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Secondary prevention among uninsured stroke patients: A free clinic study
OBJECTIVES: Free clinics manage a diversity of diseases among the uninsured. We sought to assess the medical management of stroke in a population of uninsured patients. METHODS: A retrospective chart review was conducted to collect chronic disease statistics from 6558 electronic medical records and...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7564623/ https://www.ncbi.nlm.nih.gov/pubmed/33110604 http://dx.doi.org/10.1177/2050312120965325 |
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author | MacDonald, Madeline R Zarriello, Sydney Swanson, Justin Ayoubi, Noura Mhaskar, Rahul Mirza, Abu-Sayeef |
author_facet | MacDonald, Madeline R Zarriello, Sydney Swanson, Justin Ayoubi, Noura Mhaskar, Rahul Mirza, Abu-Sayeef |
author_sort | MacDonald, Madeline R |
collection | PubMed |
description | OBJECTIVES: Free clinics manage a diversity of diseases among the uninsured. We sought to assess the medical management of stroke in a population of uninsured patients. METHODS: A retrospective chart review was conducted to collect chronic disease statistics from 6558 electronic medical records and paper charts at nine free clinics in Tampa, Florida, from January 2016 to December 2017. Demographics and risk factors were compared between stroke patients and non-stroke patients. Medication rates for several comorbidities were also assessed. RESULTS: Two percent (107) of patients had been diagnosed with a stroke. Stroke patients were older (mean (M) = 56.0, standard deviation (SD) = 11.2) than the rest of the sample (M = 43.3, SD = 15.4), p < 0.001 and a majority were men (n = 62, 58%). Of the stroke patients with hypertension (n = 79), 81% (n = 64) were receiving anti-hypertensive medications. Of the stroke patients with diabetes (n = 43), 72% (n = 31) were receiving diabetes medications. Among all stroke patients, 44% were receiving aspirin therapy (n = 47). Similarly, 39% of all stroke patients (n = 42) were taking statins. CONCLUSIONS: Uninsured patients with a history of stroke may not be receiving adequate secondary prevention highlighting the risk and vulnerability of uninsured patients. This finding identifies an area for improvement in secondary stroke prevention in free clinics. |
format | Online Article Text |
id | pubmed-7564623 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-75646232020-10-26 Secondary prevention among uninsured stroke patients: A free clinic study MacDonald, Madeline R Zarriello, Sydney Swanson, Justin Ayoubi, Noura Mhaskar, Rahul Mirza, Abu-Sayeef SAGE Open Med Original Article OBJECTIVES: Free clinics manage a diversity of diseases among the uninsured. We sought to assess the medical management of stroke in a population of uninsured patients. METHODS: A retrospective chart review was conducted to collect chronic disease statistics from 6558 electronic medical records and paper charts at nine free clinics in Tampa, Florida, from January 2016 to December 2017. Demographics and risk factors were compared between stroke patients and non-stroke patients. Medication rates for several comorbidities were also assessed. RESULTS: Two percent (107) of patients had been diagnosed with a stroke. Stroke patients were older (mean (M) = 56.0, standard deviation (SD) = 11.2) than the rest of the sample (M = 43.3, SD = 15.4), p < 0.001 and a majority were men (n = 62, 58%). Of the stroke patients with hypertension (n = 79), 81% (n = 64) were receiving anti-hypertensive medications. Of the stroke patients with diabetes (n = 43), 72% (n = 31) were receiving diabetes medications. Among all stroke patients, 44% were receiving aspirin therapy (n = 47). Similarly, 39% of all stroke patients (n = 42) were taking statins. CONCLUSIONS: Uninsured patients with a history of stroke may not be receiving adequate secondary prevention highlighting the risk and vulnerability of uninsured patients. This finding identifies an area for improvement in secondary stroke prevention in free clinics. SAGE Publications 2020-10-10 /pmc/articles/PMC7564623/ /pubmed/33110604 http://dx.doi.org/10.1177/2050312120965325 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Article MacDonald, Madeline R Zarriello, Sydney Swanson, Justin Ayoubi, Noura Mhaskar, Rahul Mirza, Abu-Sayeef Secondary prevention among uninsured stroke patients: A free clinic study |
title | Secondary prevention among uninsured stroke patients: A free clinic study |
title_full | Secondary prevention among uninsured stroke patients: A free clinic study |
title_fullStr | Secondary prevention among uninsured stroke patients: A free clinic study |
title_full_unstemmed | Secondary prevention among uninsured stroke patients: A free clinic study |
title_short | Secondary prevention among uninsured stroke patients: A free clinic study |
title_sort | secondary prevention among uninsured stroke patients: a free clinic study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7564623/ https://www.ncbi.nlm.nih.gov/pubmed/33110604 http://dx.doi.org/10.1177/2050312120965325 |
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