FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4226287618> ?p ?o ?g. }

• W4226287618 endingPage "e2303" @default.
• W4226287618 startingPage "e2292" @default.
• W4226287618 abstract "In patients with ischemic stroke (IS), IV alteplase (tissue plasminogen activator [tPA]) and endovascular thrombectomy (EVT) reduce long-term disability, but their utilization has not been fully optimized. Prior research has also demonstrated disparities in the use of tPA and EVT specific to sex, race/ethnicity, socioeconomic status, and geographic location. We sought to determine the utilization of tPA and EVT in the United States from 2016-2018 and if disparities in utilization persist.This is a retrospective, longitudinal analysis of the 2016-2018 National Inpatient Sample. We included adult patients who had a primary discharge diagnosis of IS. The primary study outcomes were the proportions who received tPA or EVT. We fit a multivariate logistic regression model to our outcomes in the full cohort and also in the subset of patients who had an available baseline National Institutes of Health Stroke Scale (NIHSS) score.The full cohort after weighting included 1,439,295 patients with IS. The proportion who received tPA increased from 8.8% in 2016 to 10.2% in 2018 (p < 0.001) and who had EVT from 2.8% in 2016 to 4.9% in 2018 (p < 0.001). Comparing Black to White patients, the odds ratio (OR) of receiving tPA was 0.82 (95% confidence interval [CI] 0.79-0.86) and for having EVT was 0.75 (95% CI 0.70-0.81). Comparing patients with a median income in their zip code of ≤$37,999 to >$64,000, the OR of receiving tPA was 0.81 (95% CI 0.78-0.85) and for having EVT was 0.84 (95% CI 0.77-0.91). Comparing patients living in a rural area to a large metro area, the OR of receiving tPA was 0.48 (95% CI 0.44-0.52) and for having EVT was 0.92 (95% CI 0.81-1.05). These associations were largely maintained after adjustment for NIHSS, although the effect size changed for many of them. Contrary to prior reports with older datasets, sex was not consistently associated with tPA or EVT.Utilization of tPA and EVT for IS in the United States increased from 2016 to 2018. There are racial, socioeconomic, and geographic disparities in the accessibility of tPA and EVT for patients with IS, with important public health implications that require further study." @default.
• W4226287618 created "2022-05-05" @default.
• W4226287618 creator A5004516666 @default.
• W4226287618 creator A5006661854 @default.
• W4226287618 creator A5010953822 @default.
• W4226287618 creator A5013528021 @default.
• W4226287618 creator A5023212844 @default.
• W4226287618 creator A5057523173 @default.
• W4226287618 creator A5062711783 @default.
• W4226287618 creator A5063636629 @default.
• W4226287618 creator A5065313915 @default.
• W4226287618 creator A5074207991 @default.
• W4226287618 date "2021-12-07" @default.
• W4226287618 modified "2023-10-13" @default.
• W4226287618 title "Acute Ischemic Stroke Interventions in the United States and Racial, Socioeconomic, and Geographic Disparities" @default.
• W4226287618 cites W1547683213 @default.
• W4226287618 cites W1555687805 @default.
• W4226287618 cites W1976482369 @default.
• W4226287618 cites W2005341654 @default.
• W4226287618 cites W2033646896 @default.
• W4226287618 cites W2047087799 @default.
• W4226287618 cites W2049671944 @default.
• W4226287618 cites W2055940399 @default.
• W4226287618 cites W2099445066 @default.
• W4226287618 cites W2138099494 @default.
• W4226287618 cites W2145110439 @default.
• W4226287618 cites W2159795037 @default.
• W4226287618 cites W2290543536 @default.
• W4226287618 cites W2296564517 @default.
• W4226287618 cites W2317541620 @default.
• W4226287618 cites W2518531855 @default.
• W4226287618 cites W2569611604 @default.
• W4226287618 cites W2616393094 @default.
• W4226287618 cites W2760442609 @default.
• W4226287618 cites W2781594979 @default.
• W4226287618 cites W2787867590 @default.
• W4226287618 cites W2808037193 @default.
• W4226287618 cites W2896270824 @default.
• W4226287618 cites W2903201307 @default.
• W4226287618 cites W2908815782 @default.
• W4226287618 cites W2913906457 @default.
• W4226287618 cites W2944313536 @default.
• W4226287618 cites W2946014949 @default.
• W4226287618 cites W2952496624 @default.
• W4226287618 cites W2959312094 @default.
• W4226287618 cites W2960033265 @default.
• W4226287618 cites W2966429932 @default.
• W4226287618 cites W2982303713 @default.
• W4226287618 cites W2990911239 @default.
• W4226287618 cites W3003299879 @default.
• W4226287618 cites W3013602855 @default.
• W4226287618 cites W3020823285 @default.
• W4226287618 cites W3033268965 @default.
• W4226287618 cites W3035773173 @default.
• W4226287618 cites W3036654756 @default.
• W4226287618 doi "https://doi.org/10.1212/wnl.0000000000012943" @default.
• W4226287618 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34649872" @default.
• W4226287618 hasPublicationYear "2021" @default.
• W4226287618 type Work @default.
• W4226287618 citedByCount "16" @default.
• W4226287618 countsByYear W42262876182021 @default.
• W4226287618 countsByYear W42262876182022 @default.
• W4226287618 countsByYear W42262876182023 @default.
• W4226287618 crossrefType "journal-article" @default.
• W4226287618 hasAuthorship W4226287618A5004516666 @default.
• W4226287618 hasAuthorship W4226287618A5006661854 @default.
• W4226287618 hasAuthorship W4226287618A5010953822 @default.
• W4226287618 hasAuthorship W4226287618A5013528021 @default.
• W4226287618 hasAuthorship W4226287618A5023212844 @default.
• W4226287618 hasAuthorship W4226287618A5057523173 @default.
• W4226287618 hasAuthorship W4226287618A5062711783 @default.
• W4226287618 hasAuthorship W4226287618A5063636629 @default.
• W4226287618 hasAuthorship W4226287618A5065313915 @default.
• W4226287618 hasAuthorship W4226287618A5074207991 @default.
• W4226287618 hasBestOaLocation W42262876182 @default.
• W4226287618 hasConcept C118552586 @default.
• W4226287618 hasConcept C126322002 @default.
• W4226287618 hasConcept C127413603 @default.
• W4226287618 hasConcept C144024400 @default.
• W4226287618 hasConcept C147077947 @default.
• W4226287618 hasConcept C149923435 @default.
• W4226287618 hasConcept C151956035 @default.
• W4226287618 hasConcept C156957248 @default.
• W4226287618 hasConcept C201903717 @default.
• W4226287618 hasConcept C27415008 @default.
• W4226287618 hasConcept C2780645631 @default.
• W4226287618 hasConcept C2908647359 @default.
• W4226287618 hasConcept C44249647 @default.
• W4226287618 hasConcept C71924100 @default.
• W4226287618 hasConcept C72563966 @default.
• W4226287618 hasConcept C78519656 @default.
• W4226287618 hasConcept C99454951 @default.
• W4226287618 hasConceptScore W4226287618C118552586 @default.
• W4226287618 hasConceptScore W4226287618C126322002 @default.
• W4226287618 hasConceptScore W4226287618C127413603 @default.
• W4226287618 hasConceptScore W4226287618C144024400 @default.
• W4226287618 hasConceptScore W4226287618C147077947 @default.
• W4226287618 hasConceptScore W4226287618C149923435 @default.

• next