Racial and Ethnic Disparities in the Utilization of Thrombectomy for Acute Stroke

Stroke; a Journal of Cerebral Circulation
Lorenzo RinaldoWaleed Brinjikji

Abstract

Background and Purpose- Racial and ethnic disparities in the access to mechanical thrombectomy (MT) for treatment of acute ischemic stroke (AIS) secondary to large vessel occlusion have been previously described. The effect of recent randomized trials validating MT as an effective therapy for AIS secondary to large vessel occlusion on such disparities has not been investigated. Methods- Information on admissions for AIS to endovascular centers occurring between January 2016 and September 2018 was obtained from a national database. The number of patients receiving IV-tPA (intravenous tissue-type plasminogen activator) and MT at each institution was determined, and patient demographics were characterized according to age, sex, race/ethnicity, and insurance status. Comparisons of patients who did and did not undergo MT and between patients of different racial and ethnic backgrounds were performed. Demographic variables independently associated with the utilization of MT were identified using multivariate linear regression analysis. Results- There were 206 853 admissions to 173 endovascular centers during the time period of interest. The overall utilization of MT was 8.4%. The utilization of MT for black/Hispanic patients was lower...Continue Reading

References

Feb 27, 2010·American Journal of Hypertension·Caryn N BellThomas A Laveist
Mar 27, 2010·Stroke; a Journal of Cerebral Circulation·Melinda A SmithLewis B Morgenstern
May 18, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Frank J AttenelloWilliam J Mack
Aug 16, 2013·AJNR. American Journal of Neuroradiology·W BrinjikjiH J Cloft
Oct 15, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Waleed BrinjikjiHarry J Cloft
Dec 18, 2014·The New England Journal of Medicine·Olvert A BerkhemerUNKNOWN MR CLEAN Investigators
Feb 12, 2015·The New England Journal of Medicine·Bruce C V CampbellUNKNOWN EXTEND-IA Investigators
Feb 12, 2015·The New England Journal of Medicine·Mayank GoyalUNKNOWN ESCAPE Trial Investigators
Apr 18, 2015·The New England Journal of Medicine·Jeffrey L SaverUNKNOWN SWIFT PRIME Investigators
Apr 18, 2015·The New England Journal of Medicine·Tudor G JovinUNKNOWN REVASCAT Trial Investigators
May 24, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Nilay KumarNeetika Garg
Jun 4, 2016·Journal of the American College of Cardiology·Maxim MokinL Nelson Hopkins
Mar 12, 2017·Stroke; a Journal of Cerebral Circulation·Roland FaigleRebecca F Gottesman
Apr 26, 2017·Ethnicity & Disease·Mellanie V SpringerEthan C Hochheiser
Nov 10, 2018·Interventional Neurology·Mehdi BouslamaRaul G Nogueira

❮ Previous
Next ❯

Citations

Aug 2, 2019·Stroke; a Journal of Cerebral Circulation·Salvador Cruz-Flores
Sep 6, 2020·Cellular and Molecular Life Sciences : CMLS·Timo KahlesKarin Hochrainer
May 12, 2020·The Journal of Clinical Investigation·Costantino IadecolaJosef Anrather
Jun 23, 2020·Stroke; a Journal of Cerebral Circulation·Ryan A McTaggartMahesh V Jayaraman
Oct 27, 2020·Stroke; a Journal of Cerebral Circulation·Amytis TowfighiBruce Ovbiagele
Oct 27, 2020·Stroke; a Journal of Cerebral Circulation·Bruce Ovbiagele
Oct 27, 2020·Stroke; a Journal of Cerebral Circulation·Deborah A LevineOlugbenga G Ogedegbe
Jan 8, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Hannah GardenerRalph L Sacco
Nov 6, 2020·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Sujan ReddyAmanda Jagolino-Cole
Feb 3, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ikenna ErinneJohn Kassotis
Mar 7, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Ganesh AsaithambiMary G George
May 14, 2021·Stroke; a Journal of Cerebral Circulation·Hooman KamelBabak B Navi
Jul 20, 2021·Neuro-oncology Practice·Meghan PriceC Rory Goodwin
Jul 9, 2021·Annals of Neurology·Allison WillisJustin C McArthur
Sep 3, 2021·Stroke; a Journal of Cerebral Circulation·Mark W ParsonsPaul A Komesaroff
Sep 15, 2021·Stroke; a Journal of Cerebral Circulation·Joshua D BurksUNKNOWN STAR Investigators
Oct 7, 2021·Stroke; a Journal of Cerebral Circulation·Mahmoud H MohammadenRaul G Nogueira
Jul 10, 2021·The Journal of Craniofacial Surgery·Sarah J PhillipsDerek M Steinbacher
Nov 9, 2021·Journal of the American Heart Association·Nicholas A MorrisUNKNOWN with the CARES Surveillance Group

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Related Papers

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Alain LekoubouBruce Ovbiagele
Journal of Neuroradiology. Journal De Neuroradiologie
Manuel CappellariElisa Francesca Maria Ciceri
© 2021 Meta ULC. All rights reserved