Addressing Disparities in Acute Stroke Management and Prognosis
Journal article
Denny, M Carter, Rosendale, Nicole, Gonzales, Nicole R., Leslie-Mazwi, Thabele M. and Middleton, Sandra Jane. (2024). Addressing Disparities in Acute Stroke Management and Prognosis. Journal of the American Heart Association. 13(7), pp. 1-11. https://doi.org/10.1161/JAHA.123.031313
Authors | Denny, M Carter, Rosendale, Nicole, Gonzales, Nicole R., Leslie-Mazwi, Thabele M. and Middleton, Sandra Jane |
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Abstract | There are now abundant data demonstrating disparities in acute stroke management and prognosis; however, interventions to reduce these disparities remain limited. This special report aims to provide a critical review of the current landscape of disparities in acute stroke care and highlight opportunities to use implementation science to reduce disparities throughout the early care continuum. In the prehospital setting, stroke symptom recognition campaigns that have been successful in reducing prehospital delays used a multilevel approach to education, including mass media, culturally tailored community education, and professional education. The mobile stroke unit is an organizational intervention that has the potential to provide more equitable access to timely thrombolysis and thrombectomy treatments. In the hospital setting, interventions to address implicit biases among health care providers in acute stroke care decision‐making are urgently needed as part of a multifaceted approach to advance stroke equity. Implementing stroke systems of care interventions, such as evidence‐based stroke care protocols at designated stroke centers, can have a broader public health impact and may help reduce geographic, racial, and ethnic disparities in stroke care, although further research is needed. The long‐term impact of disparities in acute stroke care cannot be underestimated. The consistent trend of longer time to treatment for Black and Hispanic people experiencing stroke has direct implications on long‐term disability and independence after stroke. A learning health system model may help expedite the translation of evidence‐based interventions into clinical practice to reduce disparities in stroke care. |
Keywords | disparities; equity; implementation science; stroke |
Year | 01 Jan 2024 |
Journal | Journal of the American Heart Association |
Journal citation | 13 (7), pp. 1-11 |
Publisher | John Wiley & Sons, Inc. (US) |
ISSN | 2047-9980 |
Digital Object Identifier (DOI) | https://doi.org/10.1161/JAHA.123.031313 |
Web address (URL) | https://www.ahajournals.org/doi/10.1161/JAHA.123.031313 |
Open access | Published as ‘gold’ (paid) open access |
Research or scholarly | Research |
Page range | 1-11 |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
02 Apr 2024 | |
Publication process dates | |
Accepted | Mar 2024 |
Deposited | 28 May 2024 |
Additional information | © 2024 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley. |
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. | |
Place of publication | United States |
https://acuresearchbank.acu.edu.au/item/908zy/addressing-disparities-in-acute-stroke-management-and-prognosis
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Publisher's version
OA_Middleton_2024_Addressing_disparities_in_acute_stroke_management.pdf | |
License: CC BY-NC-ND 4.0 | |
File access level: Open |
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