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Journal of Transcultural Nursing, Vol. 15, No. 4, 291-297 (2004)
DOI: 10.1177/1043659604268962

Racial Disparities in Hospitalized Elderly Patients with Chronic Heart Failure

Erlinda C. Wheeler, DNS, RN

University of Delaware

Paula Klemm, DNSc, RN, OCN

University of Delaware

Thomas Hardie, EdD, RN, CS, NP

University of Delaware

Lisa Plowfield, PhD, RN

University of Delaware

Margaret Birney, PhD, RN

University of Delaware

Carolee Polek, PhD, RN

University of Delaware

Kevin G. Lynch, PhD

University of Pennsylvania

The purpose of this study was to examine the impact of race on length of hospital stay (LOS) and number of procedures on elderly persons hospitalized with chronic heart failure (CHF). Secondary data analysis was used to obtain data on 99,543 hospitalized Medicare patients with CHF age 65 years or older. MANOVA was utilized to examine the effects of race, age, and total hospital charges on LOS, number of procedures, and diagnosis. Asian American Pacific Islanders had significantly higher number of procedures and LOS compared to Whites. The combined dependent variables were significantly affected by race, F(9, 99,543) = 121.95, p = .000; the covariates of age, F(3, 99,543) = 720.65, p = .000; and total charges F(3, 99,543) = 38,962.95, p = .000. LOS accounted for 50% of the variance. Studies that examine cultural variables and their effect on LOS and number of procedures are needed.

Key Words: elderly • chronic heart failure • length of stay • race


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