Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleNeurointervention

Socioeconomic Disparities in the Utilization of Mechanical Thrombectomy for Acute Ischemic Stroke in US Hospitals

W. Brinjikji, A.A. Rabinstein, J.S. McDonald and H.J. Cloft
American Journal of Neuroradiology March 2014, 35 (3) 553-556; DOI: https://doi.org/10.3174/ajnr.A3708
W. Brinjikji
aFrom the Departments of Radiology (W.B., J.S.M., H.J.C.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
A.A. Rabinstein
bNeurology (A.A.R.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
J.S. McDonald
aFrom the Departments of Radiology (W.B., J.S.M., H.J.C.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
H.J. Cloft
aFrom the Departments of Radiology (W.B., J.S.M., H.J.C.)
cNeurosurgery (H.J.C.), Mayo Clinic, Rochester, Minnesota.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

Article Figures & Data

Tables

    • View popup
    Table 1:

    Demographic characteristics

    All Patients n (%)Thrombectomy Patients n (%)Non-Thrombectomy Patients n (%)P
    Total No. of patients249,336371 (0.2)248,965 (99.8)–
    Mean age, y (SD)71.6 (14.0)66.6 (16.3)71.6 (14.0)<.0001
    Sex
        Male114,199 (45.8)185 (49.9)114,014 (45.8).29
        Female135,137 (54.2)186 (50.1)134,951 (54.2)
    Race
        White159,673 (76.5)270 (86.5)159,403 (76.5)<.0001
        Black38,342 (18.4)27 (8.7)38,315 (18.4)
        Hispanic10,738 (5.1)15 (4.8)10,723 (5.1)
    Insurance status
        Private38,741 (15.5)95 (25.6)38,646 (15.5)<.0001
        Medicare181,995 (73.0)224 (60.4)181,771 (73.0)
        Medicaid16,540 (6.6)39 (10.5)16,501 (6.6)
        Uninsured12,060 (4.8)13 (3.5)12,047 (4.8)
    Hospital location
        Urban222,497 (89.2)361 (97.3)222,136 (89.2)<.0001
        Rural26,839 (10.8)10 (2.7)26,829 (10.8)
    Hospital teaching status
        Teaching96,739 (38.8)210 (56.6)96,529 (38.8)<.0001
        Non-teaching152,597 (61.2)161 (43.4)152,436 (61.2)
    • View popup
    Table 2:

    Insurance status and race and mechanical thrombectomy utilization

    All PatientsPatients Treated at Thrombectomy Centers
    n (%)Pn (%)P
    Race
        White293 (0.17)Reference293 (1.2)Reference
        Black30 (0.07)<.000130 (0.6).0006
        Hispanic15 (0.13).2915 (1.1).84
    Insurance
        Private95 (0.24)Reference95 (1.4)Reference
        Medicare224 (0.12)<.0001224 (0.9).0008
        Medicaid39 (0.24).9239 (1.5).61
        None13 (0.11).00513 (0.9).13
    • View popup
    Table 3:

    Multivariate logistic regression analysis

    All PatientsPatients Treated at Thrombectomy Centers
    OR (95% CI)POR (95% CI)P
    Racea
        Black versus Hispanic0.42 (0.23–0.81)<.00010.50 (0.26–0.97).04
        Black versus white0.35 (0.23–0.51)<.00010.41 (0.27–0.60)<.0001
        Hispanic versus white0.78 (0.44–1.27).330.83 (0.46–1.36).47
    Insuranceb
        Medicare versus private0.53 (0.41–0.70)<.00011.12 (0.80–1.57).52
        Medicaid versus private1.09 (0.70–1.65).711.19 (0.76–1.82).43
        None versus private0.52 (0.25–0.95).030.63 (0.31–1.18).16
        Medicaid versus Medicare1.16 (0.73–1.82).521.07 (0.66–1.68).78
        None versus Medicare0.56 (0.27–1.05).070.57 (0.27–1.08).08
        None versus Medicaid0.48 (0.22–0.95).030.94 (0.60–1.51).78
    • ↵a Adjusted for insurance status, sex, age, hospital teaching status, and hospital location.

    • ↵b Adjusted for race, sex, age, hospital teaching status, and hospital location.

PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 35 (3)
American Journal of Neuroradiology
Vol. 35, Issue 3
1 Mar 2014
  • Table of Contents
  • Index by author
  • Complete Issue (PDF)
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Socioeconomic Disparities in the Utilization of Mechanical Thrombectomy for Acute Ischemic Stroke in US Hospitals
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
W. Brinjikji, A.A. Rabinstein, J.S. McDonald, H.J. Cloft
Socioeconomic Disparities in the Utilization of Mechanical Thrombectomy for Acute Ischemic Stroke in US Hospitals
American Journal of Neuroradiology Mar 2014, 35 (3) 553-556; DOI: 10.3174/ajnr.A3708

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Socioeconomic Disparities in the Utilization of Mechanical Thrombectomy for Acute Ischemic Stroke in US Hospitals
W. Brinjikji, A.A. Rabinstein, J.S. McDonald, H.J. Cloft
American Journal of Neuroradiology Mar 2014, 35 (3) 553-556; DOI: 10.3174/ajnr.A3708
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • Materials and Methods
    • Results
    • Discussion
    • Conclusions
    • Footnotes
    • REFERENCES
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Mobile stroke care expedites intravenous thrombolysis and endovascular thrombectomy
  • Health Equity: What the Neuroradiologist Needs to Know
  • Acute Ischemic Stroke Interventions in the United States and Racial, Socioeconomic, and Geographic Disparities
  • The American Society of Neuroradiology: Cultivating a Diverse and Inclusive Culture to Build a Stronger Organization
  • Extracellular vesicles from human adipose stem cells are neuroprotective after stroke in rats
  • Patients with stroke and psychiatric comorbidities have lower carotid revascularization rates
  • Racial and insurance based disparities in the treatment of carotid artery stenosis: a study of the Nationwide Inpatient Sample
  • Trends in Endovascular Therapy and Clinical Outcomes Within the Nationwide Get With The Guidelines-Stroke Registry
  • Racial and Health Insurance Disparities of Inpatient Spine Augmentation for Osteoporotic Vertebral Fractures from 2005 to 2010
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • Rescue Reentry in Carotid Near-Occlusion
  • Contour Neurovascular System: Five Year Follow Up
  • Effect of SARS-CoV2 on Endovascular Thrombectomy
Show more Neurointervention

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire