TY - T1的亚裔急性缺血性中风患者的临床护理和结果(S15.001) JF -神经学乔-神经学六世- 90 - 15补充SP - S15.001盟萨拉歌AU -梁李盟Gregg Fonarow AU -埃里克首页史密斯盟迪帕克Bhatt AU -罗兰Matsouaka盟应西安非盟-李Schwamm盟Jeffrey节省Y1 - 2018/04/10 UR - //www.ez-admanager.com/content/90/15_Supplement/S15.001.abstract N2 -目的:比较亚洲和白人缺血性中风患者在一个大型美国注册中心关于人口统计学和临床特点,治疗方法,功能结果,护理质量和时间趋势。背景:尽管亚裔美国人在美国增长最快的种族/民族,对中风保健在这个人口。设计/方法:使用Get Guidelines-Stroke数据库,我们亚裔抽象数据和白色的病人急性缺血性中风从4/1/04-7/31/16招生从2171医院。多变量回归模型评估协会亚洲种族和结果调整病人/医院的特点,和中风严重性。结果:研究人口包含64337亚裔美国人,1707962白人。之间的差异指出亚洲和白人群体年龄(70.2 vs 72.5),和美国国立卫生研究院的中风尺度(署)(平均7.3 vs 6.9)。调整后病人/医院特点,亚洲人有更高的死亡率(0.0001或1.14,术中;),更少的功能独立放电(0.0001或0.80,术中;),收到少静脉组织纤溶酶原激活物(IV-tPA)(或0.95,p = 0.003)和有更多的有症状的出血性转换post-IV-tPA(0.0001或1.36,术中;)尽管door-to-needle< 60分钟(或1.14,p = 0.0004)。额外的署调整后,亚洲人比白人患者住院死亡率有显著降低。超过12.3年的研究期间,IV-tPA使用增加,住院死亡率减少,增加了两组和性能/质量措施。中风的严重程度下降,放电增加白人,但是亚洲人之间保持不变。IV-tPA door-to-needle< 60分钟增加在亚洲和白人;增加更大的亚洲人。Conclusions: This is the largest analysis of clinical and functional outcomes for Asian-American acute ischemic stroke patients. Asian-Americans have more severe strokes, worse functional outcomes, and receive IV-tPA less frequently but with more hemorrhagic complications than White patients. These findings suggest the pathophysiologic profile of ischemic stroke in Asian-Americans may be distinctive, and highlight the need for improved prevention and acute treatment strategies in this growing population.Disclosure: Dr. Song has nothing to disclose. Dr. Liang has nothing to disclose. Dr. Fonarow has nothing to disclose. Dr. Smith has nothing to disclose. Dr. Bhatt has nothing to disclose. Dr. Matsouaka has nothing to disclose. Dr. Xian has nothing to disclose. Dr. Schwamm has nothing to disclose. Dr. Saver has nothing to disclose. ER -