Heart failure & cardiomyopathiesCohort study
Racial and Ethnic Disparities in Ambulatory Heart Failure Ventricular Assist Device Implantation and Survival
- Retrospective registry cohort study
- INTERMACS registry
- census-adjusted implantation rates
Authors' conclusion
Black and White patients with ambulatory HF had similar VAD implantation rates but rates were lower for Hispanic patients. Survival differed among the 3 groups, with the highest estimated survival at 12 months in Black patients.
Study context
- Population
- Adults with ambulatory heart failure (HF) (INTERMACS profile 4–7) receiving durable LV assist devices, INTERMACS database 2012–2017
- Participants
- 2,256 adults
- Exposure
- Black vs Hispanic vs White patients
- Outcome
- Census-adjusted VAD implantation rates and post-VAD survival by race and ethnicity
Main finding
As reported in the abstract
Post-VAD survival · 12 months
P = 0.0067
Observational data: associations, not effects.
Further findings
Racial/ethnic composition of VAD recipients
Racial/ethnic composition of VAD recipients
- Median age at implantation lowest in Black patients
Original publication
Racial and Ethnic Disparities in Ambulatory Heart Failure Ventricular Assist Device Implantation and Survival. JACC Heart Fail. Published 28 June 2023. doi:10.1016/j.jchf.2023.05.017
Summarised from the published abstract; every number is checked against it