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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Racial Differences in Outcomes after Acute Ischemic Stroke Hospitalization in the United States
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Racial Differences in Outcomes after Acute Ischemic Stroke Hospitalization in the United States

机译：美国急性缺血性卒中住院治疗的种族差异

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Background and objectives: Racial differences in stroke outcomes have major health policy implications. There is paucity of contemporary data on racial differences in clinical outcomes and resource utilization in acute ischemic stroke hospitalizations in the United States. Methods: We used the 2011-2012 National Inpatient Sample to identify hospitalizations with a primary diagnosis of acute ischemic stroke. Primary outcomes were in-hospital mortality, utilization of thrombolysis, and endovascular mechanical thrombectomy (EMT). Secondary outcomes were length of stay (LOS) and average inflation-adjusted charges. Results: A total of 173,910 hospitalizations representing 835,811 hospitalizations nationwide were included in the study. Mean age was 70.9 years and 52.3% were women. Blacks (adjusted OR .71, 95% CI .64-.78, P < .001) and Asian or Pacific Islanders (adjusted OR .80, 95% CI .66-.97, P = .02) had a lower in-hospital mortality compared to Whites. Blacks were less likely to be treated with thrombolysis (adjusted OR .84, 95% CI .76-.92, P < .001) and EMT (OR .73, 95% CI .58-.91, P = .01). Average LOS and inflation-adjusted charges were significantly higher for racial minorities compared to Whites. Conclusions: Blacks and Asians hospitalized for ischemic stroke are less likely to die in the hospital compared to Whites. Hospitalization for stroke in Blacks is associated with lower rates of reperfusion therapy, longer lengths of stay, and higher costs compared to Whites.
机译：背景和目标：中风预后的种族差异对健康政策有重大影响。在美国，关于急性缺血性卒中住院的临床结局和资源利用方面的种族差异的当代数据很少。方法：我们使用2011-2012年全国住院患者样本来鉴定出对急性缺血性中风有初步诊断的住院治疗。主要结果是院内死亡率，溶栓的利用和血管内机械血栓切除术（EMT）。次要结果是住院时间（LOS）和平均通胀调整后的费用。结果：该研究共纳入173,910例住院，代表全国835,811例住院。平均年龄为70.9岁，女性为52.3％。黑人（调整后的OR .71，95％CI .64-.78，P <.001）和亚洲或太平洋岛民（调整后的OR .80，95％CI .66-.97，P = .02）与白人相比的医院死亡率。黑人不太可能接受溶栓治疗（调整后的OR .84，95％CI .76-.92，P <.001）和EMT（OR .73，95％CI .58-.91，P = .01） 。与白人相比，少数民族的平均LOS和通货膨胀调整后的费用明显更高。结论：与白人相比，因缺血性卒中住院的黑人和亚洲人在医院死亡的可能性较小。与白人相比，黑人中风的住院治疗与更低的再灌注治疗率，更长的住院时间以及更高的费用相关。

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