Racial and ethnic differences in postacute rehabilitation outcomes after stroke in the united states

Kenneth Ottenbacher, Joanna Campbell, Yong Fang Kuo, Anne Deutsch, Glenn V. Ostir, Carl V. Granger

Research output: Contribution to journalArticle

67 Citations (Scopus)

Abstract

BACKGROUND AND PURPOSE-: Incidence, prevalence, and mortality for stroke vary by race and ethnicity with higher rates for blacks compared with non-Hispanic whites. Little information is available regarding differences in postacute care outcomes for racial and ethnic groups after a stroke. METHODS-: A retrospective analysis was conducted of 161 692 patients from the Uniform Data System for Medical Rehabilitation who received inpatient medical rehabilitation after a first stroke in 2002 and 2003. Multivariable models examined the effects of race and ethnicity on length of stay, functional status, rehabilitation efficiency, and discharge setting. RESULTS-: The mean age was 70.97 years (SD=12.87), 53% were female, and 76% were non-Hispanic white. Mean length of stay was similar for all groups ranging from 17.39 days (SD=10.86) to 17.93 (SD=10.59). Non-Hispanic white patients had higher admission and discharge functional status ratings compared with patients in the minority groups (P<0.01). Differences in functional status across racial/ethnic groups were related to age (F=20.49, P<0.001); the older the comparison group, the greater the difference in functional status. Non-Hispanic whites were discharged home less often than blacks (OR=0.64, 95% CI=0.62 to 0.66), Hispanics (OR=0.58, 95% CI=0.55 to 0.62), or other minority groups (OR=0.67, 95% CI=0.57 to 0.67). CONCLUSIONS-: The findings suggest racial and ethnic disparities exist in postacute care outcomes for persons with stroke.

Original languageEnglish (US)
Pages (from-to)1514-1519
Number of pages6
JournalStroke
Volume39
Issue number5
DOIs
StatePublished - May 1 2008

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Subacute Care
Stroke
Minority Groups
Rehabilitation
Ethnic Groups
Length of Stay
Hispanic Americans
Information Systems
Inpatients
Mortality
Incidence

Keywords

  • Cerebrovascular accident
  • Ethnic groups
  • Treatment outcome

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Clinical Neurology
  • Advanced and Specialized Nursing
  • Medicine(all)

Cite this

Racial and ethnic differences in postacute rehabilitation outcomes after stroke in the united states. / Ottenbacher, Kenneth; Campbell, Joanna; Kuo, Yong Fang; Deutsch, Anne; Ostir, Glenn V.; Granger, Carl V.

In: Stroke, Vol. 39, No. 5, 01.05.2008, p. 1514-1519.

Research output: Contribution to journalArticle

Ottenbacher, Kenneth ; Campbell, Joanna ; Kuo, Yong Fang ; Deutsch, Anne ; Ostir, Glenn V. ; Granger, Carl V. / Racial and ethnic differences in postacute rehabilitation outcomes after stroke in the united states. In: Stroke. 2008 ; Vol. 39, No. 5. pp. 1514-1519.
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