Evidence map›Paper›PMID 22892883›Full record

ArticleNeurocritical care2012

A population-based analysis of ethnic differences in admission to the intensive care unit after stroke.

Jeffrey J Fletcher, Lewis B Morgenstern, Lynda D Lisabeth, Brisa N Sánchez, Lesli E Skolarus, Melinda A Smith, Nelda M Garcia, Darin B Zahuranec

Abstract readComparative Study
In one paragraph

Article in Neurocritical care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 88% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Jeffrey J FletcherDepartment of Neurosurgery, University of Michigan Medical School, Ann Arbor, MI, USA.
Lewis B Morgenstern
Lynda D Lisabeth
Brisa N Sánchez
Lesli E Skolarus
Melinda A Smith
Nelda M Garcia
Darin B Zahuranec
University of Michigan–Ann Arbor · US

Funding

STROKE SURVEILLANCE IN A BIETHNIC COMMUNITYR01NS038916 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LISABETH, LYNDA D, MORGENSTERN, LEWIS B · 1999 to 2023
$20.9M
A Community Partnership to Treat StrokeK23NS073685 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SKOLARUS, LESLI ELIZABETH · 2011 to 2016
$924k
Prognosis and End-of-Life Decision Making in Intracerebral HemorrhageK23AG038731 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZAHURANEC, DARIN B · 2011 to 2015
$796k
NIA NIH HHS K23 AG038731NIA NIH HHS K23AG038731NINDS NIH HHS K23 NS073685NINDS NIH HHS R01 NS038916NINDS NIH HHS R01 NS38916
6 · The paper itself

Abstract

backgroundMexican-Americans (MAs) have shown lower post-stroke mortality compared to non-hispanic whites (NHWs). Limited evidence suggests race/ethnic differences exist in intensive care unit (ICU) admissions following stroke. Our objective was to investigate the association of ethnicity with admission to the ICU following stroke.

methodsCases of intracerebral hemorrhage and acute ischemic stroke were prospectively ascertained as part of the Brain Attack Surveillance in Corpus Christi (BASIC) project for the period of January 2000 through December 2009. Logistic regression models fitted within the generalized additive model framework were used to test associations between ethnicity and ICU admission and potential confounders. An interaction term between age and ethnicity was investigated in the final model.

resultsA total 1,464 cases were included in analysis. MAs were younger, more likely to have diabetes, and less likely to have atrial fibrillation, health insurance, or high school diploma than NHWs. On unadjusted analysis, there was a trend toward MAs being more likely to be admitted to ICU than NHWs (34.6 vs 30.3 %; OR = 1.22; 95 % CI 0.98-1.52; p = 0.08). However, on adjusted analysis, no overall association between MA ethnicity and ICU admission (OR = 1.13; 95 % CI 0.85-1.50) was found. When an interaction term for age and ethnicity was added to this model, there was only borderline evidence for effect modification by age of the ethnicity/ICU relationship (p = 0.16).

conclusionsNo overall association between ethnicity and ICU admission was observed in this community. ICU utilization alone does not likely explain ethnic differences in survival following stroke between MAs and NHWs.

Indexed as

Acute DiseaseAgedAged, 80 and overBrain IschemiaCerebral HemorrhageFemaleHealth Services AccessibilityHumansIntensive Care UnitsLogistic ModelsMaleMexican AmericansMiddle AgedPatient AdmissionPredictive Value of TestsProspective Studies

Identifiers

PMID22892883
PMCPMC3520600
OpenAlexW2062801379

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.