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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...

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Autores principales: MacDonald, Madeline R, Zarriello, Sydney, Swanson, Justin, Ayoubi, Noura, Mhaskar, Rahul, Mirza, Abu-Sayeef
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
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.
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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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