Goodfellow Unit
- 2 hours ago
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Early identification of AAS in younger Māori
This study examined ethnic disparities in acute aortic syndrome (AAS) in Midland region patients1. Researchers conducted a 10-year retrospective review (2010–2020) of 250 consecutive AAS cases, in which Māori made up 23.3% of the population. Outcomes were compared between Māori and non-Māori.
Māori patients accounted for 36.8% of cases and had a significantly higher age-standardised incidence of AAS (6.9 vs 2.0 per 100,000 person-years). They presented at a younger age for both type A and type B disease. Although 30-day mortality was higher for type A than type B AAS overall, survival did not differ by ethnicity. The study concludes that Māori experience earlier onset and a higher incidence of AAS, but similar short and long-term survival once treated.
This reinforces the need for early identification and aggressive management of cardiovascular risk factors, especially in higher-risk groups such as Māori.
Reference:
Ethnic differences in incidence and outcomes of acute aortic syndromes in the Midland region of New Zealand Journal of Vascular Surgery (2021)
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