Sex and ethnic differences in stroke prognosis and quality of care
Chinese and South Asian women living in Canada, have a particularly higher mortality due to stroke compared with other women in Canada. The reasons for this excess mortality are largely unknown. To help bridge this knowledge gap, we propose to undertake a large population based study of Chinese, South Asian and other descent women and men with stroke in British Columbia, Alberta and Ontario. Our objectives are to compare 1) incidence of stroke, 2) compare patient prognostic (demographic and biomedical factors) and 3) quality of care factors both within hospital and out of hospital, 4) time to death after admission to hospital for acute stroke in these populations and 5) assess the relative extent to which these patient prognostic and quality of care factors determine stroke mortality in these populations. These findings will provide key insights into the magnitude of the differences in mortality, the nature of the contributing factors for stroke mortality in women of varying ethnicity, and evaluate potential barriers to stroke care.