Highlights
- •Mexican Americans have worse stroke outcome compared with non Hispanic whites.
- •This difference likely happens in the post-acute care (PAC) period.
- •We present the methods and early recruitment of a novel study of stroke PAC.
- •This study is recruiting well and poised to guide improvements in stroke equity.
Abstract
Objectives
Compared with non-Hispanic whites (NHWs), Mexican Americans (MAs) have worse stroke
outcomes. We report here the methods, background literature, and initial recruitment
of the Brain Attack Surveillance in Corpus Christi-Post Acute Care (BASIC-PAC) Project
which aims to explore PAC in MAs and NHWs from multiple perspectives: patients, caregivers,
and community.
Materials and methods
Rigorous active and passive stroke surveillance captures all strokes in Nueces County,
Texas. Stroke patients are followed for 90 days to determine their care transitions
and factors influencing their rehabilitation setting. Informal caregivers of the stroke
patients are identified and interviewed at 90 days to determine aspects of their caregiving
and caregiver outcomes. Available community resources are compared with stated needs
among stroke patient and caregivers to determine unmet needs.
Results
Between October, 2019 and October, 2021, among the 629 stroke patients eligible, 413
were MA, 227 were NHW. Of the 629, all of the six follow-up calls were completed by
355 of the MAs (87%) and 191 of the NHWs (87%). During this same time period, we attempted
to approach 621 potential caregivers. Of these, 458 (73.8%) potential caregivers participated
in interviews to determine caregiver eligibility, and 373 (81.4%) of these participating
potential caregivers met the eligibility criteria.
Conclusions
BASIC-PAC has strong initial recruitment and is poised to provide valuable data on
multiple aspects of PAC and how PAC differs by ethnicity and contributes to worse
stroke outcomes in MAs. Based on the study findings, interventions can be developed
that will improve stroke health equity.
Keywords
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Article info
Publication history
Published online: November 03, 2022
Accepted:
October 16,
2022
Received:
June 2,
2022
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106851
Copyright
© 2022 Elsevier Inc. All rights reserved.
