XXXX Disparities: Disaggregating Native Hawaiians from other Pacific Islanders.

@entity1 @entity64 @entity6 @entity165 @entity385
OBJECTIVES: To compare the clinical characteristics of Native Hawaiians (NH) and other Pacific Islanders (PI) who are hospitalized with @entity385 . DESIGN: Retrospective, cross-sectional analysis of medical records. SETTING: Tertiary, Primary @entity64 Center in Honolulu, Hawaii. @entity1 : Consecutive @entity1 with race/ethnicity identified as NH or PI who were hospitalized for @entity385 between January 2006 and December 2012. OUTCOME MEASURES: Age, sex, cardiovascular risk factors, intravenous tissue plasminogen activator (IV-tPA) utilization rate and hospital length of stay. RESULTS: A total of 561 @entity1 (57% NH and 43% PI) were studied. PI were younger (59    13 years vs 62    14 years, P = .002), had higher prevalence of @entity6 (58% vs 41%, P < .0001) and prosthetic valve (6% vs 2%, P = .007), lower prevalence of smoking (14% vs 21%, P = .03), lower HDL @entity165 (38    11 mg/dL vs 41    13 mg/dL, P = .004), and higher discharge diastolic blood pressure (79    15 vs 76 mm Hg    14 mm Hg, P = .04) compared to NH. No difference was seen in other cardiovascular risk factors. The IV-tPA utilization rate (5% vs 6%, P = .48) and the hospital length of stay (10    17 days vs 10    49 days, P = .86) were not different between the two groups. CONCLUSION: Native Hawaiians and other Pacific Islanders with @entity385 have modestly different age of @entity64 presentation and burden of risk factors compared to each other. Disaggregating these two racial groups may be important to unmask any potential clinical differences in future studies.
