Neurovascular Conditions and Associated Socio-Demographic and Behavioral Factors in an Urban Hospital in Northwest Indiana

• DOI: 10.18060/27849
• Publication Date: 2024-01-11T15:11:28Z
• Authors: Brendan Jones; Brianna Chandler; Kelly DeMichael; Baraka Muvuka; Jonathan Guerrero; Kyle Gosporadek
• Keywords: Neurovascular bundle

Background: Brain health equity remains an underexplored research area despite high prevalence of neurovascular conditions and related impacts. This study examined the associations between socio-demographic, behavioral factors, hospital admissions for neurovascular-related morbidity in urban underserved community. It is part a multi-phased Community-Based Participatory Research (CBPR) partnership Indiana University School Medicine-Northwest St. Mary Medical Center (SMMC) to examine prevalence, distribution, relationships social determinants (SDOH), demographics, behaviors, outcomes Northwest Indiana. Methods: retrospective analyzed limited dataset generated by SMMC from EPIC™ with SDOH, demographic, data adult inpatient visits January 2021 March 2023. Neurovascular admission was determined ICD-10 Codes I67-69. Data analysis conducted SPSS 29.0 using descriptive statistics (i.e., frequencies central tendency), bivariate (Chi-square; p<0.05), multivariate (binary logistic regression; p<0.05). received exemption Human Protection Program (IRB #14040). Results: There were 1,489 participants included this study. The majority white (77.7%), older adults (67 ± 21.5) publicly insured (77.8%). demonstrated significant age group (p<0.001), veteran status insurance type (p<0.037), physical activity (p<0.001). After adjusting these factors analysis, (p< 0.003) inactivity (p<0.008) significantly associated conditions. Conclusion: Understanding how SDOH influence inequities settings will enhance collaborative efforts develop, implement, evaluate evidence-based interventions. subsequent CBPR phases utilize findings explore socioeconomic affects patients’ ability seek emergent and/or surgical care. enable implementation strategies that better account patient