A Comparative Case Series of Haitian and non-Haitian Stroke Patients at a Single Center in Miami, Florida
| Autor: | Thomas Weppelmann, Juan Lozano, Christopher Brown, Amy K Starosciak, Kristen Ashourian, Diana Barratt, Juan Gabriel Lopez, Ben Sirutis |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Stroke patient Stroke severity Population Diastole Blood Pressure Single Center Tissue plasminogen activator Insurance Coverage 03 medical and health sciences Risk Factors Internal medicine medicine Humans education Stroke Aged Glycated Hemoglobin education.field_of_study Insurance Health 030505 public health business.industry Age Factors Public Health Environmental and Occupational Health Stroke subtype medicine.disease Haiti Florida Female 0305 other medical science business medicine.drug |
| Zdroj: | Journal of Health Care for the Poor and Underserved. 30:1560-1568 |
| ISSN: | 1548-6869 |
| DOI: | 10.1353/hpu.2019.0087 |
| Popis: | INTRODUCTION Although Florida is home to the largest number of Haitian immigrants, few studies exist regarding stroke in this population. METHODS A comparative case series of Haitian (n=72) and non-Haitian (n=144) stroke patients was conducted. After matching for gender and stroke subtype (78.7% ischemic and 21.3% hemorrhagic), demographics, clinical characteristics, and outcomes were compared. RESULTS Compared with non-Haitians, Haitian stroke patients were younger (67 vs 70.5 years; p=.0384), had higher diastolic blood pressures (88.2 vs 80.4 mm Hg; p=.006) and mean arterial pressures (112 vs 104.5 mm Hg; p=.01), and higher mean glycosylated hemoglobin values (7.2 vs 6.5 g/dL; p=.017). There were no significant differences in stroke severity or rates of tissue plasminogen activator (tPA) administration. Haitians were almost 80% less likely to have Medicare or private insurance (OR= 0.23; p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|