Racial and ethnic disparities in stroke subtypes: a multiethnic sample of patients with stroke
被引:21
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作者:
Gutierrez, Jose
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机构:
Columbia Univ, Dept Neurol, Med Ctr, New York, NY USAColumbia Univ, Dept Neurol, Med Ctr, New York, NY USA
Gutierrez, Jose
[1
]
Koch, Sebastian
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机构:
Univ Miami, Dept Neurol, Miami, FL USAColumbia Univ, Dept Neurol, Med Ctr, New York, NY USA
Koch, Sebastian
[2
]
Dong, Chuanhui
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机构:
Univ Miami, Dept Neurol, Miami, FL USAColumbia Univ, Dept Neurol, Med Ctr, New York, NY USA
Dong, Chuanhui
[2
]
Casanova, Teresita
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机构:
Univ Miami, Dept Neurol, Miami, FL USAColumbia Univ, Dept Neurol, Med Ctr, New York, NY USA
Casanova, Teresita
[2
]
Modir, Royya
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机构:
Univ Calif San Diego, Dept Neurol, San Diego, CA 92103 USAColumbia Univ, Dept Neurol, Med Ctr, New York, NY USA
Modir, Royya
[3
]
Katsnelson, Michael
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机构:
Univ Miami, Dept Neurol, Miami, FL USAColumbia Univ, Dept Neurol, Med Ctr, New York, NY USA
Katsnelson, Michael
[2
]
Ortiz, Gustavo A.
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机构:
Univ Miami, Dept Neurol, Miami, FL USAColumbia Univ, Dept Neurol, Med Ctr, New York, NY USA
Ortiz, Gustavo A.
[2
]
Sacco, Ralph L.
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机构:
Univ Miami, Dept Neurol, Miami, FL USA
Univ Miami, Dept Epidemiol & Publ Hlth, Miami, FL 33136 USA
Univ Miami, Dept Human Genet, Miami, FL USAColumbia Univ, Dept Neurol, Med Ctr, New York, NY USA
Sacco, Ralph L.
[2
,4
,5
]
Romano, Jose G.
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h-index: 0
机构:
Univ Miami, Dept Neurol, Miami, FL USAColumbia Univ, Dept Neurol, Med Ctr, New York, NY USA
Romano, Jose G.
[2
]
Rundek, Tatjana
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机构:
Univ Miami, Dept Neurol, Miami, FL USA
Univ Miami, Dept Epidemiol & Publ Hlth, Miami, FL 33136 USAColumbia Univ, Dept Neurol, Med Ctr, New York, NY USA
Rundek, Tatjana
[2
,4
]
机构:
[1] Columbia Univ, Dept Neurol, Med Ctr, New York, NY USA
[2] Univ Miami, Dept Neurol, Miami, FL USA
[3] Univ Calif San Diego, Dept Neurol, San Diego, CA 92103 USA
Stroke subtypes have been reported to differ by race and ethnic subgroups and have not been adequately explained. We aim to evaluate if the prevalence of vascular risk factors accounts for differences observed in stroke subtypes by race/ethnicity. Patients with acute stroke were prospectively enrolled in the Miami Stroke Registry. Patients' demographic, clinical and radiological characteristics were systematically collected. Stroke subtypes were ascertained using TOAST criteria. The sample was divided into Non-Hispanic Whites (NHW), Hispanics, African Americans (AA), and Non-Hispanic Black Caribbean (NHBC). Univariable and multivariable logistic regression analyses were performed to assess differences among groups. Among 473 stroke patients (mean age 64 +/- A 14 years; 63.7 % were men) of which 52.9 % were Hispanic, 22.6 % were AA, 13.5 % NHBC and 11.0 % were NHW. Large artery atherosclerosis was more prevalent in NHBC (OR 1.74, 95 % CI 1.02-2.97) than in the other groups. Adjusting for covariates rendered the association not significant (OR 1.71, 95 % CI 0.93-3.16). Cardioembolism was more frequent in Hispanics (OR 1.94, 95 % CI 1.28-2.96) and NHW (OR 2.66, 95 % CI 1.42-4.96) as compared to NHBC and AA combined. Adjusting for covariates, the association was no longer significant for Hispanics but was further strengthened for NHW (OR 3.02, 95 % CI 1.42-6.42). Our results suggest that the vascular risk factors prevalence among different racial and ethnic groups partially explains disparities found in the prevalence of some stroke subtypes. Addressing health disparities remains an important public health aspect of stroke prevention.
机构:
VA HSR&D Ctr Study Healthcare Innovat Implementat, VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USAVA HSR&D Ctr Study Healthcare Innovat Implementat, VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USA
Essien, U.
Tang, J.
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机构:
UCLA Hlth, Gen Internal Med, Los Angeles, CA USAVA HSR&D Ctr Study Healthcare Innovat Implementat, VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USA
Tang, J.
Kim, N.
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VA Pittsburgh Healthcare Syst, Ctr Hlth Equ Res & Promot, Pittsburgh, PA USAVA HSR&D Ctr Study Healthcare Innovat Implementat, VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USA
Kim, N.
Hausmann, L.
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VA Pittsburgh Healthcare Syst, Ctr Hlth Equ Res & Promot, Pittsburgh, PA USAVA HSR&D Ctr Study Healthcare Innovat Implementat, VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USA
Hausmann, L.
Washington, D.
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VA HSR&D Ctr Study Healthcare Innovat Implementat, VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USAVA HSR&D Ctr Study Healthcare Innovat Implementat, VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USA
Washington, D.
Mor, M.
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VA Pittsburgh Healthcare Syst, Ctr Hlth Equ Res & Promot, Pittsburgh, PA USAVA HSR&D Ctr Study Healthcare Innovat Implementat, VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USA
Mor, M.
Nguyen, V
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UCLA Hlth, Gen Internal Med, Los Angeles, CA USAVA HSR&D Ctr Study Healthcare Innovat Implementat, VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USA
Nguyen, V
Gellad, W.
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VA Pittsburgh Healthcare Syst, Ctr Hlth Equ Res & Promot, Pittsburgh, PA USAVA HSR&D Ctr Study Healthcare Innovat Implementat, VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USA
Gellad, W.
Fine, M.
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VA Pittsburgh Healthcare Syst, Ctr Hlth Equ Res & Promot, Pittsburgh, PA USAVA HSR&D Ctr Study Healthcare Innovat Implementat, VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USA
机构:
Univ Michigan, Div Gen Med, Dept Internal Med, Ann Arbor VA Healthcare Syst, Ann Arbor, MI 48109 USA
Univ Michigan, Dept Neurol, Ann Arbor VA Healthcare Syst, Ann Arbor, MI 48109 USA
Ohio State Univ, Coll Med, Dept Internal Med, Columbus, OH 43210 USA
Ohio State Univ, Coll Publ Hlth, Div Hlth Serv Management & Policy, Columbus, OH 43210 USAUniv Michigan, Div Gen Med, Dept Internal Med, Ann Arbor VA Healthcare Syst, Ann Arbor, MI 48109 USA
Levine, D. A.
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Neidecker, M. V.
Kiefe, C. I.
论文数: 0引用数: 0
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Univ Massachusetts, Sch Med, Dept Quantitat Hlth Sci, Worcester, MA USAUniv Michigan, Div Gen Med, Dept Internal Med, Ann Arbor VA Healthcare Syst, Ann Arbor, MI 48109 USA
Kiefe, C. I.
Karve, S.
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Ohio State Univ, Coll Pharm, Columbus, OH 43210 USA
RTI Hlth Solut, Dept Hlth Econ, Res Triangle Pk, NC USAUniv Michigan, Div Gen Med, Dept Internal Med, Ann Arbor VA Healthcare Syst, Ann Arbor, MI 48109 USA
Karve, S.
Williams, L. S.
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机构:
Indiana Univ Sch Med, Dept Neurol, Richard L Roudebush Vet Adm Med Ctr, VA HSR&D Stroke QUERI, Indianapolis, IN USA
Regenstrief Inst Inc, Indianapolis, IN USAUniv Michigan, Div Gen Med, Dept Internal Med, Ann Arbor VA Healthcare Syst, Ann Arbor, MI 48109 USA
Williams, L. S.
Allison, J. J.
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Univ Massachusetts, Sch Med, Dept Quantitat Hlth Sci, Worcester, MA USAUniv Michigan, Div Gen Med, Dept Internal Med, Ann Arbor VA Healthcare Syst, Ann Arbor, MI 48109 USA
机构:
Columbia Univ, Ctr Hlth Policy, Sch Nursing, 560 West 168 St, New York, NY 10032 USAColumbia Univ, Ctr Hlth Policy, Sch Nursing, 560 West 168 St, New York, NY 10032 USA
Lee, Ji Won
Deforge, Christine
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Columbia Univ, Ctr Hlth Policy, Sch Nursing, 560 West 168 St, New York, NY 10032 USAColumbia Univ, Ctr Hlth Policy, Sch Nursing, 560 West 168 St, New York, NY 10032 USA
Deforge, Christine
Morse-Karzen, Bridget
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Columbia Univ, Ctr Hlth Policy, Sch Nursing, 560 West 168 St, New York, NY 10032 USAColumbia Univ, Ctr Hlth Policy, Sch Nursing, 560 West 168 St, New York, NY 10032 USA
Morse-Karzen, Bridget
Stone, Patricia W.
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Columbia Univ, Ctr Hlth Policy, Sch Nursing, 560 West 168 St, New York, NY 10032 USAColumbia Univ, Ctr Hlth Policy, Sch Nursing, 560 West 168 St, New York, NY 10032 USA
Stone, Patricia W.
Glance, Laurent G.
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机构:
Univ Rochester, Sch Med, Dept Anesthesiol & Perioperat Med, 601 Elmwood Ave, Rochester, NY 14642 USAColumbia Univ, Ctr Hlth Policy, Sch Nursing, 560 West 168 St, New York, NY 10032 USA
Glance, Laurent G.
Dick, Andrew W.
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RAND Hlth, RAND Corp, Boston, MA USAColumbia Univ, Ctr Hlth Policy, Sch Nursing, 560 West 168 St, New York, NY 10032 USA
Dick, Andrew W.
Chastain, Ashley
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Columbia Univ, Ctr Hlth Policy, Sch Nursing, 560 West 168 St, New York, NY 10032 USAColumbia Univ, Ctr Hlth Policy, Sch Nursing, 560 West 168 St, New York, NY 10032 USA
Chastain, Ashley
Quigley, Denise D.
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RAND Hlth, RAND Corp, Boston, MA USAColumbia Univ, Ctr Hlth Policy, Sch Nursing, 560 West 168 St, New York, NY 10032 USA
Quigley, Denise D.
Shang, Jingjing
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Columbia Univ, Ctr Hlth Policy, Sch Nursing, 560 West 168 St, New York, NY 10032 USAColumbia Univ, Ctr Hlth Policy, Sch Nursing, 560 West 168 St, New York, NY 10032 USA