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种族、民族和性别差异对急性脑卒中重症成人的管理和结局的影响。

Race, Ethnicity, and Gender Disparities in the Management and Outcomes of Critically Ill Adults with Acute Stroke.

机构信息

Cerebrovascular Division, Upstate Neurological Institute, Syracuse, NY, USA.

Neurocritical Care Division, Department of Neurology, University of Maryland, Baltimore, MD, USA.

出版信息

Crit Care Clin. 2024 Oct;40(4):709-740. doi: 10.1016/j.ccc.2024.05.006.

Abstract

Racial, ethnicity and sex disparities are pervasive in the evaluation and acute care of ischemic stroke patients. Administration of intravenous thrombolysis and mechanical thrombectomy are the most critical steps in ischemic stroke treatment but compared to White patients, ischemic stroke patients from minority racial and ethnic groups are less likely to receive these potentially life-saving interventions. Sex and racial disparities in intracerebral hemorrhage or subarachnoid hemorrhage treatment have not been well studied.

摘要

在缺血性脑卒中患者的评估和急症治疗中,普遍存在种族、民族和性别差异。静脉溶栓和机械取栓是缺血性脑卒中治疗中最关键的步骤,但与白人患者相比,少数族裔和少数民族的缺血性脑卒中患者接受这些可能挽救生命的干预措施的可能性较低。性别和种族差异在脑出血或蛛网膜下腔出血治疗中的研究还不够充分。

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