随着时间的推移,短期中风结果的变化按种族-种族而分
Lynda D Lisabeth1, Devin L Brown1, Darin B Zahuranec1
1From the Department of Epidemiology (L.D.L., E.C., M.K., M.A.S., L.B.M.), School of Public Health, and Stroke Program (L.D.L., D.L.B., D.B.Z., L.B.M.), University of Michigan, Ann Arbor.
Neurology
|November 12, 2024
概括
在2008-2019年间,墨西哥裔美国人 (MA) 的中风结果有所改善,但非西班牙裔白人 (NHW) 的情况没有改善. 到2019年,在中风结果趋势中没有观察到任何显著的种族种族差异.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 对于了解健康差异来说,中风的结果和种族种族的趋势至关重要.
- 之前的研究表明,在不同种族和族群中,中风的结果各不相同.
研究的目的:
- 量化2008年至2019年中风结果的趋势,按种族-种族分层.
- 确定种族-种族是否影响中风恢复的轨迹和长期结果.
主要方法:
- 研究了一组基于人口的缺血性中风患者队列.
- 结果通过在中风后90天的采访来评估.
- 使用线性回归与多重归算和反向概率加权来建模趋势.
主要成果:
- 虽然生活质量趋势在不同群体中保持稳定,但在墨西哥裔美国人 (MA) 个人中,神经学结果显著改善.
- 功能性结局显示MA中风患者的改善趋势,与非西班牙裔白人 (NHW) 患者的稳定趋势形成鲜明对比.
- 认知结果表明MA患者的复杂模式 (改善-衰退-改善) 和NHW患者的稳定性,到2019年,整体趋势没有显著的种族-种族差异.
结论:
- 在研究期间,在MA个体中观察到中风结局的改善,但在NHW个体中没有.
- 尽管最初存在差异,但到2019年,中风结果趋势的种族种族差异并没有明显.
- 调查推动MA群体积极趋势的因素,可能为提高全民中风护理提供见解.
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