Key result
Non-white patients with acute ischemic stroke had significantly lower utilization of IV thrombolysis compared to white patients (7% vs. 13%; p=0.042) and arrived at the hospital 7.7 hours later.
Why the study?
The study was conducted as part of a quality improvement project to identify racial disparities in inpatient stroke quality of care.
Does non-white race impact pre-hospital and inpatient stroke quality of care compared to white race?
Cohort (n=1,347)
Yes
Does non-white race impact pre-hospital and inpatient stroke quality of care compared to white race?
Absolute Event Rate: 7% vs 13%
p-value: p=0.042
Racial disparities in stroke care exist primarily in the pre-hospital phase, resulting in delayed presentation and lower rates of IV thrombolysis among non-white patients.
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May signal racial disparities in stroke care quality; leaves open need for targeted interventions and prospective validation.
Hussein et al. (2023) conducted a cohort in Stroke (n=1,347). Non-white race vs. White race was evaluated on IV thrombolysis utilization in acute ischemic stroke (p=0.042). Non-white patients with acute ischemic stroke had significantly lower utilization of IV thrombolysis compared to white patients (7% vs. 13%; p=0.042) and arrived at the hospital 7.7 hours later.
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