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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Lack of Racial, Ethnic, and Sex Disparities in Ischemic Stroke Care Metrics within a Tele-Stroke Network
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Lack of Racial, Ethnic, and Sex Disparities in Ischemic Stroke Care Metrics within a Tele-Stroke Network

机译：在远程行程网络中缺乏种族血淋淋的卒中定度量中的种族，种族和性别差异

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Introduction: Differences in access to stroke care and compliance with standard of care stroke management among patients of varying racial and ethnic backgrounds and sex are well-characterized. However, little is known on the impact of telestroke in addressing disparities in acute ischemic stroke care. Methods: We conducted a retrospective review of acute ischemic stroke patients evaluated over our 17-hospital telestroke network in Texas from 2015-2018. Patients were described as Non-Hispanic White (NHW) male or female, Non-Hispanic Black (NHB) male or female, or Hispanic (HIS) male or female. We compared frequency of tPA and mechanical thrombectomy (MT) utilization, door-to-consultation times, door-to-tPA times, and time-to-transfer for patients who went on to MT evaluation at the hub after having been screened for suspected large vessel occlusion at the spoke. Results: Among 3873 patients (including 1146 NHW male (30%) and 1134 NHW female (29%), 4.05 NHB male (10%) and 491 NHB female (13%), and 358 HIS male (9%) and 339 HIS female (9%) patients), we did not find any differences in door-to consultation time, door-to-tPA time, time-to-transfer, frequency of tPA administration, or incidence of MT utilization. Conclusion: We did not find racial, ethnic, and sex disparities in ischemic stroke care metrics within our telestroke network. In order to fully understand how telestroke alleviates disparities in stroke care, collaboration among networks is needed to formulate a multicenter telestroke database similar to the Get-With-The Guidelines.
机译：导言：不同种族、民族背景和性别的患者在获得卒中护理和遵守标准卒中管理方面的差异有很好的特点。然而，关于远程中风在解决急性缺血性中风护理差异方面的影响知之甚少。方法：我们对2015-2018年间德克萨斯州17家医院远程中风网络评估的急性缺血性中风患者进行了回顾性分析。患者被描述为非西班牙裔白人（NHW）男性或女性，非西班牙裔黑人（NHB）男性或女性，或西班牙裔（HIS）男性或女性。我们比较了tPA和机械血栓切除术（MT）的使用频率、门到门的咨询时间、门到tPA的时间，以及在中心进行MT评估的患者在中心筛查疑似大血管阻塞后的转移时间。结果：在3873名患者中（包括1146名NHW男性患者（30%）和1134名NHW女性患者（29%）、4.05名NHB男性患者（10%）和491名NHB女性患者（13%）以及358名HIS男性患者（9%）和339名HIS女性患者（9%）未发现门到会诊时间、门到tPA时间、转移时间、tPA给药频率或MT使用率有任何差异。结论：在我们的远程中风网络中，我们没有发现缺血性中风护理指标的种族、民族和性别差异。为了充分了解远程中风如何缓解中风护理中的差异，需要网络之间的协作来制定一个多中心远程中风数据库，类似于Get With the Guidelines。

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