Abstract Details

Title Racial and Ethnic Differences in Risk Factors, Etiologies, and Outcomes in Young Patients with Intracerebral Hemorrhage

Topic Health Care Disparities

Presentation(s) P2 - Poster Session 2 (11:45 AM-12:45 PM)

Poster/Presentation
Number 4-006

Objective To evaluate racial and ethnic differences in risk factors, etiologies and outcomes in young patients with intracerebral hemorrhage (ICH).

Background Racial and ethnic disparities in risk and outcomes following ICH are well established, but less is known about ICH outcomes in younger patients. As ICH is associated with a high short-term and long-term morbidity and mortality, and has a rising incidence in younger patients, it is important to assess for disparities in its risk factors and outcomes.

Design/Methods We identified patients aged 18-50 from our stroke registry with non-traumatic ICH from 10/2016 to 11/2019. Baseline characteristics were abstracted, and ICH risk factors, etiologies and outcomes were compared between racial and ethnic groups. Independent samples t-test and chi-squared test were utilized for continuous and categorical outcomes, respectively.

Results Among 619 patients, 29% were non-Hispanic White (NHW), 32% non-Hispanic Black (NHB), 31% Hispanic (HIS), 5% Asian, and 4% other. HIS were less insured (51.9%) compared to NHB (66.7%) and NHW (71.2%), and least likely to have a PCP (39.2%; p<0.01). NHB were most likely single (54.4%; p = 0.02) and living alone (20.5%; p = 0.04)). Arrival systolic and diastolic BP were significantly higher in NHB vs NHW (p<0.01). Prior hypertension (69.7%); diastolic dysfunction (24.6%); and moderate (17.4%) and severe left ventricular hypertrophy) were more common in NHB vs NHW and HIS. Reduced ejection fraction was more common in NHB (13.8%) and HIS (7.9%) vs NHW (1.7%). Hypertensive etiology was more likely in NHB (65.1%, p<0.01) vs NHW (46.9%) and HIS (52.9%). Inpatient mortality was 20.9% in NHW, 16.4% in NHB, and 18.0% in HIS. Inpatient mortality, discharge disposition, and discharge mRs did not differ between groups.

Conclusions We found sociodemographic and risk factor differences in this young ICH cohort, which may underlie racial and ethnic differences in risk and outcomes.

Authors/Disclosures
Vedang Vyas, MBBS PRESENTER	Dr. Vyas has nothing to disclose.
Danish Kherani, MD	Dr. Kherani has nothing to disclose.
Deepa Dongarwar (McGovern Medical School)	Deepa Dongarwar has nothing to disclose.
Swathi Kondapalli, MD	Dr. Kondapalli has nothing to disclose.
Kayla House	No disclosure on file
Hyeyoung Seol, MD (Cleveland Clinic)	Dr. Seol has nothing to disclose.
Dominique Norris	No disclosure on file
Anjail Sharrief, MD (University of Texas)	The institution of Dr. Sharrief has received research support from NIH. The institution of Dr. Sharrief has received research support from University of Houston . Dr. Sharrief has a non-compensated relationship as a Consultant with Abbott that is relevant to AAN interests or activities.

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