Racial Disparities in Ischemic Stroke Among Patients with COVID-19 in the United States.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Alain LekoubouPaddy Ssentongo

Abstract

Cerebrovascular prevalence is high in patients with coronavirus disease 2019 (COVID-19). However, whether racial disparities exist among this population have not been systematically explored. We performed a retrospective study to assess the prevalence of stroke stratified by race among patients aged 18 years or older with COVID-19 who visited emergency department (ED) up to August 13, 2020 in the United States (US). We used multivariable logistic regression to compare the odds of stroke in Black patients with COVID-19 compared to their non-Black counterparts while adjusting for the major potential confounders. Among 8815 patients with ED visits with COVID-19, 77 (0.87%), 95% confidence interval CI (95% CI): 0.69% to 1.10%) had ischemic stroke. The mean age of patients with stroke was 64 years (SD: 2 years); 28 (43%) were men, 55 (71%) had hypertension, and 29 (50%) were Black. The prevalence of ischemic stroke in Blacks, non-Hispanic Whites and Hispanics was 1.26% (95% CI: 0.86% to 1.83%), 0.84% (95% CI: 0.51% to 1.37%) and 0.49% (95% CI: 0.26% to 0.88%) respectively. After adjustment for age, sex, hypertension, diabetes, obesity, drinking and smoking, the likelihood of stroke was higher in Black than non-Black patients (adjust...Continue Reading

References

Oct 1, 2011·Stroke; a Journal of Cerebral Circulation·George HowardUNKNOWN REasons for Geographic And Racial Differences in Stroke (REGARDS) Investigators
Dec 7, 2013·Stroke; a Journal of Cerebral Circulation·Daniel T LacklandUNKNOWN Council on Functional Genomics and Translational Biology
Jan 25, 2020·The New England Journal of Medicine·Na ZhuUNKNOWN China Novel Coronavirus Investigating and Research Team
Feb 23, 2020·Stroke; a Journal of Cerebral Circulation·Hannah GardenerMitchell S V Elkind
Apr 16, 2020·JAMA : the Journal of the American Medical Association·Clyde W Yancy
Jul 21, 2020·Stroke; a Journal of Cerebral Circulation·Aaron RothsteinBrett L Cucchiara

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