Abstract Details

Title Racial Disparities in Comorbidities, Acute Care, and Follow-up Among Young Adults with Ischemic Stroke

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P8 - Poster Session 8 (11:45 AM-12:45 PM)

Poster/Presentation
Number 5-021

Objective

This study aimed to identify racial disparities, acute care efficiency, and long-term follow-up among young adults with ischemic stroke.

Background The incidence of ischemic stroke in young adults (<45 years) is rising globally, accompanied by an increasing burden of vascular risk factors. Of note, young patients demonstrate different risk profiles compared to their older counterparts, including increased rates of cryptogenic stroke. However, limited data exist regarding racial disparities in the management and outcomes of this population.

Design/Methods We conducted a retrospective chart review of 97 patients (67 white, 30 non-white), aged 18-45 with ischemic stroke. Descriptive statistics were used to summarize patient demographics, comorbidities, acute care metrics, and follow-up data. Statistical analysis (Welch’s t-test for continuous variables, chi-square for categorical; significance p<0.05) was performed using Python's Pandas and Scipy libraries.

Results

Non-white patients had higher rates of heart failure (20% vs. 4.5%, p<0.05), longer door-in-door-out times (183.2 vs. 71.6 minutes, p<0.05), and prolonged hospital stays (7.1 vs. 2.4 days, p<0.05) Furthermore, non-white populations were also less likely to complete follow-up with an outpatient vascular neurology after discharge (40% vs. 68.66%, p < 0.05). Numerically non-white patients were younger (34.10 vs. 37.21, p = 0.056) at presentation. No significant differences were observed in sex distribution, NIHSS score, and hypercoagulability workup.

Conclusions Significant racial disparities exist in both acute stroke care and follow up care for young adults with ischemic stroke. Non-white patients had a higher comorbidity burden, experienced critical delays in inter-facility transfer, had longer hospital stays, and were significantly less likely to complete essential outpatient follow-up with a vascular neurologist. These findings highlight specific, modifiable gaps in achieving equitable stroke care.

Authors/Disclosures
Seongjoon Won PRESENTER	Mr. Won has nothing to disclose.
Marcus Milani	Mr. Milani has nothing to disclose.
Andrew Metz, MD (University of Minnesota Department of Neurology)	Dr. Metz has nothing to disclose.
Daniel Mansour	Mr. Mansour has nothing to disclose.
Shahraz Qamar	Mr. Qamar has nothing to disclose.
Solmaz Ramezani Hashtjin, MD	Dr. Ramezani Hashtjin has nothing to disclose.
Omair Ul Haq Lodhi, MBBS (University of Minnesota)	Dr. Lodhi has nothing to disclose.
Haitham Hussein, MD, FAAN (University of Minnesota Medical School)	Dr. Hussein has nothing to disclose.

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