Evidence map›Paper›PMID 37750574›Full record

ArticleJournal of the American Heart Association2023

Was COVID-19 Associated With Worsening Inequities in Stroke Treatment and Outcomes?

Laurent G Glance, Curtis G Benesch, Karen E Joynt Maddox, Matthew T Bender, Jingjing Shang, Patricia W Stone, Stewart J Lustik, Jacob W Nadler, Christopher Galton, Andrew W Dick

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Laurent G GlanceDepartment of Anesthesiology and Perioperative Medicine University of Rochester School of Medicine Rochester NY.ORCID 0000-0003-3381-699X
Curtis G BeneschDepartment of Neurology University of Rochester School of Medicine Rochester NY.
Karen E Joynt MaddoxDepartment of Medicine Washington University in St. Louis St. Louis MO.ORCID 0000-0003-3779-8653
Matthew T BenderDepartment of Neurosurgery University of Rochester School of Medicine Rochester NY.
Jingjing ShangColumbia School of Nursing, Center for Health Policy New York NY.
Patricia W StoneColumbia School of Nursing, Center for Health Policy New York NY.ORCID 0000-0003-4098-8853
Stewart J LustikDepartment of Anesthesiology and Perioperative Medicine University of Rochester School of Medicine Rochester NY.
Jacob W NadlerDepartment of Anesthesiology and Perioperative Medicine University of Rochester School of Medicine Rochester NY.
Christopher GaltonDepartment of Anesthesiology and Perioperative Medicine University of Rochester School of Medicine Rochester NY.ORCID 0009-0003-5919-0080
Andrew W DickRAND Health, RAND Boston MA.
University of Rochester · USRAND Corporation · USWashington University in St. Louis · US

Funding

ImpAct of COVID-19 on CaRe TransitOns and Health OutcomeS for Vulnerable PopulationS in Nursing Homes and Home HealthCARE Agencies (ACROSS-CARE)R01AG074492 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHANG, JINGJING, STONE, PATRICIA W. · 2021 to 2024
$3.2M
NIA NIH HHS R01 AG074492
6 · The paper itself

Abstract

Background COVID-19 stressed hospitals and may have disproportionately affected the stroke outcomes and treatment of Black and Hispanic individuals. Methods and Results This retrospective study used 100% Medicare Provider Analysis and Review file data from between 2016 and 2020. We used interrupted time series analyses to examine whether the COVID-19 pandemic exacerbated disparities in stroke outcomes and reperfusion therapy. Among 1 142 560 hospitalizations for acute ischemic strokes, 90 912 (8.0%) were Hispanic individuals; 162 752 (14.2%) were non-Hispanic Black individuals; and 888 896 (77.8%) were non-Hispanic White individuals. The adjusted odds of mortality increased by 51% (adjusted odds ratio [aOR], 1.51 [95% CI, 1.34-1.69];

Indexed as

COVID-19Ischemic StrokeStrokeAgedBlack or African AmericanHispanic or LatinoHumansMedicarePandemicsRetrospective StudiesTreatment OutcomeUnited StatesWhiteCOVID‐19disparitiesequitystroke

Identifiers

PMID37750574
PMCPMC10727248
OpenAlexW4387032974

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.