Abstract Details

Title Race, Ethnic, and Language Differences in Clinic Follow-up After Stroke Admission

Topic Health Care Disparities

Presentation(s) P1 - Poster Session 1 (9:00 AM-5:00 PM)

Poster/Presentation
Number 213

Objective To investigate how differences in stroke clinic follow-up adherence by patient race, ethnicity, and language preference.

Background Our study investigates differences in post stroke care and follow up adherence by racial, ethnic, and language grouping, therefore contributing to research on health care disparities.

Design/Methods Consecutive ischemic, intracerebral, and subarachnoid hemorrhagic stroke discharges were retrospectively identified from a single comprehensive stroke center from January to April of 2019. Race, ethnicity, language preference, and previous medical history was obtained from medical records. Two analyses were performed based on: 1) race and ethnicity (Black, Non-Hispanic White, and Hispanic), and 2) language preference (English, Non-English). Categorical variables were analyzed with Chi-square and continuous variables with independent t-test and ANOVA.

Results

A total of 355 consecutive discharge summaries with complete racial, ethnic, and language preferences were included. In analysis 1, 32.7% of Blacks, 30.6% of Non-Hispanic Whites, and 49.1% of Hispanics were seen on follow up (p=0.05). Blacks had higher percentage of hypertension (88.3%, p<0.01), Non-Hispanic Whites had the lowest percentage of previous stroke (16.1%, p=0.01), and Hispanics had the higher percentage of diabetes (49.1%, p=0.04) and were younger (age 59.04 years, p<0.01).

In analysis 2, 51.6% of Non-English speakers were seen on follow up compared to 32.4% of English speakers (p=0.03). Non-English speakers also had a higher percentage of diabetes (58.1%, p=0.01) and lower percentage of coronary artery disease (3.2%, p=0.03). Admission and discharge NIHSS were similar between the two analyses.

Differences in follow up existed despite no significant difference in discharge disposition.

Conclusions In this single-center cohort, Hispanic stroke patients were significantly younger, and more likely to follow-up than Black and Non-Hispanic White patients. English speakers were less likely to follow up. Further research on the impact on ethnicity and language in stroke care may be indicated for better understanding of these differences and effective targeted interventions.

Authors/Disclosures
Laura Bakare, MD (Laura Bakare) PRESENTER	Dr. Bakare has nothing to disclose.
Jesus R. Varela	Mr. Varela has nothing to disclose.
Laurel J. Cherian, MD, FAAN (Rush University Medical Center)	The institution of Dr. Cherian has received research support from NIH.
James Conners, MD (Rush University Medical Center)	The institution of Dr. Conners has received research support from nih.
Rima Dafer, MD (Rush University Medical Center)	Dr. Dafer has received personal compensation in the range of $10,000-$49,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Eli Lilly. Dr. Dafer has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Eli Lilly. Dr. Dafer has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Anderson, Rasor, and partners.
Nicholas D. Osteraas, MD (Rush University Med Center)	Dr. Osteraas has nothing to disclose.
Sarah Song, MD, MPH, FAAN (Rush University Medical Center)	Dr. Song has received personal compensation in the range of $50,000-$99,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for AAN.
Alejandro Vargas, MD, MS, FAAN (Rush University Medical Center)	Dr. Vargas has received personal compensation in the range of $5,000-$9,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Bayer U.S. LLC Pharmaceuticals.

��ɫ��

��ɫ��