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. 2008 May;39(5):1514-9.
doi: 10.1161/STROKEAHA.107.501254. Epub 2008 Mar 13.

Racial and ethnic differences in postacute rehabilitation outcomes after stroke in the United States

Kenneth J Ottenbacher  1 , Joanna Campbell, Yong-Fang Kuo, Anne Deutsch, Glenn V Ostir, Carl V Granger
Affiliations

Racial and ethnic differences in postacute rehabilitation outcomes after stroke in the United States

Kenneth J Ottenbacher et al. Stroke. 2008 May.

Abstract

Background and purpose: Incidence, prevalence, and mortality for stroke vary by race and ethnicity with higher rates for blacks compared with non-Hispanic whites. Little information is available regarding differences in postacute care outcomes for racial and ethnic groups after a stroke.

Methods: A retrospective analysis was conducted of 161,692 patients from the Uniform Data System for Medical Rehabilitation who received inpatient medical rehabilitation after a first stroke in 2002 and 2003. Multivariable models examined the effects of race and ethnicity on length of stay, functional status, rehabilitation efficiency, and discharge setting.

Results: The mean age was 70.97 years (SD=12.87), 53% were female, and 76% were non-Hispanic white. Mean length of stay was similar for all groups ranging from 17.39 days (SD=10.86) to 17.93 (SD=10.59). Non-Hispanic white patients had higher admission and discharge functional status ratings compared with patients in the minority groups (P<0.01). Differences in functional status across racial/ethnic groups were related to age (F=20.49, P<0.001); the older the comparison group, the greater the difference in functional status. Non-Hispanic whites were discharged home less often than blacks (OR=0.64, 95% CI=0.62 to 0.66), Hispanics (OR=0.58, 95% CI=0.55 to 0.62), or other minority groups (OR=0.67, 95% CI=0.57 to 0.67).

Conclusions: The findings suggest racial and ethnic disparities exist in postacute care outcomes for persons with stroke.

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References

    1. Heart Disease and Stroke Statistics—2007 Update. Dallas, TX: American Heart Association; 2007.
    1. Thom T, Haase N, Rosamond W, Howard VJ, Rumsfeld J, Manolio T, Zheng ZJ, Flegal K, O’Donnell C, Kittner S, Lloyd-Jones D, Goff DC, Jr, Hong Y, Adams R, Friday G, Furie K, Gorelick P, Kissela B, Marler J, Meigs J, Roger V, Sidney S, Sorlie P, Steinberger J, Wasserthiel-Smoller S, Wilson M, Wolf P. Heart disease and stroke statistics—2006 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2006;113:e85–e151. - PubMed
    1. Stansbury J, Jia H, Williams L, Vogel W, Duncan P. Ethnic disparities in stroke: epidemiology, acute care, and post-acute outcomes. Stroke. 2005;36:374–386. - PubMed
    1. White H, Boden-Albala B, Wang C, Elkind MS, Rundek T, Wright CB, Sacco RL. Ischemic stroke subtype incidence among whites, blacks, and Hispanics: the Northern Manhattan Study. Circulation. 2005;111:1327–1331. - PubMed
    1. Barnes M, Dobkin B, Bogousslavsky J. Recovery After Stroke. New York: Cambridge; 2005.

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