{"id":"https://openalex.org/W174811665","doi":null,"title":"Impact of diabetes on prolonged hospital stay among Native Hawaiians and other Pacific Islanders with ischemic stroke.","display_name":"Impact of diabetes on prolonged hospital stay among Native Hawaiians and other Pacific Islanders with ischemic stroke.","publication_year":2014,"publication_date":"2014-12-01","ids":{"openalex":"https://openalex.org/W174811665","mag":"174811665","pmid":"https://pubmed.ncbi.nlm.nih.gov/25535594","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/4271353"},"language":"en","primary_location":{"id":"pmid:25535594","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25535594","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4271353/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5109327526","display_name":"Kazuma Nakagawa","orcid":"https://orcid.org/0000-0002-8744-8531","observed_orcids":["https://orcid.org/0000-0002-8744-8531"]},"institutions":[{"id":"https://openalex.org/I4210104115","display_name":"Queen's Medical Center","ror":"https://ror.org/016gbn942","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210104115"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kazuma Nakagawa","raw_affiliation_strings":["The Queen's Medical Center, Honolulu, HI (KN, MAV, MMI, SMA)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Queen's Medical Center, Honolulu, HI (KN, MAV, MMI, SMA)","institution_ids":["https://openalex.org/I4210104115"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103733448","display_name":"Megan A Vento","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210104115","display_name":"Queen's Medical Center","ror":"https://ror.org/016gbn942","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210104115"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Megan A Vento","raw_affiliation_strings":["The Queen's Medical Center, Honolulu, HI (KN, MAV, MMI, SMA)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Queen's Medical Center, Honolulu, HI (KN, MAV, MMI, SMA)","institution_ids":["https://openalex.org/I4210104115"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027056206","display_name":"Marissa M Ing","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210104115","display_name":"Queen's Medical Center","ror":"https://ror.org/016gbn942","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210104115"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marissa M Ing","raw_affiliation_strings":["The Queen's Medical Center, Honolulu, HI (KN, MAV, MMI, SMA)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Queen's Medical Center, Honolulu, HI (KN, MAV, MMI, SMA)","institution_ids":["https://openalex.org/I4210104115"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5031159634","display_name":"Susan M. Asai","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210104115","display_name":"Queen's Medical Center","ror":"https://ror.org/016gbn942","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210104115"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Susan M Asai","raw_affiliation_strings":["The Queen's Medical Center, Honolulu, HI (KN, MAV, MMI, SMA)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Queen's Medical Center, Honolulu, HI (KN, MAV, MMI, SMA)","institution_ids":["https://openalex.org/I4210104115"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210104115"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":4,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"73","issue":"12 Suppl 3","first_page":"4","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10009","display_name":"Dementia and Cognitive Impairment Research","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ischemic-stroke","display_name":"ischemic stroke","score":0.8889999985694885},{"id":"https://openalex.org/keywords/prolonged-hospitalization","display_name":"prolonged hospital stay","score":0.9269999861717224},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.5569999814033508},{"id":"https://openalex.org/keywords/native-hawaiians-and-other-pacific-islanders","display_name":"Native Hawaiians and other Pacific Islanders","score":0.9869999885559082},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.7200000286102295},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.5260000228881836},{"id":"https://openalex.org/keywords/obesity","display_name":"obesity","score":0.9240000247955322},{"id":"https://openalex.org/keywords/health-insurance-status","display_name":"health insurance status","score":0.7580000162124634},{"id":"https://openalex.org/keywords/ethnic-minority-patients","display_name":"ethnic minority patients","score":0.39100000262260437}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9316682815551758},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.7763745188713074},{"id":"https://openalex.org/C3020641676","wikidata":"https://www.wikidata.org/wiki/Q2065556","display_name":"Pacific islanders","level":3,"score":0.7300880551338196},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.6679485440254211},{"id":"https://openalex.org/C3020199598","wikidata":"https://www.wikidata.org/wiki/Q12202","display_name":"Ischemic stroke","level":3,"score":0.5760201215744019},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5661581754684448},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.49015650153160095},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4790569543838501},{"id":"https://openalex.org/C144301174","wikidata":"https://www.wikidata.org/wiki/Q7893852","display_name":"Univariate analysis","level":3,"score":0.46826818585395813},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3383287787437439},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.18293583393096924},{"id":"https://openalex.org/C541997718","wikidata":"https://www.wikidata.org/wiki/Q188151","display_name":"Ischemia","level":2,"score":0.14507785439491272},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.11808595061302185},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002545","descriptor_name":"Brain Ischemia","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006254","descriptor_name":"Hawaii","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006973","descriptor_name":"Hypertension","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009765","descriptor_name":"Obesity","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":false},{"descriptor_ui":"D012111","descriptor_name":"Residence Characteristics","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020521","descriptor_name":"Stroke","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true},{"descriptor_ui":"D044465","descriptor_name":"White People","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D044466","descriptor_name":"Asian People","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D044468","descriptor_name":"Native Hawaiian or Pacific Islander","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":3,"locations":[{"id":"pmid:25535594","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25535594","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:4271353","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4271353/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hawaii J Med Public Health","raw_type":"Text"},{"id":"mag:174811665","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25535594","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:4271353","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4271353/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hawaii J Med Public Health","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G6362208079","display_name":"The Center for Native and Pacific Health Disparities Research","funder_award_id":"P20MD000173","funder_id":"https://openalex.org/F4320337534","funder_display_name":"National Institute on Minority Health and Health Disparities"}],"funders":[{"id":"https://openalex.org/F4320337534","display_name":"National Institute on Minority Health and Health Disparities","ror":"https://ror.org/0493hgw16"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":33,"referenced_works":["https://openalex.org/W1948332215","https://openalex.org/W1967621937","https://openalex.org/W1970516435","https://openalex.org/W1976482369","https://openalex.org/W1981641671","https://openalex.org/W1987165985","https://openalex.org/W2020148680","https://openalex.org/W2045429004","https://openalex.org/W2056017497","https://openalex.org/W2057680842","https://openalex.org/W2069919062","https://openalex.org/W2074386052","https://openalex.org/W2081877609","https://openalex.org/W2083314209","https://openalex.org/W2091779168","https://openalex.org/W2107876763","https://openalex.org/W2119597697","https://openalex.org/W2123065224","https://openalex.org/W2126472847","https://openalex.org/W2127074707","https://openalex.org/W2131556432","https://openalex.org/W2133077981","https://openalex.org/W2134299039","https://openalex.org/W2138078247","https://openalex.org/W2138505333","https://openalex.org/W2149399327","https://openalex.org/W2152106844","https://openalex.org/W2158229692","https://openalex.org/W2165229109","https://openalex.org/W2170411079","https://openalex.org/W2916392902","https://openalex.org/W2916596946","https://openalex.org/W4211191293"],"related_works":["https://openalex.org/W2263321020","https://openalex.org/W2408401570","https://openalex.org/W1603224444","https://openalex.org/W2165229109","https://openalex.org/W1967621937","https://openalex.org/W7164145643","https://openalex.org/W4220977679","https://openalex.org/W2138078247","https://openalex.org/W3203321712","https://openalex.org/W3025847704"],"abstract_inverted_index":{"Recent":[0],"evidence":[1],"suggests":[2],"that":[3,164],"minority":[4],"groups":[5],"have":[6,30,170],"prolonged":[7,68,141,171,210,217,244],"hospital":[8,17,69,142,172,211,245],"stays":[9],"after":[10,19,75,77,219,247],"ischemic":[11,20,42,78,95,220,248],"stroke.":[12,79,221,249],"However,":[13,222],"disparities":[14],"in":[15,49],"the":[16,64,205,228,239],"stay":[18,70,143,173,246],"stroke":[21,43,96],"among":[22],"Native":[23],"Hawaiians":[24],"and":[25,53,112,140,147,194,243],"other":[26],"Pacific":[27],"Islanders":[28],"(NHPI)":[29],"not":[31],"been":[32],"studied.":[33,98],"A":[34,80],"retrospective":[35],"study":[36],"on":[37],"consecutive":[38],"patients":[39,84],"hospitalized":[40,93],"for":[41,94,185],"at":[44],"a":[45],"single":[46],"tertiary":[47],"center":[48],"Honolulu":[50],"between":[51,241],"2008":[52],"2010":[54],"was":[55,204,225],"performed.":[56],"Logistic":[57],"regression":[58],"analyses":[59,162],"were":[60,97,100,166],"performed":[61],"to":[62,159,169,181,237],"assess":[63],"independent":[65,207],"predictors":[66],"of":[67,82,117,150,153,209,230],"(hospitalization":[71],">":[72],"12":[73],"days":[74],"admission)":[76],"total":[81],"740":[83],"(whites":[85],"22%,":[86],"Asians":[87],"53%,":[88],"NHPI":[89,99,165,213],"21%,":[90],"others":[91],"4%)":[92],"significantly":[101,114],"younger":[102],"(59":[103],"\u00b1":[104,109],"14":[105],"years":[106],"vs":[107,121,126,130,134,138,145,156],"72":[108],"13":[110],"years)":[111],"had":[113],"higher":[115],"prevalence":[116,149],"female":[118],"sex":[119],"(51%":[120],"38%),":[122],"no":[123],"insurance":[124,192],"(10%":[125],"4%),":[127],"diabetes":[128,197,242],"(53%":[129],"18%),":[131],"hypertension":[132],"(82%":[133],"62%),":[135],"obesity":[136],"(55%":[137],"20%)":[139],"(20%":[144],"11%),":[146],"lower":[148],"residence":[151],"outside":[152],"O'ahu":[154],"(12%":[155],"23%)":[157],"compared":[158,180],"whites.":[160,182],"Univariate":[161],"showed":[163],"more":[167],"likely":[168],"(OR":[174,198],"1.87,":[175],"95%":[176,200],"CI:":[177,201],"1.01,":[178],"3.49)":[179],"After":[183],"adjusting":[184],"age,":[186],"sex,":[187],"race,":[188],"risk":[189],"factors,":[190],"health":[191],"status,":[193],"geographical":[195],"factor,":[196],"1.76,":[199],"1.07,":[202],"2.89)":[203],"only":[206],"predictor":[208],"stay.":[212],"are":[214,235],"associated":[215],"with":[216],"hospitalization":[218],"this":[223],"effect":[224],"attenuated":[226],"by":[227],"impact":[229],"diabetes.":[231],"Further":[232],"prospective":[233],"studies":[234],"needed":[236],"understand":[238],"relationship":[240]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2018,"cited_by_count":2}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}
