Frail, elderly African-Americans experience improved health and lower mortality rates when their access to health care is increased, according to a study conducted at the San Francisco VA Medical Center. In the Program of All-Inclusive Care for the Elderly (PACE), a comprehensive team approach to health care, researchers followed the health status and survival rates of 859 elderly African-American and 2002 elderly white participants.
During the enrollment phase of PACE, the elderly African-American patients scored lower on mental health measures, ability to perform routine tasks, and degree of dementia than did the white patients. After a year of enrollment, the African-American patients had a survival rate of 88%, compared with 86% for the white patients, and were more likely to have improved health status. The 5-year survival rates were 51% and 42%, respectively. Researchers hope that results of the study will lead more communities to adopt the PACE model.
One study linked multiple pregnancies to an increased risk of developing atrial fibrillation later in life, and another investigated the association between premature delivery and cardiovascular disease.
Clinical features with downloadable PDFs