Clinical Research Fellow, NPCRDC, The University of Manchester, UK.
Eur J Cardiovasc Nurs. 2010 Dec;9(4):272-7. doi: 10.1016/j.ejcnurse.2010.03.004. Epub 2010 Apr 24.
In the United Kingdom (UK) ethnic minority groups from the Indian sub-continent (India, Pakistan and Bangladesh) are at increased risk of coronary heart disease (CHD) related mortality and morbidity. The aim of this study was to assess the variation in recording of clinical data by ethnicity following the implementation of an electronic centralised cardiac rehabilitation register in the North West of England.
Data were collected over 18 months for all individuals (n=1993) assessed for entry into the cardiac rehabilitation programme. Analysis of the recording of clinical data was undertaken by ethnicity with adjustment for gender, age group and deprivation.
Most patients on the database had their ethnicity recorded (94.4%). South Asians (Indian, Pakistani and Bangladeshi) were less likely to have clinical data items recorded compared to the majority White British group. The disparity in recording of clinical data was most marked for the Hospital Anxiety and Depression Scale score (adjusted OR 0.16, 95% CI 0.07-0.36), body mass index (adjusted OR 0.54, 95% CI 0.37-0.79), pulse (0.60, 95% CI 0.42-0.88), blood glucose (adjusted OR 0.64, 95% CI 0.44-0.93) and cholesterol (adjusted OR 0.64, 965% CI 0.44-0.95).
Recording of clinical data relevant to successful cardiac rehabilitation was poorer among South Asian patients.
在英国（UK），来自印度次大陆（印度、巴基斯坦和孟加拉国）的少数民族群体患与冠心病（CHD）相关的死亡率和发病率风险更高。本研究的目的是评估在英格兰西北部实施电子集中式心脏康复登记处后，按族裔记录临床数据的变化。
在 18 个月的时间里，为所有评估进入心脏康复计划的个体（n=1993）收集数据。通过族裔对临床数据的记录进行分析，并根据性别、年龄组和贫困程度进行调整。
数据库中的大多数患者都记录了种族（94.4%）。与大多数白人英国组相比，南亚人（印度人、巴基斯坦人和孟加拉人）记录临床数据项目的可能性较小。临床数据记录的差异在医院焦虑和抑郁量表评分（调整后的 OR 0.16，95%CI 0.07-0.36）、体重指数（调整后的 OR 0.54，95%CI 0.37-0.79）、脉搏（0.60，95%CI 0.42-0.88）、血糖（调整后的 OR 0.64，95%CI 0.44-0.93）和胆固醇（调整后的 OR 0.64，965%CI 0.44-0.95）方面最为明显。
南亚裔患者记录与心脏康复成功相关的临床数据较差。
