Evidence map›Paper›PMID 33468042›Full record

ArticleInternational journal of emergency medicine2021

Lack of racial and ethnic-based differences in acute care delivery in intracerebral hemorrhage.

Chun Mei Su, Andrew Warren, Cassie Kraus, Wendy Macias-Konstantopoulos, Kori S Zachrison, Anand Viswanathan, Christopher Anderson, M Edip Gurol, Steven M Greenberg, Joshua N Goldstein

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

10 authors.

Chun Mei SuDepartment of Emergency Medicine, Massachusetts General Hospital, Zero Emerson Place, Suite 3B, Boston, MA, 02114, USA.
Andrew WarrenDepartment of Neurology, Massachusetts General Hospital, Zero Emerson Place, Suite 3B, Boston, MA, 02114, USA.
Cassie KrausDepartment of Emergency Medicine, Massachusetts General Hospital, Zero Emerson Place, Suite 3B, Boston, MA, 02114, USA.
Wendy Macias-KonstantopoulosDepartment of Emergency Medicine, Massachusetts General Hospital, Zero Emerson Place, Suite 3B, Boston, MA, 02114, USA.
Kori S ZachrisonDepartment of Emergency Medicine, Massachusetts General Hospital, Zero Emerson Place, Suite 3B, Boston, MA, 02114, USA.
Anand ViswanathanDepartment of Neurology, Massachusetts General Hospital, Zero Emerson Place, Suite 3B, Boston, MA, 02114, USA.
Christopher AndersonDepartment of Neurology, Massachusetts General Hospital, Zero Emerson Place, Suite 3B, Boston, MA, 02114, USA.
M Edip GurolDepartment of Neurology, Massachusetts General Hospital, Zero Emerson Place, Suite 3B, Boston, MA, 02114, USA.
Steven M GreenbergDepartment of Neurology, Massachusetts General Hospital, Zero Emerson Place, Suite 3B, Boston, MA, 02114, USA.
Joshua N GoldsteinDepartment of Emergency Medicine, Massachusetts General Hospital, Zero Emerson Place, Suite 3B, Boston, MA, 02114, USA. jgoldstein@mgh.harvard.edu.

Funding

THE ROLE OF ADVANCED CAA IN ALZHEIMER'S DEMENTIAP50AG005134 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI HYMAN, BRADLEY T. · 1985 to 2018
$42.1M
Vascular Dysfunction in Cerebral Amyloid AngiopathyR01AG026484 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI GREENBERG, STEVEN M · 2005 to 2019
$7.5M
Vascular Pathology in Early and Asymptomatic Cerebral Amyloid AngiopathyR01AG047975 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI VISWANATHAN, ANAND · 2014 to 2025
$7.5M
Sequencing Annotation and Functional Analysis in Risk of Intracerebral HemorrhageR01NS103924 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI ANDERSON, CHRISTOPHER DAVID · 2018 to 2022
$3.4M
The Mass-SIREN GroupU24NS100651 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI GOLDSTEIN, JOSHUA N · 2017 to 2022
$1.1M
Identifying novel system-level factors associated with the quality of acute stroke care deliveryK08HS024561 · AHRQ · MASSACHUSETTS GENERAL HOSPITAL · PI ZACHRISON, KORILYN SAUSER · 2016 to 2020
$784k
AHRQ HHS K08 HS024561American Heart Association 18SFRN34250007NHLBI NIH HHS 5U24NS100651NIA NIH HHS P50 AG005134NIA NIH HHS R01 AG026484NIA NIH HHS R01 AG047975NIH HHS K23AG02872605NIH HHS P50AG005134NIH HHS R01AG026484NIH HHS R01AG047975NINDS NIH HHS R01 NS103924NINDS NIH HHS R01NS103924NINDS NIH HHS U24 NS100651
6 · The paper itself

Abstract

BACKGROUND AND

aimEarly diagnosis and treatment of intracerebral hemorrhage (ICH) is thought to be critical for improving outcomes. We examined whether racial or ethnic disparities exist in acute care processes in the first hours after ICH.

methodsWe performed a retrospective review of a prospectively collected cohort of consecutive patients with spontaneous primary ICH presenting to a single urban tertiary care center. Acute care processes studied included time to computerized tomography (CT) scan, time from CT to inpatient bed request, and time from bed request to hospital admission. Clinical outcomes included mortality, Glasgow Outcome Scale, and modified Rankin Scale.

resultsFour hundred fifty-nine patients presented with ICH between 2006 and 2018 and met inclusion criteria (55% male; 75% non-Hispanic White [NHW]; mean age of 73). In minutes, median time to CT was 43 (interquartile range [IQR] 28, 83), time to bed request was 62 (IQR 33, 114), and time to admission was 142 (IQR 95, 232). In a multivariable analysis controlling for demographic factors, clinical factors, and disease severity, race/ethnicity had no effect on acute care processes. English language, however, was independently associated with slower times to CT (β = 30.7 min, 95% CI 9.9 to 51.4, p = 0.004) and to bed request (β = 32.8 min, 95% CI 5.5 to 60.0, p = 0.02). Race/ethnicity and English language were not independently associated with worse outcome.

conclusionsWe found no evidence of racial/ethnic disparities in acute care processes or outcomes in ICH. English as first language, however, was associated with slower care processes.

Indexed as

Acute careEmergency medical servicesEthnic groupsHealthcare disparitiesIntracranial hemorrhageStroke

Identifiers

PMID33468042
PMCPMC7814635

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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.