Findings seen despite similar use of emergency medical services transport<\/p>\n<\/h3>\n
By Lori Solomon HealthDay Reporter<\/b><\/p>\n
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WEDNESDAY, Sept. 18, 2024 (HealthDay News) — Black race is associated with prolonged onset to time of arrival intervals with stroke and significantly decreased odds of emergency medical services (EMS) prehospital notification, according to a study published online Sept. 5 in\u00a0Circulation<\/em>.<\/p>\n Regina Royan, M.D., from the University of Michigan in Ann Arbor, and colleagues examined how patient-level factors affect these aspects of prehospital stroke care. The analysis included 606,369 patients with ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage and symptom onset <24 hours participating in the Get With the Guidelines-Stroke registry (July 2015 to December 2019).<\/p>\n The researchers found that median symptom onset to arrival time was 176 minutes and Black race was significantly associated with prolonged symptom onset to emergency department arrival time (+28.21 minutes). Black race was also associated with decreased odds of EMS prehospital notification (odds ratio [OR], 0.80). There were no associations between the social deprivation index (SDI) and differences in EMS use, but there were lower odds of EMS prehospital notification (upper SDI tercile versus lowest: OR, 0.79). There were significant associations between SDI and stroke symptom onset to emergency department arrival time (upper SDI tercile versus lowest: +2.56 minutes).<\/p>\n “Efforts to reduce place-based disparities in stroke care must address significant inequities in prehospital care of acute stroke and continue to address health inequities associated with race and ethnicity,” the authors write.<\/p>\n Abstract\/Full Text\u00a0(subscription or payment may be required)<\/a><\/p>\n <\/i><\/p>\n