Individual and System Contributions to Race and Sex Disparities in Thrombolysis Use for Stroke Patients in the United States.

ABSTRACT:

Background and purpose

Intravenous thrombolysis (IVT) is underutilized in ethnic minorities and women. To disentangle individual and system-based factors determining disparities in IVT use, we investigated race/sex differences in IVT utilization among hospitals serving varying proportions of minority patients.

Methods

Ischemic stroke admissions were identified from the Nationwide Inpatient Sample between 2007 and 2011. Hospitals were categorized based on the percentage of minority patients admitted with stroke (<25% minority patients [white hospitals], 25% to 50% minority patients [mixed hospitals], or >50% minority patients [minority hospitals]). Logistic regression was used to evaluate the association between race/sex and IVT use within and between the different hospital s

SUBMITTER: Faigle R 

PROVIDER: S-EPMC5399516 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature