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dc.contributor.authorKoch S
dc.contributor.authorElkind MS
dc.contributor.authorTestai FD
dc.contributor.authorBrown WM
dc.contributor.authorMartini S
dc.contributor.authorSheth KN
dc.contributor.authorChong JY
dc.contributor.authorOsborne J
dc.contributor.authorMoomaw CJ
dc.contributor.authorLangefeld CD
dc.contributor.authorSacco RL
dc.contributor.authorWoo D
dc.contributor.authorERICH Study Investigators
dc.date.accessioned2016-12-19T16:56:05Z
dc.date.available2017-08-20T09:30:05Z
dc.date.issued2016-08-23
dc.identifier.bibliographicCitationKoch, S., Elkind, M. S. V., Testai, F. D., Brown, W. M., Martini, S., Sheth, K. N., Chong, J. Y., Osborne, J., Moomaw, C. J., Langefeld, C. D., Sacco, R. L., Woo, D. and Investigators, E. S. Racial-ethnic disparities in acute blood pressure after intracerebral hemorrhage. Neurology. 2016. 87(8): 786-791. doi: 10.1212/wnl.0000000000002962.en_US
dc.identifier.issn0028-3878
dc.identifier.urihttp://hdl.handle.net/10027/21433
dc.descriptionThis is a copy of an article published in Neurology. © 2016 American Academy of Neurology Publications. DOI:10.1212/WNL.0000000000002962en_US
dc.description.abstractOBJECTIVE: To assess race-ethnic differences in acute blood pressure (BP) following intracerebral hemorrhage (ICH) and the contribution to disparities in ICH outcome. METHODS: BPs in the field (emergency medical services [EMS]), emergency department (ED), and at 24 hours were compared and adjusted for group differences between non-Hispanic black (black), non-Hispanic white (white), and Hispanic participants in the Ethnic Racial Variations of Intracerebral Hemorrhage case-control study. Outcome was obtained by modified Rankin Scale (mRS) score at 3 months. We analyzed race-ethnic differences in good outcome (mRS ≤ 2) and mortality after adjusting for baseline differences and included BP recordings in this model. RESULTS: Of 2,069 ICH cases enrolled, 30% were white, 37% black, and 33% Hispanic. Black and Hispanic patients had higher EMS and ED systolic and diastolic BPs compared with white patients (p = 0.0001). Although attenuated, at 24 hours after admission, black patients had higher systolic and diastolic BPs. After adjusting for baseline differences, significant race/ethnic differences persisted for EMS systolic, ED systolic and diastolic, and 24-hours diastolic BP. Only ED systolic and diastolic BP was associated with poor functional outcome, and no BP predicted mortality. We found no race-ethnic differences in 3-month functional outcome or mortality after adjusting for group differences, including acute BPs. CONCLUSIONS: Although black and Hispanic patients had higher BPs than white patients at presentation, we did not find race-ethnic disparities in 3-month functional outcome or mortality. ED systolic and diastolic BP was associated with poor functional outcome, but not mortality, in this race-ethnically diverse population.en_US
dc.description.sponsorshipThis study was supported by a research grant from the National Institute of Neurological Disorders (ERICH: U01-NS069763).en_US
dc.publisherAmerican Academy of Neurologyen_US
dc.titleRacial-ethnic disparities in acute blood pressure after intracerebral hemorrhageen_US
dc.typeArticleen_US


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