School of Population Health M431, University of Western Australia, Stirling Highway, Crawley, WA 6009, Australia.
Heart Lung Circ. 2010 Apr;19(4):247-50. doi: 10.1016/j.hlc.2009.11.001. Epub 2010 Feb 10.
Coronary revascularisation procedures may be under-used for Aboriginal Australians with ischaemic heart disease (IHD). We compared the use of procedures in an urban Aboriginal population and a non-Aboriginal external comparison group.
The Perth Aboriginal Atherosclerosis Risk (PAARS) cohort (n=998) and 3695 age- and sex-matched non-Aboriginals were electronically linked to Western Australian hospital morbidity data to identify admissions and revascularisation procedures between 1980 and 2006.
There were 731 admissions for IHD for 983 PAARS participants with hospital admissions and 391 in 3150 non-Aboriginals. There were 136 first procedures overall; 43% of Aboriginals having a procedure were women versus 18.5% of non-Aboriginals. 41% of Aboriginal patients and 48% of non-Aboriginals had procedures (p=0.12). Aboriginals were more likely to have coronary artery bypass grafts (CABG) (40.5%) than a percutaneous coronary intervention (PCI), compared to the general population (23%, p=0.02). The proportion of first procedures for acute coronary syndrome (ACS) admissions was 61% for both groups, 80% and 85%, respectively, being PCI.
Coronary revascularisation procedures for IHD were used with equal frequency in Aboriginal people and matched non-Aboriginals. Aboriginal people were more likely to have CABG than PCI. Revascularisation rate and type in ACS admissions were the same.
在患有缺血性心脏病（IHD）的澳大利亚原住民中，冠状动脉血运重建术的应用可能不足。我们比较了城市原住民人群和非原住民外部对照组中这些手术的应用情况。
通过电子方式将珀斯原住民动脉粥样硬化风险（PAARS）队列（n=998）和 3695 名年龄和性别匹配的非原住民与西澳大利亚州医院发病率数据进行关联，以确定 1980 年至 2006 年间的住院和血运重建手术。
983 名 PAARS 参与者中有 731 名因 IHD 住院，3150 名非原住民中有 391 名。总共进行了 136 例首次手术；43%的原住民女性接受了手术，而非原住民女性仅占 18.5%。41%的原住民患者和 48%的非原住民患者接受了手术（p=0.12）。与一般人群相比（23%，p=0.02），原住民更有可能接受冠状动脉旁路移植术（CABG）（40.5%）而不是经皮冠状动脉介入治疗（PCI）。对于急性冠状动脉综合征（ACS）入院患者，首次手术的比例分别为两组的 61%，其中 80%和 85%分别为 PCI。
IHD 的冠状动脉血运重建术在原住民和匹配的非原住民中使用频率相同。原住民更有可能接受 CABG 而不是 PCI。ACS 入院患者的血运重建率和类型相同。
