Racial and Socioeconomic Disparities in Gastrostomy Tube Placement After Intracerebral Hemorrhage in the United States

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Abstract

BACKGROUND AND PURPOSE—: Percutaneous endoscopic gastrostomy (PEG) tubes are widely used for enteral feeding of patients after intracerebral hemorrhage (ICH). We sought to determine whether PEG placement after ICH differs by race and socioeconomic status. METHODS—: Patient discharges with ICH as the primary diagnosis from 2007 to 2011 were queried from the Nationwide Inpatient Sample. Logistic regression was used to evaluate the association between race, insurance status, and household income with PEG placement. RESULTS—: Of 49 946 included ICH admissions, a PEG was placed in 4464 (8.94%). Among PEG recipients, 47.2% were minorities and 15.6% were Medicaid enrollees, whereas 33.7% and 8.2% of patients without a PEG were of a race other than white and enrolled in Medicaid, respectively (P

Original languageEnglish (US)
JournalStroke
DOIs
StateAccepted/In press - Feb 18 2016

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Gastrostomy
Cerebral Hemorrhage
Medicaid
Insurance Coverage
Patient Discharge
Enteral Nutrition
Social Class
Inpatients
Logistic Models

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Clinical Neurology
  • Advanced and Specialized Nursing

Cite this

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title = "Racial and Socioeconomic Disparities in Gastrostomy Tube Placement After Intracerebral Hemorrhage in the United States",
abstract = "BACKGROUND AND PURPOSE—: Percutaneous endoscopic gastrostomy (PEG) tubes are widely used for enteral feeding of patients after intracerebral hemorrhage (ICH). We sought to determine whether PEG placement after ICH differs by race and socioeconomic status. METHODS—: Patient discharges with ICH as the primary diagnosis from 2007 to 2011 were queried from the Nationwide Inpatient Sample. Logistic regression was used to evaluate the association between race, insurance status, and household income with PEG placement. RESULTS—: Of 49 946 included ICH admissions, a PEG was placed in 4464 (8.94{\%}). Among PEG recipients, 47.2{\%} were minorities and 15.6{\%} were Medicaid enrollees, whereas 33.7{\%} and 8.2{\%} of patients without a PEG were of a race other than white and enrolled in Medicaid, respectively (P",
author = "Romanus Faigle and Mona Bahouth and Victor Urrutia and Gottesman, {Rebecca F}",
year = "2016",
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doi = "10.1161/STROKEAHA.115.011712",
language = "English (US)",
journal = "Stroke",
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AU - Bahouth, Mona

AU - Urrutia, Victor

AU - Gottesman, Rebecca F

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AB - BACKGROUND AND PURPOSE—: Percutaneous endoscopic gastrostomy (PEG) tubes are widely used for enteral feeding of patients after intracerebral hemorrhage (ICH). We sought to determine whether PEG placement after ICH differs by race and socioeconomic status. METHODS—: Patient discharges with ICH as the primary diagnosis from 2007 to 2011 were queried from the Nationwide Inpatient Sample. Logistic regression was used to evaluate the association between race, insurance status, and household income with PEG placement. RESULTS—: Of 49 946 included ICH admissions, a PEG was placed in 4464 (8.94%). Among PEG recipients, 47.2% were minorities and 15.6% were Medicaid enrollees, whereas 33.7% and 8.2% of patients without a PEG were of a race other than white and enrolled in Medicaid, respectively (P

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