TY - JOUR
T1 - Stroke disparities
T2 - Disaggregating native hawaiians from other pacific islanders
AU - Nakagawa, Kazuma
AU - MacDonald, Pippa R.
AU - Asai, Susan M.
N1 - Funding Information:
We gratefully acknowledge the Queen's Medical Center for supporting the Get with the Guidelines-Stroke Database at our institution. Dr. Nakagawa was supported in part by the National Institute on Minority Health and Health Disparities of the National Institutes of Health under award number P20MD000173. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Health.
Publisher Copyright:
© 2016 International Society on Hypertension in Blacks.
Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - Objectives: To compare the clinical characteristics of Native Hawaiians (NH) and other Pacific Islanders (PI) who are hospitalized with ischemic stroke. Design: Retrospective, cross-sectional analysis of medical records. Setting: Tertiary, Primary Stroke Center in Honolulu, Hawaii. Patients: Consecutive patients with race/ethnicity identified as NH or PI who were hospitalized for ischemic stroke between January 2006 and December 2012. Outcome Measures: Age, sex, cardiovascular risk factors, intravenous tissue plasminogen activator (IV-tPA) utilization rate and hospital length of stay. Results: A total of 561 patients (57% NH and 43% PI) were studied. PI were younger (59 ± 13 years vs 62 ± 14 years, P5.002), had higher prevalence of diabetes mellitus (58% vs 41%, P<.0001) and prosthetic valve (6% vs 2%, P5.007), lower prevalence of smoking (14% vs 21%, P5.03), lower HDL cholesterol (38 ± 11mg/dL vs 41613mg/dL, P5.004), and higher discharge diastolic blood pressure (79 ± 15 vs 76 mm Hg ± 14 mm Hg, P5.04) compared to NH. No difference was seen in other cardiovascular risk factors. The IV-tPA utilization rate (5% vs 6%, P5.48) and the hospital length of stay (10 ± 17 days vs 10 6 49 days, P5.86) were not different between the two groups. Conclusion: Native Hawaiians and other Pacific Islanders with ischemic stroke have modestly different age of stroke presentation and burden of risk factors compared to each other. Disaggregating these two racial groups may be important to unmask any potential clinical differences in future studies.
AB - Objectives: To compare the clinical characteristics of Native Hawaiians (NH) and other Pacific Islanders (PI) who are hospitalized with ischemic stroke. Design: Retrospective, cross-sectional analysis of medical records. Setting: Tertiary, Primary Stroke Center in Honolulu, Hawaii. Patients: Consecutive patients with race/ethnicity identified as NH or PI who were hospitalized for ischemic stroke between January 2006 and December 2012. Outcome Measures: Age, sex, cardiovascular risk factors, intravenous tissue plasminogen activator (IV-tPA) utilization rate and hospital length of stay. Results: A total of 561 patients (57% NH and 43% PI) were studied. PI were younger (59 ± 13 years vs 62 ± 14 years, P5.002), had higher prevalence of diabetes mellitus (58% vs 41%, P<.0001) and prosthetic valve (6% vs 2%, P5.007), lower prevalence of smoking (14% vs 21%, P5.03), lower HDL cholesterol (38 ± 11mg/dL vs 41613mg/dL, P5.004), and higher discharge diastolic blood pressure (79 ± 15 vs 76 mm Hg ± 14 mm Hg, P5.04) compared to NH. No difference was seen in other cardiovascular risk factors. The IV-tPA utilization rate (5% vs 6%, P5.48) and the hospital length of stay (10 ± 17 days vs 10 6 49 days, P5.86) were not different between the two groups. Conclusion: Native Hawaiians and other Pacific Islanders with ischemic stroke have modestly different age of stroke presentation and burden of risk factors compared to each other. Disaggregating these two racial groups may be important to unmask any potential clinical differences in future studies.
KW - Ischemic stroke
KW - Native hawaiians
KW - Pacific islanders
KW - Racial disparities
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M3 - Article
C2 - 26118142
AN - SCOPUS:84962605874
SN - 1049-510X
VL - 25
SP - 157
EP - 161
JO - Ethnicity and Disease
JF - Ethnicity and Disease
IS - 2
ER -