Ethnic Disparities in End-of-Life Care After XXXX .

@entity1 @entity3453 @entity1545 @entity510
BACKGROUND: It is common for @entity1 who die from @entity510 to have a focus on comfort measures at the end of life. The potential role of ethnicity in end-of-life decisions after @entity1545 has not been extensively studied. METHODS: @entity1 with @entity510 were prospectively followed in an observational database. Demographic information including ethnicity was collected from medical records and self-reported by @entity1 or their family. Significant in-hospital events including do-not-resuscitate orders, @entity3453 ( @entity3453 ; care withheld or withdrawn), and mortality were recorded prospectively. RESULTS: 1255 @entity1 were included in our analysis: 650 (52  %) were White, 387 (31  %) Hispanic, and 218 (17  %) Black. Mortality was similar between the groups. @entity3453 was more commonly observed in Whites (14  %) compared to either Blacks (10  %) or Hispanics (9  %) (p  =  0.04). In a multivariate analysis controlling for age and Hunt-Hess grade, Hispanics were less likely to have @entity3453 than Whites (OR, 0.6; 95  %CI, 0.4-0.9; p  =  0.02). Of the 229 @entity1 who died, 77  % of Whites had @entity3453 compared to 54  % of Blacks and 49  % of Hispanics (p  <  0.01). In a multivariate analysis, Blacks (OR, 0.3; 95  %CI, 0.2-0.7; p  <  0.01) and Hispanics (OR, 0.3; 95  %CI, 0.2-0.6; p  <  0.01) were less likely to die with @entity3453 orders than Whites. CONCLUSION: After @entity510 , Blacks and Hispanics are less likely to die with @entity3453 orders than Whites. Further research to confirm and investigate the causes of these ethnic differences should be performed.
