Access disparities to Magnet hospitals for ischemic stroke patients

We examined the association of African–American race with Magnet status hospitalization after ischemic stroke. A mixed effects propensity adjusted multivariable regression analysis was used to control for confounding. During the study period, 176,557 patients presented with ischemic stroke, and met the inclusion criteria. Overall, 4,624 (13.7%) African-Americans, and 27,468 (19.2%) non African-Americans with ischemic stroke were admitted to Magnet hospitals. Using a multivariable logistic regression, we demonstrate that African-Americans were associated with lower admission rates to Magnet institutions (OR 0.70; 95% CI, 0.68–0.73) (Table 2). This persisted in a mixed effects logistic regression model (OR 0.75; 95% CI, 0.71–0.78) to adjust for clustering at the county level, and a propensity score adjusted logistic regression model (OR 0.87; 95% CI, 0.83–0.90). Using a comprehensive all-payer cohort of ischemic stroke patients in New York State we identified an association of African–American race with lower rates of admission to Magnet hospitals.
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research