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Racial/Ethnic Disparities in Mortality Among Medicare Beneficiaries in the FL - PR CR eSD Study.
Gardener, Hannah; Leifheit, Erica C; Lichtman, Judith H; Wang, Yun; Wang, Kefeng; Gutierrez, Carolina M; Ciliberti-Vargas, Maria A; Dong, Chuanhui; Oluwole, Sofia; Robichaux, Mary; Romano, Jose G; Rundek, Tatjana; Sacco, Ralph L.
Afiliação
  • Gardener H; 1 Department of Neurology University of Miami Miller School of Medicine Miami FL.
  • Leifheit EC; 2 Department of Epidemiology Yale School of Public Health New Haven CT.
  • Lichtman JH; 2 Department of Epidemiology Yale School of Public Health New Haven CT.
  • Wang Y; 2 Department of Epidemiology Yale School of Public Health New Haven CT.
  • Wang K; 1 Department of Neurology University of Miami Miller School of Medicine Miami FL.
  • Gutierrez CM; 1 Department of Neurology University of Miami Miller School of Medicine Miami FL.
  • Ciliberti-Vargas MA; 1 Department of Neurology University of Miami Miller School of Medicine Miami FL.
  • Dong C; 1 Department of Neurology University of Miami Miller School of Medicine Miami FL.
  • Oluwole S; 1 Department of Neurology University of Miami Miller School of Medicine Miami FL.
  • Robichaux M; 1 Department of Neurology University of Miami Miller School of Medicine Miami FL.
  • Romano JG; 1 Department of Neurology University of Miami Miller School of Medicine Miami FL.
  • Rundek T; 1 Department of Neurology University of Miami Miller School of Medicine Miami FL.
  • Sacco RL; 1 Department of Neurology University of Miami Miller School of Medicine Miami FL.
J Am Heart Assoc ; 8(1): e009649, 2019 01 08.
Article em En | MEDLINE | ID: mdl-30587062
Background Racial/ethnic disparities in acute stroke care may impact stroke outcomes. We compared outcomes by race/ethnicity among elderly Medicare beneficiaries in hospitals participating in the FL-PR CReSD (Florida-Puerto Rico Collaboration to Reduce Stroke Disparities) registry with those in hospitals not participating in any quality improvement programs (non- QI ) in Florida and Puerto Rico (PR). Methods and Results The population included fee-for-service Medicare beneficiaries age 65+ in Florida and PR , discharged with primary diagnosis of ischemic stroke ( International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9-CM], codes 433, 434, 436) in 2010-2013. We used mixed logistic models to assess racial/ethnic differences in outcomes (in-hospital, 30-day, and 1-year mortality, and 30-day readmission) for CR e SD and non- QI hospitals, adjusted for demographic and clinical characteristics. The study included 62 CR e SD hospitals (N=44 013, 84% white, 9% black, 4% Florida Hispanic, 1% PR Hispanic) and 113 non- QI hospitals (N=14 422, 78% white, 7% black, 5% Florida Hispanic, 8% PR Hispanic). For patients treated at CR e SD hospitals, there were no differences in risk-adjusted in-hospital mortality by race/ethnicity; blacks had lower 30-day mortality versus whites (odds ratio, 0.86; 95% confidence interval, 0.77-0.97), but higher 30-day readmission (hazard ratio, 1.09; 1.00-1.18) and 1-year mortality (odds ratio, 1.13; 1.04-1.23); Florida Hispanics had lower 30-day readmission (hazard ratio, 0.87; 0.78-0.98). PR Hispanic and black stroke patients treated at non- QI hospitals had higher risk-adjusted in-hospital, 30-day and 1-year mortality, but similar 30-day readmission versus whites treated in non- QI hospitals. Conclusions Disparities in outcomes were less common in CR e SD than non- QI hospitals, suggesting the benefits of quality improvement programs, particularly those focusing on racial/ethnic disparities.
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Texto completo: 1 Temas: ECOS / Aspectos_gerais Bases de dados: MEDLINE Assunto principal: Etnicidade / Sistema de Registros / Medicare / Acidente Vascular Cerebral / Grupos Raciais / Melhoria de Qualidade Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male País/Região como assunto: America do norte / Caribe / Puerto rico Idioma: En Revista: J Am Heart Assoc Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Temas: ECOS / Aspectos_gerais Bases de dados: MEDLINE Assunto principal: Etnicidade / Sistema de Registros / Medicare / Acidente Vascular Cerebral / Grupos Raciais / Melhoria de Qualidade Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male País/Região como assunto: America do norte / Caribe / Puerto rico Idioma: En Revista: J Am Heart Assoc Ano de publicação: 2019 Tipo de documento: Article