Racial disparities in early mortality in 1,134 young patients with acute stroke

We sought to investigate potential racial disparities in early outcomes of young individuals with stroke in an international multicenter study. We evaluated consecutive patients with first-ever acute stroke aged 18–45 years from prospective databases involving 12 tertiary-care stroke centers in Nort...

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Bibliographic Details
Published in:Neurological sciences 2014-07, Vol.35 (7), p.1041-1049
Main Authors: Tsivgoulis, Georgios, Putaala, Jukka, Sharma, Vijay K., Balucani, Clotilde, Martin-Schild, Sheryl, Giannopoulos, Sotirios, Batala, Lokesh, Krogias, Christos, Palazzo, Paola, Shahripour, Reza Bavarsad, Arvaniti, Chrysa, Barlinn, Kristian, Strbian, Daniel, Haapaniemi, Elena, Flamouridou, Maria, Vadikolias, Konstantinos, Heliopoulos, Ioannis, Voumvourakis, Konstantinos, Triantafyllou, Nikos, Azarpazhooh, Mahmoud Reza, Athanasiadis, Dimitrios, Kosmidou, Maria, Katsanos, Aristeidis H., Vasdekis, Spyros N., Stefanis, Leonidas, Stamboulis, Elefterios, Piperidou, Charitomeni, Tatlisumak, Turgut, Alexandrov, Andrei V.
Format: Article
Language:English
Subjects:
Adolescent
Adult
African Continental Ancestry Group - statistics & numerical data
Asian Continental Ancestry Group - statistics & numerical data
Chi-Square Distribution
Databases, Factual - statistics & numerical data
European Continental Ancestry Group - statistics & numerical data
Female
Healthcare Disparities - statistics & numerical data
Hospitalization - statistics & numerical data
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Original Article
Prospective Studies
Psychiatry
Retrospective Studies
Risk Factors
Severity of Illness Index
Stroke
Stroke - epidemiology
Stroke - ethnology
Stroke - etiology
Stroke - therapy
Young Adult
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Summary:We sought to investigate potential racial disparities in early outcomes of young individuals with stroke in an international multicenter study. We evaluated consecutive patients with first-ever acute stroke aged 18–45 years from prospective databases involving 12 tertiary-care stroke centers in North America ( n  = 2), Europe ( n  = 6), and Asia ( n  = 4). Demographics, vascular risk factors, stroke subtypes, pre-stroke functional status, stroke severity, blood pressure parameters, and serum glucose at hospital admission were documented. The outcome events of interest were 30-day mortality and 30-day favorable functional outcome (FFO) defined as modified-Rankin Scale score of 0–1. A total of 1,134 young adults (mean age 37.4 ± 7.0 years; 58.8 % men; 48.6 % Whites, 23.9 % Blacks, and 27.5 % Asians; median baseline National Institutes of Health Stroke Scale score 6 points, interquartile range 2–13) were included in the analyses. The 30-day stroke mortality and FFO rates differed ( p  
ISSN:1590-1874
1590-3478
DOI:10.1007/s10072-014-1640-9