Department of Community Health Sciences, University of Calgary, Canada.
BMC Cardiovasc Disord. 2010 Mar 4;10:12. doi: 10.1186/1471-2261-10-12.
Heart failure (HF) is a major cause of hospitalization and death in the aging population around the world. Home care utilization is associated with improved survival for the patients with HF, and varies by ethno-culture. The purpose of this study was to investigate the difference in hospital readmission rate and mortality between Asian and other Canadian HF patients.
HF patients were identified using hospital discharge abstracts from March 31, 2000 to April 1, 2006 in Calgary Health Region. Readmission and one-year mortality for HF were determined by linking hospital discharge and vital statistics data. Stratified by home care services use, readmission and mortality rates were compared between the Asians and other Canadians while controlling for age, sex, comorbidities, and household income.
Of 26,171 HF patients discharged from hospital, 56.6% of Asians and 58.0% of other Canadians used home care services [adjusted odds ratio (OR) for Asian: 0.84, 95% confidence interval (CI): 0.74-0.89]. The hospital readmission rate was similar between Asians and other Canadians regardless of home care services use. Mortality was similar between those who used home care services (adjusted OR for Asian: 0.96, 95% CI: 0.81-1.13). For patients who did not use home care services, Asians had significantly lower mortality than other Canadians (adjusted OR for Asian: 0.76, 95% CI: 0.60-0.86).
Mortality was similar between Asian and other Canadian patients when home care services were utilized. However, among those without home care, Asian patients had a significantly lower mortality than other Canadian patients.
心力衰竭（HF）是全球老龄化人口住院和死亡的主要原因。家庭护理的利用与 HF 患者的生存率提高有关，并且因种族文化而异。本研究的目的是调查亚洲和其他加拿大 HF 患者的住院再入院率和死亡率之间的差异。
使用卡尔加里健康区 2000 年 3 月 31 日至 2006 年 4 月 1 日的医院出院记录识别 HF 患者。通过链接医院出院和人口统计数据确定 HF 的再入院和一年死亡率。按家庭护理服务使用分层，在控制年龄、性别、合并症和家庭收入的情况下，比较亚洲人和其他加拿大人之间的再入院率和死亡率。
在 26171 名从医院出院的 HF 患者中，56.6%的亚洲人和 58.0%的其他加拿大人使用家庭护理服务[亚洲人调整后的优势比（OR）：0.84，95%置信区间（CI）：0.74-0.89]。无论是否使用家庭护理服务，亚洲人和其他加拿大人的住院再入院率相似。使用家庭护理服务的患者死亡率相似（亚洲人调整后的 OR：0.96，95%CI：0.81-1.13）。对于未使用家庭护理服务的患者，亚洲人死亡率明显低于其他加拿大人（亚洲人调整后的 OR：0.76，95%CI：0.60-0.86）。
当使用家庭护理服务时，亚洲人和其他加拿大患者的死亡率相似。然而，在没有家庭护理的患者中，亚洲患者的死亡率明显低于其他加拿大患者。
