Association of socioeconomic status with ischemic stroke survival
Stroke Oct 25, 2019
Vivanco-Hidalgo RM, et al. - Researchers carried out a nationwide population-based cohort study to discover the effect of individuals’ socioeconomic status (categorized as exempts, < €18,000 [$US 20,468] income per year, and > €18,000 income per year) and their Primary Care Service Area Socioeconomic Index (from 0 to 100 categorized in quartiles) on survival after ischemic stroke. This investigation was conducted in Catalonia, Spain. Between January 1, 2015, and December 31, 2016, all patients with first ischemic stroke admitted to a public hospital were included. The cohort comprised of 16,344 patients with ischemic stroke with 24,638 person-years of follow-up. In patients with ischemic stroke, individuals’ socioeconomic status was linked to short- and long-term survival. In contrast, Primary Care Service Area Socioeconomic Index measures only influenced short-term survival. Due to differences in comorbidity and cardiovascular risk factors, a small fraction of this relationship is involved. Interventions that address both the socioeconomic aspects of individuals and the primary care service may eventually affect short- and long-term survival differently.
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