OBJECTIVE: Black patients tend to have a greater number and severity of stroke cases. The literature on access to rehabilitative services shows mixed results ranging from no disparities to limited access among minority populations. This study evaluated the association of race and acute discharge to inpatient stroke rehabilitation in Maryland, a diagnostic related group-and postacute care prospective payment system-exempt state. DESIGN: Data from the Maryland Health Services and Cost Review Commission database for 2000 was used to conduct a cross sectional retrospective review to determine the rate of disposition to inpatient rehabilitation facilities (IRF). Multiple logistic regression analyses evaluated factors associated with discharge to IRF in this population. RESULTS: There were a total of 12,208 patients hospitalized with stroke in the year 2000. Compared with urban-dwelling white patients, black patients who lived in urban dwellings were more likely to be discharged to IRF, OR 1.42, 95% CI (1.06, 1.91). CONCLUSION: In the state of Maryland, urban-dwelling black stroke patients were more likely to be discharged to IRF acutely after stroke. Future studies should assess whether this trend persists in states that have larger rural populations.
OBJECTIVE: Black patients tend to have a greater number and severity of stroke cases. The literature on access to rehabilitative services shows mixed results ranging from no disparities to limited access among minority populations. This study evaluated the association of race and acute discharge to inpatient stroke rehabilitation in Maryland, a diagnostic related group-and postacute care prospective payment system-exempt state. DESIGN: Data from the Maryland Health Services and Cost Review Commission database for 2000 was used to conduct a cross sectional retrospective review to determine the rate of disposition to inpatient rehabilitation facilities (IRF). Multiple logistic regression analyses evaluated factors associated with discharge to IRF in this population. RESULTS: There were a total of 12,208 patients hospitalized with stroke in the year 2000. Compared with urban-dwelling white patients, black patients who lived in urban dwellings were more likely to be discharged to IRF, OR 1.42, 95% CI (1.06, 1.91). CONCLUSION: In the state of Maryland, urban-dwelling black strokepatients were more likely to be discharged to IRF acutely after stroke. Future studies should assess whether this trend persists in states that have larger rural populations.
Authors: David L Roth; Orla C Sheehan; Jin Huang; James D Rhodes; Suzanne E Judd; Meredith Kilgore; Brett Kissela; Janet Prvu Bettger; William E Haley Journal: Int J Stroke Date: 2016-07-21 Impact factor: 5.266
Authors: M Elizabeth Sandel; Hua Wang; Joseph Terdiman; Jeanne M Hoffman; Marcia A Ciol; Steven Sidney; Charles Quesenberry; Qi Lu; Leighton Chan Journal: PM R Date: 2009-01-09 Impact factor: 2.298
Authors: Janet K Freburger; George M Holmes; Li-Jung E Ku; Malcolm P Cutchin; Kendra Heatwole-Shank; Lloyd J Edwards Journal: Arch Phys Med Rehabil Date: 2011-08 Impact factor: 3.966
Authors: Stephen Jan; Beverley M Essue; Nick Glozier; Richard Lindley; Qiang Li; Maree L Hackett Journal: BMC Public Health Date: 2013-09-24 Impact factor: 3.295