Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th Street, CRB 919, Miami, Florida 33136, USA.
Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th Street, CRB 919, Miami, Florida 33136, USA.
J Stroke Cerebrovasc Dis. 2023 Sep;32(9):107251. doi: 10.1016/j.jstrokecerebrovasdis.2023.107251. Epub 2023 Jul 12.
The Transitions of Stroke Care Disparities Study (TCSD-S) is an observational study designed to determine race-ethnic and sex disparities in post-hospital discharge transitions of stroke care and stroke outcomes and to develop hospital-level initiatives to reduce these disparities to improve stroke outcomes.
Here, we present the study rationale, describe the methodology, report preliminary outcomes, and discuss a critical need for the development, implementation, and dissemination of interventions for successful post-hospital transition of stroke care. The preliminary outcomes describe the demographic, stroke risk factor, socioeconomic, and acute care characteristics of eligible participants by race-ethnicity and sex. We also report on all-cause and vascular-related death, readmissions, and hospital/emergency room representations at 30- and 90-days after hospital discharge.
The preliminary sample included data from 1048 ischemic stroke and intracerebral hemorrhage discharged from 10 comprehensive stroke centers across the state of Florida. The overall sample was 45% female, 22% Non-Hispanic Black and 21% Hispanic participants, with an average age of 64 ± 14 years. All cause death, readmissions, or hospital/emergency room representations are 10% and 19% at 30 and 90 days, respectively. One in 5 outcomes was vascular-related.
This study highlights the transition from stroke hospitalization as an area in need for considerable improvement in systems of care for stroke patients discharged from hospital. Results from our preliminary analysis highlight the importance of investigating race-ethnic and sex differences in post-stroke outcomes.
中风护理转变差异研究（TCSD-S）是一项观察性研究，旨在确定中风后护理和中风结果的出院转院种族-民族和性别差异，并制定医院层面的举措，以减少这些差异，改善中风结果。
在此，我们介绍了研究的基本原理，描述了方法学，报告了初步结果，并讨论了成功实现中风护理出院后转院的干预措施的开发、实施和传播的迫切需要。初步结果描述了符合条件的参与者按种族-民族和性别划分的人口统计学、中风风险因素、社会经济和急性护理特征。我们还报告了所有原因和血管相关死亡、再入院以及出院后 30 天和 90 天的医院/急诊室就诊情况。
初步样本包括来自佛罗里达州 10 个综合中风中心的 1048 例缺血性中风和颅内出血患者的数据。总体样本中女性占 45%，非西班牙裔黑人占 22%，西班牙裔参与者占 21%，平均年龄为 64±14 岁。所有原因死亡、再入院或出院后 30 天和 90 天的医院/急诊室就诊率分别为 10%和 19%。其中五分之一的结果与血管有关。
这项研究强调了从中风住院治疗过渡到中风患者出院后护理系统需要大幅改善的领域。我们的初步分析结果强调了调查中风后结果的种族-民族和性别差异的重要性。
