Evidence map›Paper›PMID 33008325›Full record

ArticleBMC neurology2020

Language disparity is not a significant barrier for time-sensitive care of acute ischemic stroke.

Noriko Anderson, Afra Janarious, Shimeng Liu, Lisa A Flanagan, Dana Stradling, Wengui Yu

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  3. 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

6 authors at 3 institutions in 1 country.

Noriko AndersonDepartment of Neurology, University of California, San Francisco, CA, USA.
Afra JanariousDepartment of Neurology, University of California, Irvine, CA, USA.
Shimeng LiuDepartment of Neurology, University of California, Irvine, CA, USA.
Lisa A FlanaganDepartment of Neurology, University of California, Irvine, CA, USA.
Dana StradlingDepartment of Neurology, University of California, Irvine, CA, USA.
Wengui YuDepartment of Neurology, University of California, Irvine, CA, USA. wyu@uci.edu.ORCID http://orcid.org/0000-0003-1664-3580
University of California, Irvine · USUniversity of California, San Francisco · USUpsala College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLanguage barriers were reported to affect timely access to health care and outcome. The aim of this study was to investigate the effect of language disparity on quality benchmarks of acute ischemic stroke therapy.

methodsConsecutive patients with acute ischemic stroke at the University of California Irvine Medical Center from 2013 to 2016 were studied. Patients were categorized into 3 groups according to their preferred language: English, Spanish, and other languages. Quality benchmarks and outcomes of the 3 language groups were analyzed.

resultsOf the 928 admissions, 69.7% patients recorded English as preferred language, as compared to 17.3% Spanish and 13.0% other languages. There was no significant difference in the rate of receiving intravenous thrombolysis (24.3, 22.1 and 21.0%), last-known-well to door time, door-to-imaging time, door-to-needle time, and hospital length of stay among the 3 language groups. In univariate analysis, the other languages group had lower chance of favorable outcomes than the English-speaking group (26.3% vs 40.4, p < 0.05) while the Spanish-speaking group had lower mortality rate than English-speaking group (3.1% vs 7.7%, p = 0.05). After adjusting for age and initial NIHSS scores, multivariate regression models showed no significant difference in favorable outcomes and mortality between different language groups.

conclusionWe demonstrate no significant difference in quality benchmarks and outcome of acute ischemic stroke among 3 different language groups. Our results suggest that limited English proficiency is not a significant barrier for time-sensitive stroke care at Comprehensive Stroke Center.

Indexed as

LanguageThrombolytic TherapyAgedAged, 80 and overFemaleHumansIschemic StrokeMaleMiddle AgedTime FactorsAcute ischemic strokeBenchmarkLanguage disparityOutcomeThrombolysis

Identifiers

PMID33008325
PMCPMC7532579
OpenAlexW3091321073

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.