{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:08:32Z","timestamp":1790352512968,"version":"4.1.0"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,3,5]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">To inform clinical practice, we sought to identify racial and ethnic differences in the medical management of common poststroke complications.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">A cohort of acutely hospitalized, first\u2010time non\u2010Hispanic White (NHW), non\u2010Hispanic Black, and Hispanic patients with stroke was identified from electronic medical records of 51 large health care organizations (January 1, 2003 to December 5, 2022). Matched propensity scores were used to account for baseline differences. Primary outcomes included receipt of medication(s) associated with the management of the following poststroke complications: arousal\/fatigue, spasticity, mood, sleep, neurogenic bladder, neurogenic bowel, and seizure. Differences were measured at 14, 90, and 365\u2009days. Subgroup analyses included differences restricted to patients with ischemic stroke, younger age (&lt;65\u2009years), and stratified by decade (2003\u20132012 and 2013\u20132022). Before matching, the final cohort consisted of 348\u2009286 patients with first\u2010time stroke. Matching resulted in 63\u2009722 non\u2010Hispanic Black\u2013NHW pairs and 24\u2009009 Hispanic\u2013NHW pairs. Non\u2010Hispanic Black (versus NHW) patients were significantly less likely to be treated for all poststroke complications, with differences largest for arousal\/fatigue (relative risk (RR), 0.58 [95% CI, 0.54\u20130.62]), spasticity (RR, 0.64 [95% CI, 0.0.62\u20130.67]), and mood disorders (RR, 0.72 [95% CI, 0.70\u20130.74]) at 14\u2009days. Hispanic\u2013NHW differences were similar, albeit with smaller magnitudes, with the largest differences present for spasticity (RR, 0.67 [95% CI, 0.63\u20130.72]), arousal\/fatigue (RR, 0.77 [95% CI, 0.70\u20130.85]), and mood disorders (RR, 0.79 [95% CI, 0.77\u20130.82]). Subgroup analyses revealed similar patterns for ischemic stroke and patients aged &lt;65\u2009years. Disparities for the current decade remained significant but with smaller magnitudes compared with the prior decade.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">There are significant racial and ethnic disparities in the treatment of poststroke complications. The differences were greatest at 14\u2009days, outlining the importance of early identification and management.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.123.030537","type":"journal-article","created":{"date-parts":[[2024,2,23]],"date-time":"2024-02-23T10:43:41Z","timestamp":1708685021000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Racial and Ethnic Disparities in the Medical Management of Poststroke Complications Among Patients With Acute Stroke"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9729-8971","authenticated-orcid":false,"given":"Kent P.","family":"Simmonds","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation UT Southwestern Medical Center Dallas TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1142-7806","authenticated-orcid":false,"given":"Folefac D.","family":"Atem","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation UT Southwestern Medical Center Dallas TX USA"},{"name":"Department of Biostatistics University of Texas Health Science Center at Houston School of Public Health Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3821-2485","authenticated-orcid":false,"given":"Babu G.","family":"Welch","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery UT Southwestern Medical Center Dallas TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5013-622X","authenticated-orcid":false,"given":"Nneka L.","family":"Ifejika","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation UT Southwestern Medical Center Dallas TX USA"},{"name":"Department of Neurology UT Southwestern Medical Center Dallas TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000153065.39325.fd"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.115.009533"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2023.06.030"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40471-015-0047-3"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.117.017290"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.108.539619"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000098"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.3109\/17518421003620525"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040296"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1200\/CCI.17.00067"},{"key":"e_1_3_2_12_2","unstructured":"Malin B. 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