Differences in intracerebral hemorrhage between Mexican Americans and non-Hispanic whites.
BACKGROUND
Mexican Americans (MAs) have higher incidence rates of intracerebral hemorrhage (ICH) than non-Hispanic whites (NHWs). The authors present clinical and imaging characteristics of ICH in MAs and NHWs in a population-based study.


METHODS
This work is part of the Brain Attack Surveillance in Corpus Christi (BASIC) project. Cases of nontraumatic ICH were identified from 2000 to 2003. Multivariable logistic regression was used to assess the independent associations between ethnicity and ICH location (lobar vs nonlobar) and volume (> or = 30 vs < 30 mL), adjusting for demographics and baseline clinical characteristics. Logistic regression was also used to determine the association between ethnicity and in-hospital mortality, adjusting for confounders.


RESULTS
A total of 149 MAs and 111 NHWs with ICH were identified. MAs were younger (70 vs 77, p < 0.001), more often male (55% vs 42%, p = 0.04), had a lower prevalence of atrial fibrillation (2.0% vs 13%, p < 0.001), and a higher prevalence of diabetes (39% vs 19%, p < 0.001). MA ethnicity was independently associated with nonlobar hemorrhage (OR 2.08, 95% CI: 1.15, 3.70). MAs had over two times the odds of having small (< 30 mL) hemorrhages compared with NHWs (OR = 2.41, 95% CI: 1.31, 4.46). NHWs had higher in-hospital mortality, though this association was no longer significant after adjustment for ICH volume, location, age, and sex.


CONCLUSIONS
There are significant differences in the characteristics of ICH in MAs and NHWs, with MA patients more likely to have smaller, nonlobar hemorrhages. These differences may be used to examine the underlying pathophysiology of ICH.
Zahuranec
D B
DB
Stroke Program, University of Michigan Medical School, Ann Arbor, MI 48109-0316, USA.
Brown
D L
DL
Lisabeth
L D
LD
Gonzales
N R
NR
Longwell
P J
PJ
Eden
S V
SV
Smith
M A
MA
Garcia
N M
NM
Morgenstern
L B
LB
D017668:Age of Onset; D000368:Aged; D001281:Atrial Fibrillation / Q000453:epidemiology; D001921:Brain / Q000098:blood supply* / Q000473:pathology* / Q000503:physiopathology; D002536:Cerebral Arteries / Q000473:pathology* / Q000503:physiopathology; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000175:diagnosis / Q000208:ethnology*; D015331:Cohort Studies; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000453:epidemiology; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D017058:Mexican Americans / Q000706:statistics & numerical data*; D009026:Mortality; D015995:Prevalence; D017678:Sex Distribution; D013781:Texas / Q000453:epidemiology; D044465:White People / Q000706:statistics & numerical data*