Disparities in acute in-hospital cardiovascular care for Aboriginal and non-Aboriginal South Australians
The known Disparities in the treatment of Aboriginal and non-Aboriginal patients hospitalised with acute coronary syndromes have been reported.
The new After adjusting for age and other factors, Aboriginal status was independently associated with lower coronary angiography rates. Angiography was more likely if family members or Aboriginal liaison officers were present. Revascularisation rates and prescription of medical therapies were similar for Aboriginal and non-Aboriginal patients who had undergone angiography.
The implications The reasons for lower angiography rates among Aboriginal patients are complex, but equality of treatment can be achieved. Improving the hospital experience for Aboriginal patients is needed to reduce disparities in treatment.
Coronary heart disease (CHD) contributes significantly to the 10-year life expectancy gap between Aboriginal and non-Aboriginal Australians.1–3 CHD mortality is estimated to be twice as high among Aboriginal Australians,3 accounting for 14% of all deaths of Aboriginal people.4 A higher incidence of acute coronary…