Ethnic differences in stroke outcomes in Aotearoa New Zealand: A national linkage study. Denison, H. J., Corbin, M., Douwes, J., Thompson, S. G., Harwood, M., Davis, A., Fink, J. N., Barber, P. A., Gommans, J. H., Cadilhac, D. A., Levack, W., McNaughton, H., Kim, J., Feigin, V. L., Abernethy, V., Girvan, J., Wilson, A., & Ranta, A. International Journal of Stroke: Official Journal of the International Stroke Society, 18(6):663–671, July, 2023.
doi  abstract   bibtex   
BACKGROUND: Ethnic differences in post-stroke outcomes have been largely attributed to biological and socioeconomic characteristics resulting in differential risk factor profiles and stroke subtypes, but evidence is mixed. AIMS: This study assessed ethnic differences in stroke outcome and service access in New Zealand (NZ) and explored underlying causes in addition to traditional risk factors. METHODS: This national cohort study used routinely collected health and social data to compare post-stroke outcomes between NZ Europeans, Māori, Pacific Peoples, and Asians, adjusting for differences in baseline characteristics, socioeconomic deprivation, and stroke characteristics. First and principal stroke public hospital admissions during November 2017 to October 2018 were included (N = 6879). Post-stroke unfavorable outcome was defined as being dead, changing residence, or becoming unemployed. RESULTS: In total, 5394 NZ Europeans, 762 Māori, 369 Pacific Peoples, and 354 Asians experienced a stroke during the study period. Median age was 65 years for Māori and Pacific Peoples, and 71 and 79 years for Asians and NZ Europeans, respectively. Compared with NZ Europeans, Māori were more likely to have an unfavorable outcome at all three time-points (odds ratio (OR) = 1.6 (95% confidence interval (CI) = 1.3-1.9); 1.4 (1.2-1.7); 1.4 (1.2-1.7), respectively). Māori had increased odds of death at all time-points (1.7 (1.3-2.1); 1.5 (1.2-1.9); 1.7 (1.3-2.1)), change in residence at 3 and 6 months (1.6 (1.3-2.1); 1.3 (1.1-1.7)), and unemployment at 6 and 12 months (1.5 (1.1-2.1); 1.5 (1.1-2.1)). There was evidence of differences in post-stroke secondary prevention medication by ethnicity. CONCLUSION: We found ethnic disparities in care and outcomes following stroke which were independent of traditional risk factors, suggesting they may be attributable to stroke service delivery rather than patient factors.
@article{denison_ethnic_2023,
	title = {Ethnic differences in stroke outcomes in {Aotearoa} {New} {Zealand}: {A} national linkage study},
	volume = {18},
	issn = {1747-4949},
	shorttitle = {Ethnic differences in stroke outcomes in {Aotearoa} {New} {Zealand}},
	doi = {10.1177/17474930231164024},
	abstract = {BACKGROUND: Ethnic differences in post-stroke outcomes have been largely attributed to biological and socioeconomic characteristics resulting in differential risk factor profiles and stroke subtypes, but evidence is mixed.
AIMS: This study assessed ethnic differences in stroke outcome and service access in New Zealand (NZ) and explored underlying causes in addition to traditional risk factors.
METHODS: This national cohort study used routinely collected health and social data to compare post-stroke outcomes between NZ Europeans, Māori, Pacific Peoples, and Asians, adjusting for differences in baseline characteristics, socioeconomic deprivation, and stroke characteristics. First and principal stroke public hospital admissions during November 2017 to October 2018 were included (N = 6879). Post-stroke unfavorable outcome was defined as being dead, changing residence, or becoming unemployed.
RESULTS: In total, 5394 NZ Europeans, 762 Māori, 369 Pacific Peoples, and 354 Asians experienced a stroke during the study period. Median age was 65 years for Māori and Pacific Peoples, and 71 and 79 years for Asians and NZ Europeans, respectively. Compared with NZ Europeans, Māori were more likely to have an unfavorable outcome at all three time-points (odds ratio (OR) = 1.6 (95\% confidence interval (CI) = 1.3-1.9); 1.4 (1.2-1.7); 1.4 (1.2-1.7), respectively). Māori had increased odds of death at all time-points (1.7 (1.3-2.1); 1.5 (1.2-1.9); 1.7 (1.3-2.1)), change in residence at 3 and 6 months (1.6 (1.3-2.1); 1.3 (1.1-1.7)), and unemployment at 6 and 12 months (1.5 (1.1-2.1); 1.5 (1.1-2.1)). There was evidence of differences in post-stroke secondary prevention medication by ethnicity.
CONCLUSION: We found ethnic disparities in care and outcomes following stroke which were independent of traditional risk factors, suggesting they may be attributable to stroke service delivery rather than patient factors.},
	language = {eng},
	number = {6},
	journal = {International Journal of Stroke: Official Journal of the International Stroke Society},
	author = {Denison, Hayley J. and Corbin, Marine and Douwes, Jeroen and Thompson, Stephanie G. and Harwood, Matire and Davis, Alan and Fink, John N. and Barber, P. Alan and Gommans, John H. and Cadilhac, Dominique A. and Levack, William and McNaughton, Harry and Kim, Joosup and Feigin, Valery L. and Abernethy, Virginia and Girvan, Jackie and Wilson, Andrew and Ranta, Anna},
	month = jul,
	year = {2023},
	pmid = {36872640},
	pmcid = {PMC10311930},
	keywords = {Aged, Asia, Cohort Studies, Disparities, Ethnicity, Europe, Humans, Maori People, New Zealand, Pacific Island People, Patient Outcome Assessment, Stroke, data linkage, ethnicity, indigenous, stroke},
	pages = {663--671},
}
Downloads: 0
About
Documentation
Keywords
Search
Users
Terms and Conditions of Use
Privacy Policy
Sitemap
© BibBase.org 2021