Geographic and Regional Variability in Racial and Ethnic Disparities in Stroke Thrombolysis in the United States.

ABSTRACT:

Background and purpose

Intravenous thrombolysis (IVT) after ischemic stroke is underutilized in racially/ethnically minoritized groups. We aimed to determine the regional and geographic variability in racial/ethnic IVT disparities in the United States.

Methods

Acute ischemic stroke admissions between 2012 and 2018 were identified in the National Inpatient Sample. Multivariable logistic regression was used to test the association between IVT and race/ethnicity, stratified by geographic region and controlling for demographic, clinical, and hospital characteristics.

Results

Of the 545 509 included cases, 47 031 (8.6%) received IVT. Racially/ethnically minoritized groups had significantly lower adjusted odds of IVT compared with White people in the South Atlantic region (

SUBMITTER: Suolang D 

PROVIDER: S-EPMC8608741 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature