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The influence of race on outcome following subarachnoid hemorrhage

Brad E Zacharia1, Bartosz T Grobelny, Ricardo J Komotar

  • 1Department of Neurological Surgery, Columbia University, 710 West 168th Street, New York, New York 10032, USA.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|December 17, 2009
PubMed

Insights

White patients with subarachnoid hemorrhage (SAH) in NYC had better outcomes than non-white patients. This racial disparity in SAH outcomes warrants further investigation.

Area of Science:

  • Neurology
  • Public Health
  • Health Disparities

Background:

  • Subarachnoid hemorrhage (SAH) is a critical neurological condition.
  • Racial disparities in healthcare outcomes are a significant concern.

Purpose of the Study:

  • To investigate the association between race and patient outcomes after subarachnoid hemorrhage (SAH).
  • To determine if race impacts SAH outcomes independently of insurance status.

Main Methods:

  • Retrospective analysis of SAH discharges in New York City (2003).
  • Adverse outcomes defined as in-hospital mortality or non-home discharge.
  • Statistical analysis controlled for age, gender, and payor status.

Main Results:

  • Forty-four percent of SAH patients were identified as white.
  • White race was significantly associated with better outcomes (OR 0.56) after controlling for payor status.
  • Among self-pay/Medicaid patients, white individuals had fewer adverse outcomes (52%) compared to non-white individuals (66%, p=0.03).

Conclusions:

  • White patients with SAH in New York City experienced better outcomes than non-white patients.
  • The observed racial disparity in SAH outcomes was independent of insurance status.
  • Further research is needed to understand the underlying causes of these racial disparities in SAH outcomes.

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