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Stroke Hispanics

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https://www.readbyqxmd.com/read/28103061/cardiometabolic-mortality-by-supplemental-nutrition-assistance-program-participation-and-eligibility-in-the-united-states
#1
Zach Conrad, Colin D Rehm, Parke Wilde, Dariush Mozaffarian
OBJECTIVES: To investigate total and cause-specific cardiometabolic mortality among Supplemental Nutrition Assistance Program (SNAP) participants, SNAP-eligible nonparticipants, and SNAP-ineligible individuals overall and by age, gender, race/ethnicity, and other characteristics. METHODS: We performed a prospective study with nationally representative survey data from the National Health Interview Survey (2000-2009), merged with subsequent Public-Use Linked Mortality Files (2000-2011)...
January 19, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28056515/race-ethnicity-as-a-predictor-for-location-of-death-in-patients-with-acute-neurovascular-events
#2
Say Salomon, Elizabeth Chuang, Deepa Bhupali, Daniel Labovitz
BACKGROUND: Site of death is an important quality indicator for patients with terminal illness. Racial and ethnic disparities exist in the quality of end-of-life care. This study explores the site of death of patients admitted for and dying of complications of acute neurovascular events in a hospital network in an urban, low-income, predominantly minority community. METHODS: This is a retrospective cohort study of patients admitted to 1 of 3 general hospitals that are part of an academic medical center in Bronx, New York, with the diagnosis of acute ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage who died during the index admission or were discharged with hospice services...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/28002548/absolute-rates-of-heart-failure-coronary-heart-disease-and-stroke-in-chronic-kidney-disease-an-analysis-of-3-community-based-cohort-studies
#3
Nisha Bansal, Ronit Katz, Cassianne Robinson-Cohen, Michelle C Odden, Lorien Dalrymple, Michael G Shlipak, Mark J Sarnak, David S Siscovick, Leila Zelnick, Bruce M Psaty, Bryan Kestenbaum, Adolfo Correa, Maryam Afkarian, Bessie Young, Ian H de Boer
Importance: Cardiovascular disease is the leading cause of morbidity and mortality in patients with chronic kidney disease (CKD). Understanding the relative contributions of cardiovascular disease event types to the excess burden of cardiovascular disease is important for developing effective strategies to improve outcomes. Objective: To determine absolute rates and risk differences of incident heart failure (HF), coronary heart disease (CHD), and stroke in participants with vs without CKD...
December 21, 2016: JAMA Cardiology
https://www.readbyqxmd.com/read/27988356/race-ethnicity-on-blood-pressure-control-after-ischemic-stroke-a-prospective-cohort-study
#4
Mai N Nguyen-Huynh, Nancy K Hills, Stephen Sidney, Jeffrey G Klingman, S Claiborne Johnston
Disparities in health care access and socioeconomic status (SES) have been associated with racial-ethnic differences in blood pressure (BP) control. We examined post-ischemic stroke BP in a multiethnic cohort with good health care access. We included all hypertensive patients (n = 2972) from a randomized quality improvement trial on secondary stroke prevention, conducted in 14 Kaiser Permanente hospitals in Northern California from 2004-2006 (QUISP). Average age 73.2 ± 12.2 years; 52% female, 66% non-Hispanic white, 14% African-American, 11% Asian, 8% Hispanic, and 1% other...
November 17, 2016: Journal of the American Society of Hypertension: JASH
https://www.readbyqxmd.com/read/27976494/clinical-factors-and-expenditures-associated-with-icd-9-cm-coded-trauma-for-the-us-population-a-nationally-representative-study
#5
Clara E Dismuke, Kinfe G Bishu, Samir Fakhry, Rebekah J Walker, Leonard E Egede
BACKGROUND: There is a lack of information on annual healthcare expenditures both per person and for the US population associated with trauma, as identified by ICD-9-CM codes. METHODS: This paper employed a two part model to estimate the unadjusted and adjusted annual per individual expenditures and population burden of trauma exposure for the US population, using a nationally representative survey of medical care expenditures. In addition, we estimated a logit model to examine the demographic and comorbidity factors associated with the likelihood of experiencing trauma...
December 15, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27960191/pathological-characteristics
#6
Xiang-Yan Chen, Mark Fisher
Within the intracranial vasculature, atherosclerosis occurs in two distinctive patterns: (1) in Western populations who have severe extracranial and systemic atherosclerosis, the severity of intracranial involvement is consistently less than that within extracranial arteries; and (2) in Asians, Africans, and Hispanics, who often have isolated intracranial arterial disease that is found to be more often accompanied by brain infarction than comparable extracranial atherosclerotic disease. Compared to coronary and extracranial carotid atherosclerosis, intracranial atherosclerosis has distinct pathological characteristics compared to that of extracranial arteries...
2016: Frontiers of Neurology and Neuroscience
https://www.readbyqxmd.com/read/27960190/epidemiology
#7
Philip Gorelick, Ka Sing Wong, Liping Liu
Intracranial atherosclerotic occlusive disease is an important and possibly the most common cause of stroke worldwide. Asian, Black and certain Hispanic populations have a high risk of harboring intracranial occlusive disease. In this chapter we review the epidemiology of intracranial occlusive disease by primarily focusing on studies from China, Japan, Korea, and other Asian countries. In addition, we compare and contrast the information from Asian countries with that from North America and related regions...
2016: Frontiers of Neurology and Neuroscience
https://www.readbyqxmd.com/read/27916540/correlates-of-caregivers-involvement-in-the-management-of-older-adults-medications
#8
Marwa Noureldin, Kimberly S Plake
BACKGROUND: Family caregivers are actively involved in medication management, yet little is known about factors associated with caregivers' involvement in this role and how that information can be utilized to engage caregivers in the healthcare system. OBJECTIVES: To explore factors associated with caregiver involvement in various aspects of older adults' medication management (i.e., ordering, keeping track or ensuring the correct medication is taken at the correct time, and injecting medications)...
November 11, 2016: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/27898168/the-association-between-t-pa-administration-and-in-hospital-mortality-following-acute-ischemic-stroke-in-puerto-rican-patients
#9
Kevin Shah, Samuel Kohrman, Suehyb Alkhatib, Juan González, Fernando Santiago, Marcia Varella, Juan Zevallos
OBJECTIVE: Despite being the standard of care, thrombolytic therapy with tissue plasminogen activator (t-PA) is currently administered to only 5% of acute ischemic stroke (AIS) patients in the United States. Published scientific information regarding both the use of t-PA for AIS in Hispanic patients and its impact on short-term mortality is scarce. The objectives of this study are to investigate, among Puerto Rican patients hospitalized with AIS, the rate of t-PA administration, and the risk of in-hospital mortality in patients who received t-PA vs...
December 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27857839/fatal-outcome-in-a-hispanic-woman-with-moyamoya-syndrome-and-graves-disease
#10
Julian Choi, Perin Suthakar, Farbod Farmand
: We describe the case of a young Hispanic female who presented with thyrotoxicosis with seizures and ischemic stroke. She was diagnosed with a rare vasculopathy - moyamoya syndrome. After starting antithyroid therapy, her neurologic symptoms did not improve. Acute neurosurgical intervention had relieved her symptoms in the immediate post-operative period after re-anastomosis surgery. However, 2 post-operative days later, she was found to be in status epilepticus and in hyperthyroid state...
2016: Endocrinology, Diabetes & Metabolism Case Reports
https://www.readbyqxmd.com/read/27834750/baseline-predictors-of-poor-outcome-in-patients-too-good-to-treat-with-intravenous-thrombolysis
#11
Syed F Ali, Khawja Siddiqui, Hakan Ay, Scott Silverman, Aneesh Singhal, Anand Viswanathan, Natalia Rost, Michael Lev, Lee H Schwamm
BACKGROUND AND PURPOSE: Several studies have reported poor outcomes in patients too good to treat with intravenous thrombolysis because of mild or rapidly improving symptoms. We sought to determine baseline clinical and imaging predictors of poor outcome in these patients. METHODS: Among 3950 consecutive stroke admissions (2009-2015) in our local Get With the Guidelines-Stroke database, 632 patients presented ≤4.5 hours and did not receive tissue-type plasminogen activator, with 380 of 632 (60...
December 2016: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/27829963/are-there-disparities-in-thrombolytic-treatment-and-mortality-in-acute-ischemic-stroke-in-the-hispanic-population-living-in-border-states-versus-nonborder-states
#12
Ameer E Hassan, David H Kassel, Malik M Adil, Wondwossen G Tekle, Adnan I Qureshi
BACKGROUND: Recent studies have found an underutilization of hospital in-patient care for coronary artery disease in Hispanics living in border states. OBJECTIVE: To identify acute treatment disparities in acute ischemic stroke Hispanic patients and determine the effect of such disparity on patient outcomes. METHODS: We identified Hispanic and non-Hispanic acute ischemic stroke patients from the Nationwide Inpatient Sample-2011 data files...
October 2016: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/27770075/emerging-temporal-trends-in-tissue-plasminogen-activator-use-results-from-the-basic-project
#13
Joseph S Domino, Jonggyu Baek, William J Meurer, Nelda Garcia, Lewis B Morgenstern, Morgan Campbell, Lynda D Lisabeth
OBJECTIVE: To explore temporal trends in tissue plasminogen activator (tPA) administration for acute ischemic stroke (AIS) in a biethnic community without an academic medical center and variation in trends by age, sex, ethnicity, and stroke severity. METHODS: Cases of AIS were identified from 7 hospitals in the Brain Attack Surveillance in Corpus Christi (BASIC) project, a population-based surveillance study between January 1, 2000, and June 30, 2012. tPA, demographics, and stroke severity as assessed by the NIH Stroke Scale (NIHSS) were ascertained from medical records...
November 22, 2016: Neurology
https://www.readbyqxmd.com/read/27744306/c-reactive-protein-is-associated-with-disability-independently-of-vascular-events-the-northern-manhattan-study
#14
Mandip S Dhamoon, Ying-Kuen Cheung, Yeseon P Moon, Clinton B Wright, Joshua Z Willey, Ralph Sacco, Mitchell Sv Elkind
BACKGROUND: high-sensitivity C-reactive protein (CRP) has been associated with cardiovascular events and mortality, but the association of CRP with functional status is not well defined. We hypothesised that serum levels of high-sensitivity CRP are associated with long-term trajectories of functional status independently of vascular risk factors and stroke and myocardial infarction (MI) occurring during follow-up. DESIGN: prospective, population-based. SETTING: northern Manhattan Study...
October 15, 2016: Age and Ageing
https://www.readbyqxmd.com/read/27737957/untreated-hypertension-a-powerful-risk-factor-for-lobar-and-nonlobar-intracerebral-hemorrhage-in-whites-blacks-and-hispanics
#15
Kyle B Walsh, Daniel Woo, Padmini Sekar, Jennifer Osborne, Charles J Moomaw, Carl D Langefeld, Opeolu Adeoye
BACKGROUND: Hypertension is a significant risk factor for intracerebral hemorrhage (ICH). Although ethnic/racial disparities related to hypertension and ICH have been reported, these previous studies were limited by a lack of Hispanics and inadequate power to analyze by ICH location. In the current study, while overcoming these prior limitations, we investigated whether there was variation by ethnicity/race of treated and untreated hypertension as risk factors for ICH. METHODS: The ERICH study (Ethnic/Racial Variations of Intracerebral Hemorrhage) is a prospective, multicenter, case-control study of ICH among whites, blacks, and Hispanics...
November 8, 2016: Circulation
https://www.readbyqxmd.com/read/27737956/intracerebral-hemorrhage-racial-disparities-and-access-to-care
#16
Monika M Safford
Although it makes up only 15-20% of all strokes, intracerebral hemorrhage (ICH) is a particularly lethal form of this potentially disabling condition. A recent meta-analysis of 122 studies concluded that the 1-year survival following ICH was 46%, and the 5-year survival was only 29%.(1) Furthermore, quality of life for survivors is often very limited.(2) A thorough understanding of how to prevent these events is therefore a high priority.In this issue of Circulation, the study by Walsh and colleagues sheds light on several important findings that suggest where attention should be directed to prevent these types of strokes...
October 13, 2016: Circulation
https://www.readbyqxmd.com/read/27729362/association-of-impaired-glucose-regulation-and-insulin-resistance-with-cardiac-structure-and-function-results-from-echo-sol-echocardiographic-study-of-latinos
#17
Ryan T Demmer, Matthew A Allison, Jianwen Cai, Robert C Kaplan, Ankit A Desai, Barry E Hurwitz, Jill C Newman, Sanjiv J Shah, Katrina Swett, Gregory A Talavera, Ashley Thai, Marston E Youngblood, Carlos J Rodriguez
BACKGROUND: We examined the relationship between glucose homeostasis and comprehensive measures of cardiac structure and function among a representative sample of US Hispanics. METHODS AND RESULTS: ECHO-SOL (Echocardiographic Study of Latinos), an echocardiographic ancillary study of the HCHS/SOL (Hispanic Community Health Study/Study of Latinos), enrolled 1818 Hispanic/Latino men (43%) and women (57%) aged ≥45 years (mean=56). Glucose intolerance was defined as follows: (1) prediabetes: hemoglobin (HbA1c) ≥5...
October 2016: Circulation. Cardiovascular Imaging
https://www.readbyqxmd.com/read/27669431/the-role-of-chronic-psychosocial-stress-in-explaining-racial-differences-in-stress-reactivity-and-pain-sensitivity
#18
Jennifer L Gordon, Jacqueline Johnson, Samantha Nau, Beth Mechlin, Susan S Girdler
OBJECTIVE: To examine the role of psychosocial factors in mediating the relationship between African American (AA) race and both increased pain sensitivity and blunted stress reactivity. METHODS: Participants included 133 AA and non-Hispanic white (nHW) individuals (mean [SD] age, 37 [9]) matched for age, sex, and socioeconomic status. Participants underwent mental stress testing (Trier Social Stress Test) while cardiovascular, hemodynamic, and neuroendocrine reactivity were measured...
September 23, 2016: Psychosomatic Medicine
https://www.readbyqxmd.com/read/27664805/trends-in-transient-ischemic-attack-hospitalizations-in-the-united-states
#19
Lucas Ramirez, May A Kim-Tenser, Nerses Sanossian, Steven Cen, Ge Wen, Shuhan He, William J Mack, Amytis Towfighi
BACKGROUND: Transient ischemic attack (TIA) is a major predictor of subsequent stroke. No study has assessed nation-wide trends in hospitalization for TIA in the United States. METHODS AND RESULTS: Temporal trends in hospitalization for TIA (International Classification of Diseases, Ninth Revision code 435.0-435.9) from 2000 to 2010 were assessed among adults aged ≥25 years using the Nationwide Inpatient Sample. Age-, sex-, and race/ethnic-specific TIA hospitalization rates were calculated using the weighted number of hospitalizations as the numerator and the US population as the denominator...
2016: Journal of the American Heart Association
https://www.readbyqxmd.com/read/27638784/cerebral-microbleeds-vascular-risk-factors-and-magnetic-resonance-imaging-markers-the-northern-manhattan-study
#20
Michelle R Caunca, Victor Del Brutto, Hannah Gardener, Nirav Shah, Nelly Dequatre-Ponchelle, Ying Kuen Cheung, Mitchell S V Elkind, Truman R Brown, Charlotte Cordonnier, Ralph L Sacco, Clinton B Wright
BACKGROUND: Cerebral microbleeds (CMBs) represent intracerebral hemorrhages due to amyloid angiopathy or exposure to modifiable risk factors. Few community-based stroke-free studies including blacks and Hispanics have been done. METHODS AND RESULTS: The Northern Manhattan Study (NOMAS) is a stroke-free, racially and ethnically diverse cohort study. Brain MRI was performed in 1290 participants, 925 of whom had available T2* gradient-recall echo data. We used multivariable logistic regression to examine the association of sociodemographics, vascular risk factors, apolipoprotein E (APOE) genotype, and brain MRI markers with CMB presence and location...
September 2016: Journal of the American Heart Association
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