Effect of Hispanic Status in Mechanical Thrombectomy Outcomes After Ischemic Stroke: Insights From STAR.
Document Type
Article
Abstract
BACKGROUND AND PURPOSE: Epidemiological studies have shown racial and ethnic minorities to have higher stroke risk and worse outcomes than non-Hispanic Whites. In this cohort study, we analyzed the STAR (Stroke Thrombectomy and Aneurysm Registry) database, a multi-institutional database of patients who underwent mechanical thrombectomy for acute large vessel occlusion stroke to determine the relationship between mechanical thrombectomy outcomes and race.
METHODS: Patients who underwent mechanical thrombectomy between January 2017 and May 2020 were analyzed. Data included baseline characteristics, vascular risk factors, complications, and long-term outcomes. Functional outcomes were assessed with respect to Hispanic status delineated as non-Hispanic White (NHW), non-Hispanic Black (NHB), or Hispanic patients. Multivariate analysis was performed to identify variables associated with unfavorable outcome or modified Rankin Scale ≥3 at 90 days.
RESULTS: Records of 2115 patients from the registry were analyzed. Median age of Hispanic patients undergoing mechanical thrombectomy was 60 years (72–84), compared with 63 years (54–74) for NHB, and 71 years (60–80) for NHW patients (P
CONCLUSIONS: Hispanic patients are less likely to have favorable outcome at 90 days following mechanical thrombectomy compared to NHW or NHB patients. Further prospective studies are required to validate our findings.
Medical Subject Headings
Aged; Aged, 80 and over; Cohort Studies; Female; Hispanic or Latino; Humans; Ischemic Stroke; Male; Middle Aged; Registries; Thrombectomy; Treatment Outcome
Publication Date
11-1-2021
Publication Title
Stroke; a journal of cerebral circulation
ISSN
1524-4628
Volume
52
Issue
11
First Page
715
Last Page
715
PubMed ID
34517765
Digital Object Identifier (DOI)
10.1161/STROKEAHA.120.033326
Recommended Citation
Burks, Joshua D; Chen, Stephanie H; Luther, Evan M; Almallouhi, Eyad; Al Kasab, Sami; Jabbour, Pascal M; Wolfe, Stacey Q; Fargen, Kyle M; Arthur, Adam S; Goyal, Nitin; Fragata, Isabel; Maier, Ilko; Matouk, Charles; Grossberg, Jonathan; Kan, Peter; Schirmer, Clemens; Crowley, R Webster; Ares, William; Ogilvy, Christopher S; Rai, Ansaar T; Levitt, Michael R; Mokin, Maxim; Guerrero, Waldo; Park, Min S; Mascitelli, Justin; Yoo, Albert; Williamson, Richard; Grande, Andrew; Crosa, Roberto; Webb, Sharon; Psychogios, Marios; Peterson, Eric C; Yavagal, Dileep R; Spiotta, Alejandro M; and Starke, Robert M, "Effect of Hispanic Status in Mechanical Thrombectomy Outcomes After Ischemic Stroke: Insights From STAR." (2021). Neurosurgery. 2102.
https://scholar.barrowneuro.org/neurosurgery/2102