Disparities in Emergency Medical Services Use, Prehospital Notification, and Symptom Onset to Arrival in Patients With Acute Stroke
In this national cross-sectional study, Black race was associated with prolonged symptom onset to time of arrival intervals and significantly decreased odds of EMS prehospital notification, despite similar use of EMS transport. Greater county-level deprivation was also associated with reduced odds of EMS prehospital notification and slightly prolonged stroke symptom onset to emergency department arrival time. Efforts to reduce place-based disparities in stroke care must address significant inequities in prehospital care of acute stroke and continue to address health inequities associated with race and ethnicity.
Authors
- Dawn Kleindorfer (ORCID: https://orcid.org/0000-0003-1361-3693)
- Brian J. Stamm (ORCID: https://orcid.org/0000-0002-0862-9650)
- Regina Royan (ORCID: https://orcid.org/0000-0002-2645-5412)
- Janette Baird (ORCID: https://orcid.org/0000-0002-2729-4008)
- Timmy Lin
- Christopher Becker (ORCID: https://orcid.org/0000-0003-3414-9826)
- Shyam Prabhakaran (ORCID: https://orcid.org/0000-0003-0724-1694)
- Rebecca Karb (ORCID: https://orcid.org/0000-0002-0993-3398)
- Tina Burton (ORCID: https://orcid.org/0000-0001-9077-9238)
- Tracy E. Madsen (ORCID: https://orcid.org/0000-0001-5101-0776)
Institutions
- Brown University (US)
- University of Michigan (US)
- University of Chicago (US)
- Michigan Medicine (US)
- VA Center for Clinical Management Research (US)
- Ann Arbor VA Medical Center (US)
Publication Details
- Journal
- Circulation
- Published
- 2024-09-05
- DOI
- https://doi.org/10.1161/circulationaha.124.070694
- Citations
- 16
- Primary Topic
- Trauma and Emergency Care Studies
- Type
- article
- Field-Weighted Citation Impact
- 11.05