在康复服务和中风后功能恢复方面存在种族和种族差异
Lauri Bishop1, Hannah Gardener2, Scott C Brown3
1University of Miami, Miller School of Medicine, Department of Physical Therapy.
Archives of physical medicine and rehabilitation
|December 13, 2025
概括
脑卒中后康复改善了功能,但西班牙裔个人在接受服务和实现功能恢复方面存在差异. 虽然非西班牙裔黑人的健康公平性有所改善,但对西班牙裔中风幸存者需要进一步关注.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 脑卒中后康复对于改善运动功能和独立性至关重要.
- 了解中风康复中的种族和民族差异对于健康公平至关重要.
研究的目的:
- 描述接受康复的中风幸存者的功能结果.
- 识别中风后康复服务利用中的种族/民族差异.
- 检查种族/族裔与中风后功能恢复之间的关联.
主要方法:
- 使用从Get-With-The-Guidelines-Stroke数据集中的数据进行的观察性研究.
- 对康复服务和功能结果的分析 (修改的兰金尺度) 在出院后的30天和90天.
- 使用后勤回归模型来评估差异和关联,并对混因素进行调整.
主要成果:
- 与非西班牙裔白人相比,西班牙裔个人接受任何康复服务和门诊服务的可能性较低.
- 与非西班牙裔白人个人相比,在中风后90天,西班牙裔个人表现出功能改善的几率明显较低.
- 在非西班牙裔白人和非西班牙裔黑人个人之间没有观察到功能变化的显著差异.
结论:
- 康复对于中风后的功能恢复至关重要.
- 在减少非西班牙裔白人和非西班牙裔黑人之间的差距方面取得了进展.
- 对于中风后的西班牙裔个人来说,康复服务获取和功能结果的显著差异仍然存在.
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