Processes of care and associated factors in patients with stroke by immigration status
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Processes of care and associated factors in patients with stroke by immigration status. / Mkoma, George Frederick; Johnsen, Søren Paaske; Agyemang, Charles; Hedegaard, Jakob N.; Iversen, Helle Klingenberg; Andersen, Grethe; Nørredam, Marie Louise.
I: Medical Care, Bind 3, 2022.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Processes of care and associated factors in patients with stroke by immigration status
AU - Mkoma, George Frederick
AU - Johnsen, Søren Paaske
AU - Agyemang, Charles
AU - Hedegaard, Jakob N.
AU - Iversen, Helle Klingenberg
AU - Andersen, Grethe
AU - Nørredam, Marie Louise
PY - 2022
Y1 - 2022
N2 - Background: Receiving evidence-based stroke care processes is associated with good clinical outcome. However, data on early stroke care among immigrants are scarce. Objective: We investigated whether guideline-recommended acute stroke care and associated factors differ between immigrants and Danish-born residents.Design: Patients admitted with ischemic and hemorrhagic stroke diagnoses (n=129,724) between 2005 and 2018 were identified from the Danish Stroke Registry. Results: We included 123,928 Danish-born residents and 5796 immigrants with stroke. Compared with Danish-born residents, immigrants were less likely to be admitted to a stroke unit within 24 hours after stroke onset (81.5% vs. 83.9%, P<0.001) and had lower odds of early stroke care including dysphagia screening, physiotherapy, occupational therapy, and nutritional assessment. After adjustment for age, sex, clinical, and sociodemographic factors, immigrants had lower odds of early stroke unit admission (odds ratio [OR]: 0.97; 95% CI, 0.94–0.99), early dysphagia screening (OR: 0.96; 95% CI, 0.93–0.98), early physiotherapy (OR: 0.96; 95% CI, 0.94–0.99), and early occupational therapy (OR: 0.96; 95% CI, 0.93–0.98) than Danish-born residents. Small absolute differences in overall quality of stroke care were found when comparing immigrants and Danish-born residents. Significant factors associated with greater likelihood of stroke care included high income, high education, and cohabitation. Conclusions: Immigrants had lower chances of early stroke unit admission and received fewer individual early stroke care processes such as dysphagia screening, physiotherapy and occupational therapy than Danish-born residents. However, the absolute disparities were in general minor and largely influenced by socioeconomic status and cohabitation.
AB - Background: Receiving evidence-based stroke care processes is associated with good clinical outcome. However, data on early stroke care among immigrants are scarce. Objective: We investigated whether guideline-recommended acute stroke care and associated factors differ between immigrants and Danish-born residents.Design: Patients admitted with ischemic and hemorrhagic stroke diagnoses (n=129,724) between 2005 and 2018 were identified from the Danish Stroke Registry. Results: We included 123,928 Danish-born residents and 5796 immigrants with stroke. Compared with Danish-born residents, immigrants were less likely to be admitted to a stroke unit within 24 hours after stroke onset (81.5% vs. 83.9%, P<0.001) and had lower odds of early stroke care including dysphagia screening, physiotherapy, occupational therapy, and nutritional assessment. After adjustment for age, sex, clinical, and sociodemographic factors, immigrants had lower odds of early stroke unit admission (odds ratio [OR]: 0.97; 95% CI, 0.94–0.99), early dysphagia screening (OR: 0.96; 95% CI, 0.93–0.98), early physiotherapy (OR: 0.96; 95% CI, 0.94–0.99), and early occupational therapy (OR: 0.96; 95% CI, 0.93–0.98) than Danish-born residents. Small absolute differences in overall quality of stroke care were found when comparing immigrants and Danish-born residents. Significant factors associated with greater likelihood of stroke care included high income, high education, and cohabitation. Conclusions: Immigrants had lower chances of early stroke unit admission and received fewer individual early stroke care processes such as dysphagia screening, physiotherapy and occupational therapy than Danish-born residents. However, the absolute disparities were in general minor and largely influenced by socioeconomic status and cohabitation.
UR - https://journals.lww.com/lww-medicalcare/Fulltext/9900/Processes_of_Care_and_Associated_Factors_in.68.aspx
U2 - 10.1097/MLR.0000000000001787
DO - 10.1097/MLR.0000000000001787
M3 - Journal article
C2 - 36603146
VL - 3
JO - Medical Care
JF - Medical Care
SN - 0025-7079
ER -
ID: 327951662