| Titre : | Race/Ethnic and Stroke Subtype Differences in Poststroke Functional Recovery After Acute Rehabilitation (2021) |
| Auteurs : | Kent P. Simmonds ; Zhehui Luo ; Mathew Reeves |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 8, 2021) |
| Article en page(s) : | p. Mathew |
| Note générale : | https://doi.org/10.1016/j.apmr.2021.01.090 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Centres de rééducation et de réadaptation ; Disparités d'accès aux soins ; Épidémiologie ; Etudes longitudinales ; Population d'origine continentale ; Réadaptation |
| Résumé : |
Objective
Significant racial/ethnic disparities in poststroke function exist, but whether these disparities vary by stroke subtype is unknown. Study goals were to (1) determine if racial/ethnic disparities in the recovery of poststroke function varied by stroke subtype and (2) identify confounding factors associated with these racial/ethnic disparities. Design Secondary analysis of the 1-year Stroke Recovery in Underserved Populations Cohort Study. Setting Eleven inpatient rehabilitation facilities (IRFs) across the United States. Participants A total of 1066 patients (n=868 with ischemic stroke and n=198 with hemorrhagic stroke, N=1066) who self-identified as White (n=813), Black (n=183), or Hispanic (n=70). Interventions Not applicable. Main Outcome Measures FIM scores at IRF admission, discharge, 3 months, and 12 months were modeled using multivariable mixed effects longitudinal regression. Results Compared with White patients, Black (−6.1 and −4.6) and Hispanic (−10.1 and −9.9) patients had significantly lower FIM scores at 3 and 12 months, respectively. A significant (P<.01 interaction indicated that disparities varied by stroke subtype. the subtype differences were most prominent for black-white because in hemorrhagic present at irf admission months ischemic additionally magnitude of was over times larger than age primarily influenced but factors hispanic-white not identified. sensitivity analyses showed there racial cognitive motor function and results robust to adjustments missing data attrition.> Conclusions There are significant differences between stroke subtypes in the timing and magnitude of Black-White disparities in poststroke function. Age was a major confounding factor for Black-White disparities (particularly for hemorrhagic stroke). Overall, Hispanic patients had the lowest levels of poststroke function, and more work is needed to identify significant factors that influence Hispanic-White disparities. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321001738#! |
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