Key result
Elderly acute stroke patients with a non-English-speaking background had similar in-hospital mortality (8.6% vs 10.2%) but significantly lower warfarin use for atrial fibrillation (P=0.001).
Why the study?
Does a non-English-speaking background affect stroke risk factors, management, and outcomes in elderly acute stroke patients?
Population
186 consecutive acute stroke patients aged ≥65 years admitted to a single hospital over a 12-month period
Comparison
Non-English-speaking background (NESB) vs English-speaking background (ESB)
Design
Cohort
Follow-up
In-hospital (until discharge)
Authors
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NESB elderly stroke patients exhibit distinct risk profiles; observational data leaves open whether culturally adapted care narrows outcome gaps.
Cohort (n=186)
No
Does a non-English-speaking background affect stroke risk factors, management, and outcomes in elderly acute stroke patients?
Absolute Event Rate: 8.6% vs 10.2%
Elderly non-English-speaking stroke patients exhibit significant underutilization of warfarin for atrial fibrillation and higher rates of diabetes compared to English-speaking patients, highlighting potential disparities in primary care.
Shen et al. (2004) conducted a cohort in Acute stroke (n=186). Non-English-speaking background (NESB) vs. English-speaking background (ESB) was evaluated on In-hospital mortality. Elderly acute stroke patients with a non-English-speaking background had similar in-hospital mortality (8.6% vs 10.2%) but significantly lower warfarin use for atrial fibrillation (P=0.001).