Racial Disparities in Ischemic Stroke Among Patients with COVID-19 in the United States.
J Stroke Cerebrovasc Dis
; 30(8): 105877, 2021 Aug.
Article
in English
| MEDLINE | ID: covidwho-1233515
ABSTRACT
BACKGROUND:
Cerebrovascular prevalence is high in patients with coronavirus disease 2019 (COVID-19). However, whether racial disparities exist among this population have not been systematically explored.METHODS:
We performed a retrospective study to assess the prevalence of stroke stratified by race among patients aged 18 years or older with COVID-19 who visited emergency department (ED) up to August 13, 2020 in the United States (US). We used multivariable logistic regression to compare the odds of stroke in Black patients with COVID-19 compared to their non-Black counterparts while adjusting for the major potential confounders.RESULTS:
Among 8815 patients with ED visits with COVID-19, 77 (0.87%), 95% confidence interval CI (95% CI) 0.69% to 1.10%) had ischemic stroke. The mean age of patients with stroke was 64 years (SD 2 years); 28 (43%) were men, 55 (71%) had hypertension, and 29 (50%) were Black. The prevalence of ischemic stroke in Blacks, non-Hispanic Whites and Hispanics was 1.26% (95% CI 0.86% to 1.83%), 0.84% (95% CI 0.51% to 1.37%) and 0.49% (95% CI 0.26% to 0.88%) respectively. After adjustment for age, sex, hypertension, diabetes, obesity, drinking and smoking, the likelihood of stroke was higher in Black than non-Black patients (adjusted odds ratio, 2.76; 95% CI, 1.13 to 7.15, p=0.03).CONCLUSIONS:
Racial disparities in the prevalence of stroke among patients with COVID-19 exist, higher in Black population.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Black or African American
/
Health Status Disparities
/
Ischemic Stroke
/
COVID-19
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
North America
Language:
English
Journal:
J Stroke Cerebrovasc Dis
Journal subject:
Vascular Diseases
/
Brain
Year:
2021
Document Type:
Article
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