Racial disparities in access to, and outcomes of, acute ischaemic stroke treatments in the USA.

ABSTRACT:

Background

Racism contributes to higher comorbid risk factors and barriers to preventive measures for black Americans. Advancements in systems of care, tissue plasminogen activator (tPA) availability and endovascular thrombectomy (ET) have impacted practice and outcomes while outpacing contemporary investigation into acute ischaemic stroke (AIS) care disparities. We examined whether recent data suggest ongoing disparity in AIS interventions and outcomes, and if hospital characteristics affect disparities.

Methods

We examined 2016-2019 fee-for-service Medicare inpatient data. We ran unadjusted logistic regression models to calculate ORs and 95% CI for two interventions (tPA and ET) and four outcomes (inpatient mortality, 30-day mortality, discharge home and outpatient visit w

SUBMITTER: Kiefer L 

PROVIDER: S-EPMC11877435 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature