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Abstract
Background We compared short- and long-term management and outcomes between Bedouin Arabs and Jewish patients in the Negev region (Israel) to assess disparities in myocardial infarction care and subsequent impacts on patient health.
Methods A retrospective cohort study was conducted at Soroka University Medical Center, Israel, spanning from 2016 to 2022. It included all cases of ST elevation myocardial infarction (STEMI) requiring urgent catheterisation. Data were extracted on demographics, comorbidities and key time metrics from symptom onset to intervention. Outcomes included in-hospital mortality, 1-year mortality and 1-year mortality for those who survived and were discharged.
Results Among the 1530 participants (1092 Jews, 438 Bedouins), no significant differences were found in immediate treatment metrics. However, multivariable logistic regression revealed a difference in a long-term outcome; Bedouins had a higher risk of 1-year mortality (adjusted OR=1.49, 95% CI: 0.99 to 2.22).
Conclusions While the initial treatment outcomes for STEMI appear comparable between ethnic groups, ethnic disparities become apparent in long-term health outcomes. Tailored interventions such as improved follow-up systems, community-specific health education and enhanced access to rehabilitation services are essential for ensuring equitable health outcomes for all populations.
- Health inequalities
- HEALTHCARE DISPARITIES
- PUBLIC HEALTH
Data availability statement
No data are available. The research data supporting the results of this manuscript are not publicly available due to restrictions imposed by the institutional ethics committee. However, data may be made available upon reasonable request and subject to specific approval by the ethics committee. Requests for data access can be directed to the corresponding author, and will be reviewed in accordance with the ethical guidelines and institutional policies.
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Data availability statement
No data are available. The research data supporting the results of this manuscript are not publicly available due to restrictions imposed by the institutional ethics committee. However, data may be made available upon reasonable request and subject to specific approval by the ethics committee. Requests for data access can be directed to the corresponding author, and will be reviewed in accordance with the ethical guidelines and institutional policies.
Footnotes
SS and VZ contributed equally.
Contributors SS drafted the work, SS and YP performed the analysis, VZ substantively revised the work and contributed to the conception and design, YH and DS revised the work and contributed to the conception, TS and NFR contributed to the design and to the interpretation of data and YP provided expert input on the interpretation of the findings and ensured the research adhered to ethical standards. VZ is the guarantor. We acknowledge the use of ChatGPT-4, an AI technology by OpenAI, to assist in drafting and refining the text of this manuscript for clarity and coherence. All AI-generated content was reviewed and edited by the authors to ensure accuracy and relevance.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.