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Racial/Ethnic and Sex Differences in Emergency Medical Services Transport Among Hospitalized US Stroke Patients: Analysis of the National Get With The Guidelines-Stroke Registry.
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Predictive Factors of Swallowing Disorders and Bronchopneumonia in Acute Ischemic Stroke.
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In: Journal of stroke and cerebrovascular diseases, vol. 28, no. 8, pp. 2148-2154 (2019)
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'Please don't call me Mister': patient preferences of how they are addressed and their knowledge of their treating medical team in an Australian hospital
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Racial/Ethnic and Sex Differences in Emergency Medical Services Transport Among Hospitalized US Stroke Patients: Analysis of the National Get With The Guidelines-Stroke Registry.
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Mochari-Greenberger, Heidi; Xian, Ying; Hellkamp, Anne S; Schulte, Phillip J; Bhatt, Deepak L; Fonarow, Gregg C; Saver, Jeffrey L; Reeves, Mathew J; Schwamm, Lee H; Smith, Eric E
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In: Journal of the American Heart Association, vol 4, iss 8 (2015)
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Abstract:
BackgroundDifferences in activation of emergency medical services (EMS) may contribute to racial/ethnic and sex disparities in stroke outcomes. The purpose of this study was to determine whether EMS use varied by race/ethnicity and sex among a current, diverse national sample of hospitalized acute stroke patients.Methods and resultsWe analyzed data from 398,798 stroke patients admitted to 1613 Get With The Guidelines-Stroke participating hospitals between October 2011 and March 2014. Multivariable logistic regression was used to evaluate the associations between combinations of racial/ethnic and sex groups with EMS use, adjusting for potential confounders including demographics, medical history, and stroke symptoms. Patients were 50% female, 69% white, 19% black, 8% Hispanic, 3% Asian, and 1% other, and 86% had ischemic stroke. Overall, 59% of stroke patients were transported to the hospital by EMS. White women were most likely to use EMS (62%); Hispanic men were least likely to use EMS (52%). After adjustment for patient characteristics, Hispanic and Asian men and women had 20% to 29% lower adjusted odds of using EMS versus their white counterparts; black women were less likely than white women to use EMS (odds ratio 0.75, 95% CI 0.72 to 0.77). Patients with weakness or paresis, altered level of consciousness, and/or aphasia were significantly more likely to use EMS than patients without each symptom; the observed racial/ethnic and sex differences in EMS use remained significant after adjustment for stroke symptoms.ConclusionsEMS use differed by race/ethnicity and sex. These contemporary data document suboptimal use of EMS transport among US stroke patients, especially by racial/ethnic minorities and those with less recognized stroke symptoms.
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Keyword:
African Americans; Aged; Asian Americans; Attitudes; Cardiorespiratory Medicine and Haematology; Chi-Square Distribution; disparities; Emergency Medical Services; European Continental Ancestry Group; Female; Health Knowledge; Hispanic Americans; Hospitalization; Humans; Logistic Models; Male; Middle Aged; Multivariate Analysis; Odds Ratio; Patient Acceptance of Health Care; Practice; race/ethnicity; Registries; sex; Sex Factors; Stroke; Transportation of Patients; United States
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URL: https://escholarship.org/uc/item/0c76q0pf
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The Effect of a Care Transition Intervention on the Patient Experience of Older Multi-Lingual Adults in the Safety Net: Results of a Randomized Controlled Trial.
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In: Journal of general internal medicine, vol 30, iss 12 (2015)
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Clinical characteristics and outcome of infective endocarditis involving implantable cardiac devices.
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Athan E, Chu VH, Tattevin P, Selton-Suty C, Jones P, Naber C, Miró JM, Ninot S, Fernández-Hidalgo N, Durante-Mangoni E, Spelman D, Hoen B, Lejko-Zupanc T, Cecchi E, Thuny F, Hannan MM, Pappas P, Henry M, Fowler VG Jr, Crowley AL, Wang A; ICE-PCS Investigators. Collaborators: Clara L, Sanchez M, Nacinovich F, Fernandez Oses P, Ronderos R, Sucari A, Thierer J, Casabé J, Cortes C, Altclas J, Kogan S, Spelman D, Athan E, Harris O, Kennedy K, Tan R, Gordon D, Papanicolas L, Eisen D, Grigg L, Street A, Korman T, Kotsanas D, Dever R, Jones P, Konecny P, Lawrence R, Rees D, Ryan S, Feneley MP, Harkness J, Jones P, Ryan S, Jones P, Ryan S, Jones P, Post J, Reinbott P, Ryan S, Gattringer R, Wiesbauer F, Andrade AR, de Brito AC, Guimarães AC, Grinberg M, Mansur AJ, Siciliano RF, Strabelli TM, Vieira ML, Tranchesi RA, Paiva MG, Fortes CQ, Ramos Ade O, Ferraiuoli G, Golebiovski W, Lamas C, Santos M, Weksler C, Karlowsky JA, Keynan Y, Morris AM, Rubinstein E, Braun Jones S, Garcia P, Cereceda M, Fica A, Montagna Mella R, Barsic B, Bukovski S, Krajinovic V, Pangercic A, Rudez I, Vincelj J, Freiberger T, Pol J, Zaloudikova B, Ashour Z, El Kholy A, Mishaal M, Rizk H, Aissa N, Alauzet C, Alla F, Campagnac C, Doco-Lecompte T, Selton-Suty C, Casalta JP, Fournier PE, Habib G, Raoult D, Thuny F, Delahaye F, Delahaye A, Vandenesch F, Donal E, Donnio PY, Michelet C, Revest M, Tattevin P, Violette J, Chevalier F, Jeu A, Rusinaru D, Sorel C, Tribouilloy C, Bernard Y, Chirouze C, Hoen B, Leroy J, Plesiat P, Mazaheri B, Naber C, Neuerburg C, Athanasia S, Giannitsioti E, Mylona E, Paniara O, Papanicolaou K, Pyros J, Skoutelis A, Sharma G, Francis J, Nair L, Thomas V, Venugopal K, Hannan M, Hurley J, Gilon D, Israel S, Korem M, Rubinstein E, Strahilevitz J, Casillo R, Cuccurullo S, Dialetto G, Durante-Mangoni E, Irene M, Ragone E, Tripodi MF, Utili R, Cecchi E, De Rosa F, Forno D, Imazio M, Trinchero R, Tebini A, Grossi P, Lattanzio M, Toniolo A, Goglio A, Raglio A, Ravasio V, Rizzi M, Suter F, Carosi G, Magri S, Signorini L, Baban T, Kanafani Z, Kanj SS, Yasmine M, Abidin I, Tamin SS, Rivera Martínez E, Soto Nieto GI, van der Meer JT, Chambers S, Holland D, Morris A, Raymond N, Read K, Murdoch DR, Dragulescu S, Ionac A, Mornos C, Butkevich O, Chipigina N, Kirill O, Vadim K, Vinogradova T, Edathodu J, Halim M, Lum LN, Tan RS, Lejko-Zupanc T, Logar M, Mueller-Premru M, Commerford P, Commerford A, Deetlefs E, Hansa C, Ntsekhe M, Almela M, Armero Y, Azqueta M, Castañeda X, Cervera C, del Río A, Falces C, Garcia-de-la-Maria C, Fita G, Gatell JM, Marco F, Mestres CA, Miró JM, Moreno A, Ninot S, Paré C, Pericas J, Ramírez J, Rovira I, Sitges M, Anguera I, Font B, Raimon Guma J, Bermejo J, Bouza E, García Fernández MA, González-Ramallo V, Marín M, Muñoz P, Pedromingo M, Roda J, Rodríguez-Créixems M, Solís J, Almirante B, Fernández-Hidalgo N, Tornos P, de Alarcón A, Parra R, Alestig E, Johansson M, Olaison L, Snygg-Martin U, Pachirat O, Pachirat P, Pussadhamma B, Senthong V, Casey A, Elliott T, Lambert P, Watkin R, Eyton C, Klein JL, Bradley S, Kauffman C, Bedimo R, Chu VH, Corey G, Crowley AL, Douglas P, Drew L, Fowler VG, Holland T, Lalani T, Mudrick D, Samad Z, Sexton D, Stryjewski M, Wang A, Woods CW, Lerakis S, Cantey R, Steed L, Wray D, Dickerman SA, Bonilla H, DiPersio J, Salstrom SJ, Baddley J, Patel M, Peterson G, Stancoven A, Afonso L, Kulman T, Levine D, Rybak M, Cabell CH, Baloch K, Chu VH, Corey G, Dixon CC, Fowler VG Jr, Harding T, Jones-Richmond M, Pappas P, Park LP, Redick T, Stafford J, Anstrom K, Athan E, Bayer AS, Cabell CH, Chu VH, Corey G, Fowler VG Jr, Hoen B, Karchmer A, Miró JM, Murdoch DR, Sexton DJ, Wang A, Bayer AS, Cabell CH, Chu V, Corey G, Durack DT, Eykyn S, Fowler VG Jr, Hoen B, Miró JM, Moreillon P, Olaison L, Raoult D, Rubinstein E, Sexton DJ.. - 2012
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Basal insulin and cardiovascular and other outcomes in dysglycemia.
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In: New England Journal of Medicine, vol. 367, no. 4, pp. 319-328 (2012)
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Clinical characteristics and outcome of infective endocarditis involving implantable cardiac devices.
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In: Journal of the American Medical Association, vol. 307, no. 16, pp. 1727-1735 (2012)
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