Is there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke?

2.50
Hdl Handle:
http://hdl.handle.net/2436/620619
Title:
Is there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke?
Authors:
Song, Tian; Pan, Yuesong; Chen, Ruoling; Li, Hao; Zhao, Xingquan; Liu, Liping; Wang, Chunxue; Wang, Yilong; Wang, Yongjun
Abstract:
Background To investigate the impact of low socioeconomic status (SES), indicated by low level of education, occupation and income, on 3 months functional outcome after ischemic stroke. Methods We analyzed data from the China National Stroke Registry (CNSR), a multicenter and prospective registry of consecutive patients with acute cerebrovascular events occurred between September 2007 and August 2008. 11226 patients with ischemic stroke had SES and clinical characteristics data collected at baseline and mRS measured as indicator of functional outcome in 3 months follow up. Multinomial and ordinal logistic regression models were performed to examine associations between SES and the functional outcome. Results At 3 months after stroke, 5.3% of total patients had mRS scored at 5, 11.3% at score 4, 11.1% at score 3, 14.4% at score 2, 34.2% at score 1 and 23.7% at score 0. Compared to patients with educational level of ≥ 6 years and non-manual laboring, those < 6 years and manual laboring tended to have higher mRS score (P<0.001). Multinomial adjusted odds ratios (ORs) of outcome in manual workers were significantly increased (ORs from1.38 to 1.87), but OR in patients with less income was not significant. There were similar patterns of association The impact may be stronger in patients aged <65 years (P = 0.003, P<0.001 respectively) and being male (P = 0.001, P<0.001 respectively). Conclusions Our study provides evidence that people who are relatively more deprived in socioeconomic status suffer poorer outcome after ischemic stroke. The influence of low educational level and manual laboring can be more intensive than low income level on 3-month outcome. Health policy and service should target the deprived populations to reduce the public health burden in the society.
Citation:
Is there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke? 2017, 12 (7):e0181196 PLOS ONE
Publisher:
PLoS One
Journal:
PLOS ONE
Issue Date:
26-Jul-2017
URI:
http://hdl.handle.net/2436/620619
DOI:
10.1371/journal.pone.0181196
Additional Links:
http://dx.plos.org/10.1371/journal.pone.0181196
Type:
Article
Language:
en
ISSN:
1932-6203
Sponsors:
This study is supported by grants from the Ministry of Science and Technology of the People’s Republic of China (2006BAI01A11, 2011BAI08B01, 2011BAI08B02, 2012ZX09303-005-001, and 2013BAI09B03), a grant from the Beijing Biobank of Cerebral Vascular Disease (D131100005313003) and a grant from Beijing Institute for Brain Disorders (BIBD-PXM2013_014226_07_000084)
Appears in Collections:
FEHW

Full metadata record

DC FieldValue Language
dc.contributor.authorSong, Tianen
dc.contributor.authorPan, Yuesongen
dc.contributor.authorChen, Ruolingen
dc.contributor.authorLi, Haoen
dc.contributor.authorZhao, Xingquanen
dc.contributor.authorLiu, Lipingen
dc.contributor.authorWang, Chunxueen
dc.contributor.authorWang, Yilongen
dc.contributor.authorWang, Yongjunen
dc.date.accessioned2017-08-29T08:30:54Z-
dc.date.available2017-08-29T08:30:54Z-
dc.date.issued2017-07-26-
dc.identifier.citationIs there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke? 2017, 12 (7):e0181196 PLOS ONEen
dc.identifier.issn1932-6203en
dc.identifier.doi10.1371/journal.pone.0181196-
dc.identifier.urihttp://hdl.handle.net/2436/620619-
dc.description.abstractBackground To investigate the impact of low socioeconomic status (SES), indicated by low level of education, occupation and income, on 3 months functional outcome after ischemic stroke. Methods We analyzed data from the China National Stroke Registry (CNSR), a multicenter and prospective registry of consecutive patients with acute cerebrovascular events occurred between September 2007 and August 2008. 11226 patients with ischemic stroke had SES and clinical characteristics data collected at baseline and mRS measured as indicator of functional outcome in 3 months follow up. Multinomial and ordinal logistic regression models were performed to examine associations between SES and the functional outcome. Results At 3 months after stroke, 5.3% of total patients had mRS scored at 5, 11.3% at score 4, 11.1% at score 3, 14.4% at score 2, 34.2% at score 1 and 23.7% at score 0. Compared to patients with educational level of ≥ 6 years and non-manual laboring, those < 6 years and manual laboring tended to have higher mRS score (P<0.001). Multinomial adjusted odds ratios (ORs) of outcome in manual workers were significantly increased (ORs from1.38 to 1.87), but OR in patients with less income was not significant. There were similar patterns of association The impact may be stronger in patients aged <65 years (P = 0.003, P<0.001 respectively) and being male (P = 0.001, P<0.001 respectively). Conclusions Our study provides evidence that people who are relatively more deprived in socioeconomic status suffer poorer outcome after ischemic stroke. The influence of low educational level and manual laboring can be more intensive than low income level on 3-month outcome. Health policy and service should target the deprived populations to reduce the public health burden in the society.en
dc.description.sponsorshipThis study is supported by grants from the Ministry of Science and Technology of the People’s Republic of China (2006BAI01A11, 2011BAI08B01, 2011BAI08B02, 2012ZX09303-005-001, and 2013BAI09B03), a grant from the Beijing Biobank of Cerebral Vascular Disease (D131100005313003) and a grant from Beijing Institute for Brain Disorders (BIBD-PXM2013_014226_07_000084)en
dc.language.isoenen
dc.publisherPLoS Oneen
dc.relation.urlhttp://dx.plos.org/10.1371/journal.pone.0181196en
dc.rightsArchived with thanks to PLOS ONEen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectacute ischemic strokeen
dc.subjectsocioeconomic statusen
dc.subjecteducationen
dc.subjectoccupationen
dc.subjectincomeen
dc.subjectfunctional outcomeen
dc.titleIs there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke?en
dc.typeArticleen
dc.identifier.journalPLOS ONEen
dc.date.accepted2017-07-
rioxxterms.funderThis study is supported by grants from the Ministry of Science and Technology of the People’s Republic of China (2006BAI01A11, 2011BAI08B01, 2011BAI08B02, 2012ZX09303-005-001, and 2013BAI09B03), a grant from the Beijing Biobank of Cerebral Vascular Disease (D131100005313003) and a grant from Beijing Institute for Brain Disorders (BIBD-PXM2013_014226_07_000084)en
rioxxterms.identifier.projectUoW290817RCen
rioxxterms.versionVoRen
rioxxterms.licenseref.urihttps://creativecommons.org/CC BY-NC-ND 4.0en
rioxxterms.licenseref.startdate2017-08-29en
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