Christina Kashililika, Walter C Millanzi, Fabiola Vincent Moshi
Predictors of health workers' knowledge of maternal and perinatal deaths surveillance and response system in Morogoro region, Tanzania: An analytical cross-sectional study
Medicine
despite approval acute ischemic stroke 25 years ago intravenous thrombolysis ivt remains underused inequities age sex race ethnicity geography little known ivt rates insurance status assessed temporal trends 2002 2015 ivt acute ischemic stroke nationwide inpatient sample using adjusted surveyweighted logistic regression calculated odds ratios ivt category 2002 2008 period 1 2009 2015 period 2 ivt use acute ischemic stroke increased 10 2002 68 2015 adjusted annual relative ratio 115 individuals aged 85 years pronounced increase 2002 2015 adjusted annual relative ratio 118 less likely receive ivt compared 18 44yearolds period 1 adjusted odds ratio aor 023 period 2 aor 036 women less likely men receive ivt disparity narrowed time period 1 aor 081 period 2 aor 094 inequities ivt resolved hispanic individuals period 2 aor 096 black individuals period 2 aor 081 disparity ivt medicare patients compared privately insured patients lessened time period 1 aor 059 period 2 aor 075 patients treated rural hospitals remained less likely receive ivt urban hospitals dramatic increase urbanity widened inequity period 2 urban nonteaching versus rural aor 258 period 2 urban teaching versus rural aor 390 ivt acute ischemic stroke increased among adults despite encouraging trends remaining disparities highlight need intensified efforts addressing inequities