Good News, Bad News for Older Survivors of Acute MI
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A new 25-year study reveals that mortality after an acute myocardial infarction (AMI) and repeat events are coming down for all older Americans. But it also highlights the need for more work, especially efforts to root out healthcare inequities. Among 3.9 million Medicare beneficiaries who were alive 30 days after an AMI, the 10-year mortality risk was 13.9% lower for patients hospitalized in 2007 to 2009 compared with those hospitalized in 1995 to 1997.
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@shubhankar The researchers found that being Black or dual eligible for Medicare and Medicaid was independently associated with higher 10-year, all-cause mortality and recurrent AMI risk. The same was true for patients living in health priority areas, which the investigators previously reported are defined by persistently high adjusted mortality and hospitalization rates and concentrated in the South. After inverse propensity weighting, the adjusted mortality hazard ratios (HRs) were 1.05 for Black vs white patients, 1.24 for dual-eligible vs noneligible patients, and 1.06 for residents of health priority areas vs other areas.