Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Stroke Care Disparities in US Military Healthcare

J Neurolog Sci; ePub 2018 Jan 17; Blattner, et al

When it comes to stroke care, higher military ranks (higher socioeconomic status [SES]) had shorter hospitalization stays, higher costs, and less in-hospital mortality in the military's universal healthcare system, a recent study found. This suggests aggregate characteristics of SES plays a large role in the outcomes among SES groups. Data were collected from the military health care system (MHS) database from 2010 through 2015. All admissions to military health care facilities with a primary diagnosis of ischemic stroke were reviewed. Military rank was compared for primary outcomes of: disposition (in-hospital mortality and discharge destination setting) and IV tPA administration and for secondary outcomes of total cost of hospitalization and length of hospital stay (LOS). Military rank was identified with 1,895 (52.3%) of the 3,623 admissions. Researchers found that lower SES group/ranks were more likely to have poor discharge destination setting while the highest SES group/ranks had lower rates of in-hospital mortality, shorter LOS, and higher hospitalization costs after controlling for relevant variables.

Citation:

Blattner M, Price J, Holtkamp MD. Socioeconomic class and universal healthcare: Analysis of stroke cost and outcomes in US military healthcare. [Published online ahead of print January 17, 2018]. J Neurolog Sci. doi:10.1016/j.jns.2018.01.018.

This Week's Must Reads

Guidelines for Cognitive Screening, Management of MS, Mult Scler; ePub 2018 Oct 10; Kalb, Beier, et al

Age a Critical Determent in MS Relapse Recovery, Mult Scler; ePub 2018 Oct 10; Conway, et al

Is Contrast MR Imaging Necessary for All Patients?, Am J Neuroradiol; ePub 2018 Oct 4; Mattay, et al

Link Between Physiological and Perceived Fall Risk, Arch Phys Med Rehab; 2018 Oct; Gunn, et al

Muscle Strength Key in Determining Gait Speed in MS, Mult Scler Relat Disord; ePub 2018 Oct 9; Yang, et al

Must Reads in Stroke

Recurrent Stroke Risk Higher for Blacks than Whites, Neurology; ePub 2018 Oct 3; Albright, Huang, et al

Sleep Duration/Stroke Link Differs by Race and Sex, Neurology; ePub 2018 Oct 3; Petrov, Howard, et al

Intracerebral Hemorrhage Survivors’ Outcomes Studied, J Stroke Cerebrovasc Dis; ePub 2018 Sep 28; Griauzde, et al

Factors Linking Stroke, Cervical Artery Dissection , Stroke; ePub 2018 Sep 11; McNally, Hinckley, et al

Study Identifies Acute Ischemic Stroke Risk Factors, J Stroke Cerebrovasc Dis; ePub 2018 Sep 8; Kim, et al