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Temporal trends in stroke thrombolysis in the US by race and ethnicity, 2009-2018

JAMA Oct 17, 2021

Suolang D, Chen BJ, Wang NY, et al. - Researchers sought to describe the temporal trend in racial and ethnic disparities in stroke IV thrombolysis use between 2009 and 2018 in a representative sample of US adults.

  • A total of 935,720 adult hospital discharges with a primary diagnosis of ischemic stroke were identified; 752,369 of these were included in this work (> 97% of excluded observations were due to interhospital transfers, elective admissions, or missing data [5.8% was for race and ethnicity]).

  • Between 2009 and 2018, there appeared an improvement in racial and ethnic disparities in IV thrombolysis use after stroke.

  • The gap with White individuals narrowed for Black individuals and disappeared for Hispanic individuals.

  • Effectiveness of efforts to lower stroke disparities and the increasing organization of stroke care appeared to be the potential reasons for the same.

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