Lack of Racial, Ethnic, and Sex Disparities in Ischemic Stroke Care Metrics within a Tele-Stroke Network

Sujan Reddy, Tzu Ching Wu, Jing Zhang, Mohammad Hossein Rahbar, Christy Ankrom, Alicia Zha, T. C. Cossey, Benjamin Aertker, Farhaan Vahidy, Kaushik Parsha, Erica Jones, Anjail Sharrief, Sean I. Savitz, Amanda Jagolino-Cole

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Differences in access to stroke care and compliance with standard of care stroke management among patients of varying racial and ethnic backgrounds and sex are well-characterized. However, little is known on the impact of telestroke in addressing disparities in acute ischemic stroke care. Methods: We conducted a retrospective review of acute ischemic stroke patients evaluated over our 17-hospital telestroke network in Texas from 2015-2018. Patients were described as Non-Hispanic White (NHW) male or female, Non-Hispanic Black (NHB) male or female, or Hispanic (HIS) male or female. We compared frequency of tPA and mechanical thrombectomy (MT) utilization, door-to-consultation times, door-to-tPA times, and time-to-transfer for patients who went on to MT evaluation at the hub after having been screened for suspected large vessel occlusion at the spoke. Results: Among 3873 patients (including 1146 NHW male (30%) and 1134 NHW female (29%), 405 NHB male (10%) and 491 NHB female (13%), and 358 HIS male (9%) and 339 HIS female (9%) patients), we did not find any differences in door-to consultation time, door-to-tPA time, time-to-transfer, frequency of tPA administration, or incidence of MT utilization. Conclusion: We did not find racial, ethnic, and sex disparities in ischemic stroke care metrics within our telestroke network. In order to fully understand how telestroke alleviates disparities in stroke care, collaboration among networks is needed to formulate a multicenter telestroke database similar to the Get-With-The Guidelines.

Original languageEnglish (US)
Article number105418
JournalJournal of Stroke and Cerebrovascular Diseases
Volume30
Issue number1
DOIs
StatePublished - Jan 2021

Keywords

  • Ethnic disparities
  • Mechanical thrombectomy
  • Race disparities
  • Sex disparities
  • Stroke
  • Telestroke
  • Thrombolysis

ASJC Scopus subject areas

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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