ORIGINAL RESEARCH

Racial-Ethnic Disparities in Acute Stroke Care in the Florida-Puerto Rico Collaboration to Reduce Stroke Disparities Study Ralph L. Sacco, MD, MS; Hannah Gardener, ScD; Kefeng Wang, MS; Chuanhui Dong, PhD; Maria A. Ciliberti-Vargas, MPH; Carolina M. Gutierrez, PhD; Negar Asdaghi, MD; W. Scott Burgin, MD; Olveen Carrasquillo, MD, MPH; Enid J. Garcia-Rivera, MD; Ulises Nobo, MD; Sofia Oluwole, BA; David Z. Rose, MD; Michael F. Waters, MD, PhD; Juan Carlos Zevallos, MD; Mary Robichaux, MPH, MBA; Salina P. Waddy, MD; Jose G. Romano, MD; Tatjana Rundek, MD, PhD; for the FL-PR CReSD Investigators and Collaborators*

Background-—Racial-ethnic disparities in acute stroke care can contribute to inequality in stroke outcomes. We examined raceethnic disparities in acute stroke performance metrics in a voluntary stroke registry among Florida and Puerto Rico Get With the Guidelines-Stroke hospitals. Methods and Results-—Seventy-five sites in the Florida Puerto Rico Stroke Registry (66 Florida and 9 Puerto Rico) recorded 58 864 ischemic stroke cases (2010–2014). Logistic regression models examined racial-ethnic differences in acute stroke performance measures and defect-free care (intravenous tissue plasminogen activator treatment, in-hospital antithrombotic therapy, deep vein thrombosis prophylaxis, discharge antithrombotic therapy, appropriate anticoagulation therapy, statin use, smoking cessation counseling) and temporal trends. Among ischemic stroke cases, 63% were non-Hispanic white (NHW), 18% were non-Hispanic black (NHB), 14% were Hispanic living in Florida, and 6% were Hispanic living in Puerto Rico. NHW patients were the oldest, followed by Hispanics, and NHBs. Defect-free care was greatest among NHBs (81%), followed by NHWs (79%) and Florida Hispanics (79%), then Puerto Rico Hispanics (57%) (P

Racial-Ethnic Disparities in Acute Stroke Care in the Florida-Puerto Rico Collaboration to Reduce Stroke Disparities Study.

Racial-ethnic disparities in acute stroke care can contribute to inequality in stroke outcomes. We examined race-ethnic disparities in acute stroke pe...
390KB Sizes 0 Downloads 10 Views