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Racial, Ethnic Disparities Among Stroke Patients

J Stroke Cerebrovasc Dis; ePub 2018 Feb 9; Ideta, et al

In Hawaii, Filipino ethnicity is an independent risk factor for higher in-hospital stroke mortality as compared with whites, according to a recent study. Using a statewide hospital claims database (n=13,030), researchers performed a retrospective study including sequential acute ischemic stroke patients between 2010 and 2015. They compared in-hospital mortality rates among whites, Native Hawaiians and other Pacific Islanders (NHOPI), Filipinos, other Asian groups excluding Filipinos, and other races. They found:

  • NHOPI patients had higher rates of diabetes (48.8%), obesity (18.4%), and tobacco use (31.3%) compared with patients in other racial-ethnic categories.
  • Filipino patients had the highest rate of hemorrhagic transformation (9.7%).
  • Age-adjusted stroke mortality rates were highest among Filipinos, followed by other Asian groups, NHOPI, other race, and lowest among whites.
  • After adjusting for other confounding variables, Filipinos had higher mortality, whereas other Asian groups, NHOPI, and other race patients had mortality rates that were similar to whites.


Ideta TR, Lim E, Nakagawa K, Koenig MA. Racial and ethnic disparities in hospital mortality among ischemic stroke patients in Hawaii. [Published online ahead of print February 9, 2018]. J Stroke Cerebrovasc Dis. doi:10.1016/j.jstrokecerebrovasdis.2017.12.042.