Abstract Body: Introduction: Stroke patients with lower socioeconomic status (SES) have been found to experience worse functional outcomes, but few studies have examined the association between SES and quality of poststroke care. The primary aim of this follow-up study was to evaluate the relationship between SES and the poststroke guideline score (PGS) score (Table 1). Secondary aims explored other factors related to overall poststroke quality of care.

Methods: We reviewed the electronic medical records of individuals with acute ischemic stroke (AIS) admitted to an urban safety net hospital from July to September 2022. Individuals were given a pass/fail or ineligible for each process. The PGS, calculated per individual, was passes/total number of eligible processes with a possible score of 0 – 1.0. Unknowns were coded as failures as this approach is more likely to reflect actual missed opportunities for care in this population.

Results: 47 individuals with AIS were eligible for PGS assessment. Mean PGS score was 0.554 (SD 0.245, range 0.111-1.000). Using the independent sample t-test we found no significant difference in PGS based on the presence of financial strain. Individuals with private insurance had a mean PGS of 0.954, compared to those without with a mean PGS of 0.526 (t = 10.30, p < 0.001), however, only three individuals among our cohort had private insurance. Females had significantly higher PGS scores compared to males (t = 4.08, p <.001), see Figure 1.

Conclusion: In our study we found no significant difference in PGS based on the presence of financial strain, but we did identify a possible difference in score based on payor type. Females also scored significantly higher than males. We plan to qualitatively explore the poststroke care experience among this patient population as well as providers to identify barriers/facilitators to care and potential interventions to improve poststroke care among this patient population.