Home > Review Articles > Ethnic disparities > Ethnic differences in case fatality following an acute ischaemic heart disease event in New Zealand: ANZACS-QI 13

Ethnic differences in case fatality following an acute ischaemic heart disease event in New Zealand: ANZACS-QI 13

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From Māori Health Review Issue 65
Authors:
  • Grey C et al.
Summary:

These researchers investigated ischaemic heart disease (IHD) events (acute IHD hospitalisations and/or deaths) amongst 26,885 people aged 35–84 years in high-risk ethnic populations (11.3% Māori, 4.0% Pacific, and 2.5% Indian) residing in New Zealand during 2009–2010. Within 28 days of IHD hospitalisations, 3.3% of people died; within 28 days of non-IHD hospitalisations, 5.1% died of IHD; 13.0% died of IHD without any recent hospitalisation. In multinomial logistic regression analyses, overall adjusted 28-day case fatality rates were 12.6% in Indians, 20.5% in Europeans, 26.0% in Pacific people and 27.6% in Māori. Compared with Europeans, the adjusted odds of death were approximately 50% higher in Māori and Pacific people and 50% lower in Indians, whether or not they were hospitalised.

Comment:
I often hear the argument that Māori have higher death rates from heart disease than non-Māori because ‘they don’t get to hospital care in time’. The important point to take away from this paper is that Māori and Pacific are more likely to die from heart disease in the community AND in hospital than non-Māori, non-Pacific peoples. As the authors suggest, improvements in BOTH primary prevention and hospital care are required.
Reference: Eur J Prev Cardiol. 2016;23(17):1823-30
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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