Table 3. Patient Demographics According to Mechanical Thrombectomy Volume at Treating Centers.
Association between patient demographics and admission to substantial volume mechanical thrombectomy centers (with respect to all stroke admissions)
Group | Thrombectomy at high procedural volume centers (% of all patients receiving thrombectomy) | Univariate analysis. P-value, odds ratio [CI] | Multivariate analysis. P-value, odds ratio [CI] |
---|---|---|---|
Ethnicity | (analysis: versus white) | ||
White | 1299 (76.82%) | ||
Black | 133 (73.51%) | 0.3192, 0.837[0.591,1.187] | 0.0876, 0.717[0.489,1.050] |
Hispanic | 125 (70.92%) | 0.0811, 0.736[0.522,1.039] | 0.0335, 0.654[0.442,0.967] |
Asian/Pacific Islander | 34 (48.98%) | <0.001, 0.290[0.179,0.469] | <0.001, 0.205[0.120,0.350] |
Native American | 10 (100%) | 0.9769, >999[<0.001,>999] | 0.9781, >999[<0.001,>999] |
other | 54 (77.71%) | 0.8642, 1.052[0.590,1.876] | 0.9656, 0.987[0.535,1.820] |
Population Density | ((analysis: versus central counties with >1million population) | ||
Central counties with >1 million population | 687 (71.90%) | ||
Fringe counties with >1million population | 506 (75.48%) | 0.109, 1.203[0.960,1.507] | 0.376, 1.130[0.862,1.481] |
Counties with 250K to 1 million | 190 (67.96%) | 0.202, 0.829[0.621,1.106] | 0.025, 0.672[0.474,0.951] |
Counties with 50K to 250K | 184 (76.98%) | 0.115, 1.307[0.937,1.822] | 0.401, 1.183[0.799,1.751] |
Micropolitan counties | 263 (85.99%) | <0.001, 2.398[1.686,3.411] | 0.868, 0.963[0.618,1.501] |
Non-micropolitan/metropolitan counties | 155 (85.83%) | 0.0001, 2.367[1.523,3.681] | 0.059, 1.970[0.975,3.978] |
Median wealth of zipcode | (analysis: versus > $63,000) | ||
< $39,000 | 675 (81.86%) | 0.0001, 1.648[1.280,2.121] | 0.0025, 1.656[1.195,2.297] |
$39,000 to 47,999 | 532 (73.66%) | 0.8649, 1.021[0.800,1.305] | 0.9759, 1.005[0.741,1.363] |
$48,000 to 62,999 | 411 (76.71%) | 0.1785, 1.203[0.919,1.575] | 0.1503, 1.264[0.919,1.738] |
≥ $63,000 | 443 (73.25%) | ||
Expected payer | (analysis: versus self-pay) | ||
Medicare | 1078 (73.71%) | 0.1881, 1.285[0.885,1.866] | 0.0002, 2.491[1.542,4.023] |
Medicaid | 184 (84.37%) | 0.0005, 2.473[1.487,4.114] | 0.0004, 2.788[1.575,4.934] |
Private | 700 (81.44%) | 0.0005, 2.011[1.356,2.981] | <0.001, 2.549[1.619,4.013] |
Self-pay | 97 (68.58%) | ||
No charge | 5 (100%) | 0.9748, >999[<0.001,>999] | |
Other | 34 (54.80%) | 0.0601, 0.555[0.301,1.025] | 0.8883, 0.950[0.468,1.931] |