Ethnic variations in the management of patients with acute stroke.
BACKGROUND
There is increasing interest in the management of stroke in ethnic minorities but few studies have considered this issue. This study investigated if differences in acute stroke management exist between a white European and Bangladeshi populations living in London, England.


METHODS
All stroke surviving patients discharged over a five year period in a major London teaching hospital based in an ethnically diverse area of inner city London were recruited. Cerebrovascular risk factors, their management, and investigation for acute stroke syndromes were recorded and comparison between white and Bangladeshi cohorts was made. Categorical data were analysed using Fisher's exact test.


RESULTS
Measurement of cholesterol concentrations are undertaken less often in those from a Bangladeshi background (25%) compared with white Europeans (76%) (p<0.0001). Statin therapy tends to be given less often to Bangladeshis. However, neuroimaging (p<0.05) and echocardiography (p<0.0001) is performed more often in Bangladeshis compared with white Europeans.


CONCLUSIONS
There are variations in the management of acute stroke because of ethnicity and these variations could have substantial consequences on secondary rates of cerebrovascular and cardiovascular disease. Whether the reasons for this disparity are attributable to inequity or iniquity of care need to be further investigated perhaps along with the development of ethnicity specific protocols. Overall the management of stroke and its risk factors in either racial group remains lamentable.
Bourke
J
J
The Royal London Hospital, UK.
Sylvester
R
R
Sharma
P
P
D000208:Acute Disease; D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D001459:Bangladesh / Q000208:ethnology; D002784:Cholesterol / Q000097:blood; D004452:Echocardiography / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D000960:Hypolipidemic Agents / Q000627:therapeutic use; D008131:London / Q000453:epidemiology; D008279:Magnetic Resonance Imaging / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D020521:Stroke / Q000097:blood / Q000208:ethnology* / Q000628:therapy*; D014057:Tomography, X-Ray Computed / Q000706:statistics & numerical data; D014504:Urban Health; D014859:Warfarin / Q000627:therapeutic use; D044465:White People
D000925:Anticoagulants; D000960:Hypolipidemic Agents; D014859:Warfarin; D002784:Cholesterol