دورية أكاديمية
أعرض في EDS

Racial Disparities in Blood Pressure at Time of Acute Ischemic Stroke Presentation: A Population Study.

التفاصيل البيبلوغرافية
العنوان: Racial Disparities in Blood Pressure at Time of Acute Ischemic Stroke Presentation: A Population Study.
المؤلفون: Aziz YN; Department of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH., Sucharew H; Department of Emergency Medicine University of Cincinnati Cincinnati OH., Stanton RJ; Department of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH., Alwell K; Department of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH., Ferioli S; Department of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH., Khatri P; Department of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH., Adeoye O; Department of Emergency Medicine Washington University St Louis MO., Flaherty ML; Department of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH., Mackey J; Department of Neurology Indiana University Indianapolis IN., De Los Rios La Rosa F; Baptist Health South Florida Miami FL., Martini SR; Department of Neurology Michael E. DeBakey VA Medical Center Houston TX., Mistry EA; Department of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH., Coleman E; Department of Neurology University of Chicago Chicago IL., Jasne AS; Department of Neurology Yale University New Haven CT., Slavin SJ; University of Kansas Medical Center Kansas City MO., Walsh K; Department of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH., Star M; Soroka University Medical Center Beersheva Israel., Ridha M; Department of Neurology The Ohio State University Columbus OH., Ades LMC; Department of Neurology NYU Grossman School of Medicine Brooklyn NY., Haverbusch M; Department of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH., Demel SL; Department of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH., Woo D; Department of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH., Kissela BM; Department of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH., Kleindorfer DO; Department of Neurology University of Michigan Ann Arbor MI.
المصدر: Journal of the American Heart Association [J Am Heart Assoc] 2024 May 07; Vol. 13 (9), pp. e032645. Date of Electronic Publication: 2024 May 03.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Multicenter Study; Comparative Study; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 101580524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2047-9980 (Electronic) Linking ISSN: 20479980 NLM ISO Abbreviation: J Am Heart Assoc Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford : Wiley-Blackwell
مواضيع طبية MeSH: Black or African American*/statistics & numerical data , Blood Pressure*/physiology , Hypertension*/ethnology , Hypertension*/physiopathology , Hypertension*/epidemiology , Hypertension*/diagnosis , Ischemic Stroke*/ethnology , Ischemic Stroke*/epidemiology , Ischemic Stroke*/diagnosis , Ischemic Stroke*/physiopathology , White People*/statistics & numerical data, Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Health Status Disparities ; Kentucky/epidemiology ; Ohio/epidemiology ; Prevalence ; Risk Factors ; Time Factors ; White
مستخلص: Background: Hypertension is a stroke risk factor with known disparities in prevalence and management between Black and White patients. We sought to identify if racial differences in presenting blood pressure (BP) during acute ischemic stroke exist.
Methods and Results: Adults with acute ischemic stroke presenting to an emergency department within 24 hours of last known normal during study epochs 2005, 2010, and 2015 within the Greater Cincinnati/Northern Kentucky Stroke Study were included. Demographics, histories, arrival BP, National Institutes of Health Stroke Scale score, and time from last known normal were collected. Multivariable linear regression was used to determine differences in mean BP between Black and White patients, adjusting for age, sex, National Institutes of Health Stroke Scale score, history of hypertension, hyperlipidemia, smoking, stroke, body mass index, and study epoch. Of 4048 patients, 853 Black and 3195 White patients were included. In adjusted analysis, Black patients had higher presenting systolic BP (161 mm Hg [95% CI, 159-164] versus 158 mm Hg [95% CI, 157-159], P <0.01), diastolic BP (86 mm Hg [95% CI, 85-88] versus 83 mm Hg [95% CI, 82-84], P <0.01), and mean arterial pressure (111 mm Hg [95% CI, 110-113] versus 108 mm Hg [95% CI, 107-109], P <0.01) compared with White patients. In adjusted subanalysis of patients <4.5 hours from last known normal, diastolic BP (88 mm Hg [95% CI, 86-90] versus 83 mm Hg [95% CI, 82-84], P <0.01) and mean arterial pressure (112 mm Hg [95% CI, 110-114] versus 108 mm Hg [95% CI, 107-109], P <0.01) were also higher in Black patients.
Conclusions: This population-based study suggests differences in presenting BP between Black and White patients during acute ischemic stroke. Further study is needed to determine whether these differences influence clinical decision-making, outcome, or clinical trial eligibility.
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معلومات مُعتمدة: R01 NS030678 United States NS NINDS NIH HHS
فهرسة مساهمة: Keywords: acute stroke; blood pressure; epidemiology; ischemic stroke; race; thrombolysis
تواريخ الأحداث: Date Created: 20240503 Date Completed: 20240507 Latest Revision: 20240709
رمز التحديث: 20240709
مُعرف محوري في PubMed: PMC11179936
DOI: 10.1161/JAHA.123.032645
PMID: 38700029
قاعدة البيانات: MEDLINE
الوصف
تدمد:2047-9980
DOI:10.1161/JAHA.123.032645