Document Detail

Racial disparities in the pathogenesis and outcomes for patients with ischemic stroke.
MedLine Citation:
PMID:  15098548     Owner:  NLM     Status:  MEDLINE    
Using the 2000 National Inpatient Sample, this study examined the patterns of disparities regarding acute care outcomes of ischemic stroke among Caucasian, African-American, Hispanic, and Asian/Pacific-Islander patients. The data from 13,316 patients with carotid artery-related stroke and 33,149 patients with cerebral artery occlusion were examined. Although racial disparities associated with carotid artery occlusion and cerebral artery occlusion varied, overall, as compared with Caucasians, minorities suffered greater neurologic impairment and had poorer outcomes. For example, among patients with carotid artery occlusion, 62.5% of Caucasian patients had paralysis, compared with 71.2% of African Americans, 69.1% of Hispanics, and 74.0% of Asian patients. Poorer outcomes among African Americans and Hispanics coexisted with higher frequencies of cerebral artery disease in these populations, suggesting possible etiologic factors related to diabetes and high cholesterol levels. Etiologic factors contributing to disparities in the Asian population remain to be determined.
Jay J Shen; Elmer L Washington; Lisa Aponte-Soto
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Managed care interface     Volume:  17     ISSN:  1096-5645     ISO Abbreviation:  Manag Care Interface     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-04-21     Completed Date:  2004-06-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9715194     Medline TA:  Manag Care Interface     Country:  United States    
Other Details:
Languages:  eng     Pagination:  28-34     Citation Subset:  H    
Department of Health Administration, Governors State University, University Park, Illinois 60466, USA.
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MeSH Terms
Brain Ischemia / ethnology,  physiopathology,  therapy*
Continental Population Groups*
International Classification of Diseases
Stroke / ethnology,  physiopathology,  therapy*
Treatment Outcome*
Grant Support
1 R03 HS13056/HS/AHRQ HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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