Abstract
Objective: To compare the demographics of stroke comorbidities, management and outcomes in the Haitian population treated at Baptist Hospital in Miami. Background: The USA contains the second largest Haitian population outside the country of Haiti; however, there is only one publication in PubMed about the management of Haitian stroke patients, their outcomes, and the comorbidities surrounding their cerebrovascular accidents. Design/Methods: We conducted a non-concurrent cohort study to compare Haitian and non-Haitian stroke patients, utilizing the Baptist Hospital “Get With The Guidelines Stroke Database.” Inclusion criteria were defined as Haitian and non-Haitian patients with a diagnosis of stroke, treated between the years 2008-2014 at Baptist Hospital. Topic: Cerebrovascular disease and interventional neurology: Health disparities Results: We identified 28 Haitian and 56 non-Haitian with an average patient age (68.1 vs 72.2 (p = .22)) and gender (male 32[percnt] vs 54[percnt] p = .1) respectively. A 2-way contingency table analysis showed significantly less Haitian patients had Medicare/private insurance compared to control group (54[percnt] vs 91[percnt] (p = .0002). Two-tailed T-test analyses revealed Haitian patients had increased levels of Total Cholesterol (173.2 vs 152.7 (p = .04)), higher LDL (106.2 vs 85.1 (p = .02)), higher Diastolic blood pressures (86.9 vs 76 (p = .01)) and higher BMI (30 vs 26.7 (p =.01)). Haitian patients vs controls received TPA (3.5[percnt] vs 8.9[percnt] (p = .74)), DVT prophylaxis (67.9[percnt] vs 89.2[percnt] (p = .69), Antiplatelet (67.8[percnt] vs 76.8[percnt] (p = .72)), Anticoagulant (42.9[percnt] vs 67.9[percnt] (p = .7)) and Independent Ambulation at discharge was 25[percnt] vs 34[percnt] (p = .39). Conclusions: Multiple factors may play a role in these significant differences, including healthcare disparities and differences in socioeconomic status. Policies aimed at improving access to healthcare, patient education, and health care provider cultural/language comprehension should benefit Haitian stroke patient outcomes. Study Supported by: N/A
Disclosure: Dr. Barratt has nothing to disclose. Dr. Brown has nothing to disclose. Dr. Lopez has nothing to disclose. Dr. Sirutis has nothing to disclose. Dr. Lozano has nothing to disclose. Dr. Starosciak has nothing to disclose.
Saturday, April 16 2016, 8:30 am-7:00 pm
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