 0.004
- Mortality, Imperial County vs outside of Imperial County: 30-day P = 0.01
- Mortality, Imperial County vs outside of Imperial County: 6-month P < 0.001
- Mortality, Imperial County vs outside of Imperial County: 1-year P < 0.001
- Mortality in Hispanic patients by insurance status (uninsured vs Medicare/Medicaid vs private insurance): Uninsured Hispanic 4.5%
- Mortality in Hispanic patients by insurance status (uninsured vs Medicare/Medicaid vs private insurance): Medicare/Medicaid 2.0%
- Mortality in Hispanic patients by insurance status (uninsured vs Medicare/Medicaid vs private insurance): private insurance 1.0%
- Mortality in Hispanic patients by insurance status (uninsured vs Medicare/Medicaid vs private insurance): P = 0.005
- Mortality in Hispanic patients within Imperial County by insurance status: Uninsured Hispanic 10.4%
- Mortality in Hispanic patients within Imperial County by insurance status: Medicare/Medicaid 1.6%
- Mortality in Hispanic patients within Imperial County by insurance status: private insurance 0.3%
- Mortality in Hispanic patients within Imperial County by insurance status: P < 0.001
All-cause mortality by insurance status in non-Hispanic Whites
- No difference in all-cause mortality rates by insurance status in non-Hispanic Whites
Baseline characteristics
- Hispanics and patients from Imperial County irrespective of race or ethnicity had higher body mass index and were more likely to have diabetes, hypertension, hyperlipidemia, end-stage renal disease, and peripheral vascular disease
Original publication
Impact of Hispanic Ethnicity, Geography, and Insurance Status on Cardiovascular Outcomes in Patients Undergoing Percutaneous Coronary Intervention. JACC Adv. Published 26 April 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →