The relationship between stroke system organization and disparities in access to stroke center care in California.

ABSTRACT:

Background

There are significant racial and ethnic disparities in receipt of reperfusion interventions for acute ischemic stroke. Our objective was to determine whether there are disparities in access to stroke center care by race or ethnicity that help explain differences in reperfusion therapy and to understand whether interhospital patient transfer plays a role in improving access.

Methods

Using statewide administrating data including all emergency department and hospital discharges in California from 2010 to 2017, we identified all acute ischemic stroke patients. Primary outcomes of interest included presentation to primary or comprehensive stroke center (PSC or CSC), interhospital transfer, discharge from PSC or CSC, and discharge from CSC alone. We used hierarchical lo

SUBMITTER: Zachrison KS 

PROVIDER: S-EPMC8921441 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature