The impact of race and ethnicity on acute telestroke care: A multistate experience.
INTRODUCTION: Previous analyses suggest that ethnic and racial differences exist in acute stroke care including thrombolytic treatment rates. The current study evaluates ethnic or racial differences in acute stroke treatment within a multi-state telestroke program.
METHODS: Acute telestroke consultations seen in the Emergency Department in 203 facilities and 23 states were extracted from the Telecare by TeleSpecialists
RESULTS: The current study included 13,221 acute telestroke consultations consisting of 9890 White, 2048 Black, and 1283 patients classified as Other. A total of 934 patients were Hispanic and 12,287 patients were non-Hispanic. There were no statistically significant differences noted in thrombolytic treatment rates when comparing White (7.9%) patients with non-White patients (7.4%),
CONCLUSIONS: Contrary to previous reports, we failed to detect any significant differences in thrombolytic treatment rates and DTN times by race or ethnicity among stroke patients in a multistate telestroke program. These findings support the hypothesis that telestroke may mitigate racial and ethnic disparities which may be attributable to local variability in stroke procedures or access to healthcare.
Published In/Presented At
McDonald, M., Sevilis, T., Boudreau, M., Chen, H., Boyd, C., Avila, A., Zaman, M., Heath, G., Gao, L., & Devlin, T. (2023). The impact of race and ethnicity on acute telestroke care: A multistate experience. Journal of telemedicine and telecare, 1357633X231166028. Advance online publication. https://doi.org/10.1177/1357633X231166028
Medicine and Health Sciences
Department of Medicine