In:
Stroke, Ovid Technologies (Wolters Kluwer Health), Vol. 53, No. Suppl_1 ( 2022-02)
Abstract:
Introduction: Mexican Americans (MAs) are less likely to receive post-stroke intensive rehabilitation, more likely to suffer from depression, and have worse functional, neurologic and cognitive outcomes compared with non-Hispanic whites (NHWs). The aim of this study was to determine if there is a difference between readmission rates post-stroke among NHWs and MAs. Methods: This was a population-based study of all validated strokes among MAs and NHWs in Nueces County, Texas, October 2019 - March 2021. Baseline demographic and clinical information was recorded from the chart including comorbidity index, age, sex, and NIHSS. Follow up calls were made to the patient or their proxy at 2 week intervals post-discharge up to 12 weeks. Readmission was assessed by asking the patient or proxy if the patient had been readmitted for any reason. P-values were obtained using Fisher exact tests of equivalence between NHWs vs MAs. Additionally, Poisson regression with robust standard errors was used to investigate the association between readmission and race-ethnicity adjusting for age, sex, log of NIHSS, and comorbidity index, with an offset to account for differences in length of observation. Results: 403 patients (256 MAs and 147 NHWs) were followed. Of these, there were 65 total (16.1%) including 42 MAs (16.4%) and 23 NHWs (15.6%) who reported readmission within a 12 week follow up period. Table 1 provides the regression results. There was no ethnic difference in readmission rate. Median comorbidity index was higher for MAs when compared to NHWs (3 vs 2, p=.00345) but was not associated with readmission. Only stroke severity was associated with readmission. Conclusion: In our study of patients followed up after discharge post-stroke, a similar proportion of MAs reported readmission compared to NHWs. Overall, the readmission rate was high, with approximately 1 in 6 patients requiring readmission within 90 days. Renewed efforts to promote health post-stroke are needed.
Type of Medium:
Online Resource
ISSN:
0039-2499
,
1524-4628
DOI:
10.1161/str.53.suppl_1.WMP47
Language:
English
Publisher:
Ovid Technologies (Wolters Kluwer Health)
Publication Date:
2022
detail.hit.zdb_id:
1467823-8
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