Race and income disparity in ischemic stroke care: nationwide inpatient sample database, 2002 to 2008.

摘要: Background Health care disparities exist between demographic groups with stroke. We examined whether patients of particular ethnicity or income levels experienced reduced access to delays in receiving stroke care. Methods studied all admissions for ischemic the Nationwide Inpatient Sample (NIS) database 2002 and 2008. used statistical models determine median race were associated intravenous (IV) thrombolysis treatment, in-hospital mortality, discharge disposition, hospital charges, LOS high- low-volume hospitals. Results There a total 477,474 stroke: 10,781 (2.3%) received IV thrombolysis, 380,400 (79.7%) treated high-volume Race ( P  = .0002). Patients hospitals 1.84 times more likely receive Conclusions African Americans, Hispanics, low are less Low be at High-volume have lower mortality rates higher likelihood treating thrombolysis. is evidence an influence socioeconomic status racial disparity treatment