Table 1.
Patient and Hospital Characteristics for Acute Ischemic Stroke in Patients Younger Than 65 Years Old, Overall and by Insurance Statusa
| Variable | Overall (N=197 474) | Uninsured (N=31 437) | Private (N=104 623) | Medicare (N=23 759) | Medicaid (N=37 655) |
|---|---|---|---|---|---|
| Patient demographics | |||||
| Age, yb | 56 (50–61) | 54 (48–59) | 56 (50–61) | 58 (53–62) | 55 (49–60) |
| Sex | |||||
| Female | 82 084 (41.57) | 11 471 (36.49) | 42 868 (40.97) | 9961 (41.93) | 17 784 (47.23) |
| Male | 115 390 (58.43) | 19 966 (63.51) | 61 755 (59.03) | 13 798 (58.07) | 19 871 (52.77) |
| Race/Ethnicity | |||||
| White | 116 248 (58.89) | 15 483 (49.27) | 69 111 (66.08) | 14 119 (59.46) | 17 535 (46.58) |
| Black | 51 332 (26) | 9629 (30.64) | 21 358 (20.42) | 7027 (29.59) | 13 318 (35.38) |
| Hispanic (any race) | 16 288 (8.25) | 4185 (13.32) | 6565 (6.28) | 1597 (6.73) | 3941 (10.47) |
| Asian | 5116 (2.59) | 852 (2.71) | 3010 (2.88) | 283 (1.19) | 971 (2.58) |
| Other | 8419 (4.26) | 1276 (4.06) | 4540 (4.34) | 721 (3.04) | 1882 (5) |
| Medications prior to admission in those with a medical history | |||||
| Antihypertensives with prior hypertension | 92 565 (74.51) | 11 747 (60.52) | 47 881 (76.31) | 13 452 (81.38) | 19 485 (76.26) |
| Cholesterol reducers with prior dyslipidemia | 48 014 (65.27) | 4534 (52.96) | 26 336 (65.55) | 7661 (71.6) | 9483 (67.15) |
| Diabetic medications with prior diabetes mellitus | 47 570 (74.67) | 5835 (65.97) | 23 355 (76.36) | 7724 (76.87) | 10 656 (74.89) |
| Arrival information | |||||
| Arrival mode: EMS (excluding transfer‐in) | 68 502 (37.94) | 10 528 (35.71) | 33 569 (34.85) | 9225 (43.87) | 15 180 (44.99) |
| Onset to arrival time, minutesb | 266 (82‐700) | 306 (90‐791) | 247 (77‐655) | 271 (85‐697) | 292 (88‐747.5) |
| Initial NIH Stroke Scale (0‐42)b | 3 (1–7) | 3 (1–7) | 3 (1–6) | 4 (2–9) | 4 (2–9) |
| Ambulate independently on admission | 67 270 (41.73) | 11 203 (42.39) | 38 828 (45.89) | 6381 (33.67) | 10 858 (34.8) |
| Hospital characteristics | |||||
| TJC primary stroke center | 93 669 (47.43) | 14 546 (46.27) | 51 288 (49.02) | 11 144 (46.9) | 16 691 (44.33) |
| Academic/teaching hospital | 121 135 (63.64) | 18 574 (61.67) | 64 042 (63.34) | 14 044 (61.48) | 24 475 (67.49) |
| Rural location | 7975 (4.04) | 1324 (4.21) | 3785 (3.62) | 1423 (5.99) | 1443 (3.83) |
| Annual volume of ischemic stroke admissionsb | 234.49 (155.61–367.92) | 225.67 (155.24–352.83) | 235.56 (157.9–368.86) | 235.07 (154.59–361.7) | 229.86 (152.24–369.4) |
MI indicates myocardial Infarction; NIH, National Institutes of Health; TIA, transient ischemic attack; TJC, The Joint Commission.
a
Due to large sample size, all P‐values are statistically significant to <0.0001.
b
Continuous/ordinal row variables designated by * are presented as Median (IQR). All other values are presented as Patient Count (%).