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Racial Disparities in Stroke Recurrence: A Population-Based Study by David Joseph Robinson; Robert Stanton; Heidi Sucharew; Kathleen Alwell; Mary Haverbusch; Felipe De Los Rios La Rosa; Simona Ferioli; Elisheva Coleman; Adam Jasne; Jason Mackey; Michael Star; Eva A. Mistry; Stacie Demel; Sabreena Slavin; Kyle Walsh; Daniel Woo; Brett Kissela; Dawn O. Kleindorfer is a Medicine article available to read on EtoBox.

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## Background and Objective There are significant racial disparities in stroke in the United States, with Black individuals having a higher risk of incident stroke even when adjusted for traditional stroke risk factors. It is unknown whether Black individuals are also at a higher risk of recurrent stroke. ## Methods Over an 18-month period spanning 2014–2015, we ascertained index stroke cases within the Greater Cincinnati/Northern Kentucky population of 1.3 million. We then followed up all patients for 3 years and determined the risk of recurrence. Multivariable survival analysis was performed to determine the effect of Black race on recurrence. ## Results There were 3,816 patients with index stroke/TIA events in our study period, and 476 patients had a recurrent event within 3 years. The Kaplan-Meier estimate of 3-year recurrence rate was 15.4%. Age-adjusted and sex-adjusted stroke recurrence rate was higher in Black individuals (HR 1.34, 95% CI 1.1–1.6; p = 0.003); however, when adjusted for traditional stroke risk factors including hypertension, diabetes, smoking status, age, and left ventricular hypertrophy, the association between Black race and recurrence was significantly at

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Author

David Joseph Robinson; Robert Stanton; Heidi Sucharew; Kathleen Alwell; Mary Haverbusch; Felipe De Los Rios La Rosa; Simona Ferioli; Elisheva Coleman; Adam Jasne; Jason Mackey; Michael Star; Eva A. Mistry; Stacie Demel; Sabreena Slavin; Kyle Walsh; Daniel Woo; Brett Kissela; Dawn O. Kleindorfer

Publisher

Ovid Technologies (Wolters Kluwer Health)

Published

2022

Language

EN

Field

Medicine (Health Sciences)