Evidence map›Paper›PMID 28386042›Full record

ArticleStroke2017

Mexican Americans Receive Less Intensive Stroke Rehabilitation Than Non-Hispanic Whites.

Lewis B Morgenstern, Emma Sais, Michael Fuentes, Nneka L Ifejika, Xiaqing Jiang, Susan D Horn, Erin Case, Lynda D Lisabeth

Open access · bronzeAbstract read
In one paragraph

Article in Stroke, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 15% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Racial and Ethnic Disparities in Stroke Incidence and Outcomes.Current cardiovascular risk reports · 2025
    Article
  4. Article
  5. Article
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  9. Article
  10. Cognitive recovery trajectories 3 months following stroke in Mexican American and non-Hispanic white adults.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2023
    Article
  11. Article
  12. Methods and early recruitment of the Brain Attack Surveillance in Corpus Christi-Post-acute Care (BASIC-PAC) Project.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2022
    Article
  13. Article
  14. Racial and Ethnic Disparities in Functional Outcome after Thrombectomy: A Cohort Study of an Integrated Stroke Network.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2021
    Article
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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 3 institutions in 1 country.

Lewis B MorgensternFrom the Stroke Program, University of Michigan Medical School, Ann Arbor (L.B.M., E.S., L.D.L.); Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor (L.B.M., X.J., E.C., L.D.L.); Corpus Christi Rehabilitation, TX (M.F.); Department of Neurology, McGovern Medical School at UTHealth, Houston, TX (N.L.I.); and Departments of Biomedical Informatics and Population Health Sciences, University of Utah Medical School, Salt Lake City (S.D.H.). Lmorgens@umich.edu.
Emma SaisFrom the Stroke Program, University of Michigan Medical School, Ann Arbor (L.B.M., E.S., L.D.L.); Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor (L.B.M., X.J., E.C., L.D.L.); Corpus Christi Rehabilitation, TX (M.F.); Department of Neurology, McGovern Medical School at UTHealth, Houston, TX (N.L.I.); and Departments of Biomedical Informatics and Population Health Sciences, University of Utah Medical School, Salt Lake City (S.D.H.).
Michael FuentesFrom the Stroke Program, University of Michigan Medical School, Ann Arbor (L.B.M., E.S., L.D.L.); Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor (L.B.M., X.J., E.C., L.D.L.); Corpus Christi Rehabilitation, TX (M.F.); Department of Neurology, McGovern Medical School at UTHealth, Houston, TX (N.L.I.); and Departments of Biomedical Informatics and Population Health Sciences, University of Utah Medical School, Salt Lake City (S.D.H.).
Nneka L IfejikaFrom the Stroke Program, University of Michigan Medical School, Ann Arbor (L.B.M., E.S., L.D.L.); Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor (L.B.M., X.J., E.C., L.D.L.); Corpus Christi Rehabilitation, TX (M.F.); Department of Neurology, McGovern Medical School at UTHealth, Houston, TX (N.L.I.); and Departments of Biomedical Informatics and Population Health Sciences, University of Utah Medical School, Salt Lake City (S.D.H.).
Xiaqing JiangFrom the Stroke Program, University of Michigan Medical School, Ann Arbor (L.B.M., E.S., L.D.L.); Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor (L.B.M., X.J., E.C., L.D.L.); Corpus Christi Rehabilitation, TX (M.F.); Department of Neurology, McGovern Medical School at UTHealth, Houston, TX (N.L.I.); and Departments of Biomedical Informatics and Population Health Sciences, University of Utah Medical School, Salt Lake City (S.D.H.).
Susan D HornFrom the Stroke Program, University of Michigan Medical School, Ann Arbor (L.B.M., E.S., L.D.L.); Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor (L.B.M., X.J., E.C., L.D.L.); Corpus Christi Rehabilitation, TX (M.F.); Department of Neurology, McGovern Medical School at UTHealth, Houston, TX (N.L.I.); and Departments of Biomedical Informatics and Population Health Sciences, University of Utah Medical School, Salt Lake City (S.D.H.).
Erin CaseFrom the Stroke Program, University of Michigan Medical School, Ann Arbor (L.B.M., E.S., L.D.L.); Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor (L.B.M., X.J., E.C., L.D.L.); Corpus Christi Rehabilitation, TX (M.F.); Department of Neurology, McGovern Medical School at UTHealth, Houston, TX (N.L.I.); and Departments of Biomedical Informatics and Population Health Sciences, University of Utah Medical School, Salt Lake City (S.D.H.).
Lynda D LisabethFrom the Stroke Program, University of Michigan Medical School, Ann Arbor (L.B.M., E.S., L.D.L.); Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor (L.B.M., X.J., E.C., L.D.L.); Corpus Christi Rehabilitation, TX (M.F.); Department of Neurology, McGovern Medical School at UTHealth, Houston, TX (N.L.I.); and Departments of Biomedical Informatics and Population Health Sciences, University of Utah Medical School, Salt Lake City (S.D.H.).
The University of Texas Health Science Center at Houston · USTexas A&M University – Corpus Christi · USUniversity 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
Developing a system to study stroke rehabilitation in an ethnically diverse communityR21NS086144 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LISABETH, LYNDA D, MORGENSTERN, LEWIS B · 2014 to 2015
$439k
NINDS NIH HHS R01 NS038916NINDS NIH HHS R21 NS086144
6 · The paper itself

Abstract

background and purposeMexican Americans (MAs) have worse neurological, functional, and cognitive outcomes after stroke. Stroke rehabilitation is important for good outcome. In a population-based study, we sought to determine whether allocation of stroke rehabilitation services differed by ethnicity.

methodsPatients with stroke were identified as part of the Brain Attack Surveillance in Corpus Christi (BASIC) project, TX, USA. Cases were validated by physicians using source documentation. Patients were followed prospectively for 3 months after stroke to determine rehabilitation services and transitions. Descriptive statistics were used to depict the study population. Continuous baseline variables were compared using 2 sample

resultsSeventy-two subjects (50 MA and 22 non-Hispanic white [NHW]) were followed. Mean age, NHW-69 (SD 13), MA-66 (SD 11) years, sex (NHW 55% male, MA 50% male) and median presenting National Institutes of Health Stroke Scale did not differ significantly. There were no ethnic differences among the proportion of patients who were sent home without any rehabilitation services (

conclusionsIn this population-based study, MAs were more likely to receive home-based rehabilitation, whereas NHWs were more likely to get inpatient rehabilitation. This disparity may, in part, explain the worse stroke outcome in MAs.

Indexed as

AgedFemaleFollow-Up StudiesHealthcare DisparitiesHome Care ServicesHospitalizationHumansMaleMexican AmericansMiddle AgedOutcome and Process Assessment, Health CareStrokeStroke RehabilitationTexasWhite PeoplebraindisparityHispanicpopulationrehabilitationstroke

Identifiers

PMID28386042
PMCPMC5441938
OpenAlexW2604977164

What OpenQuestion holds

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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.