Predictors of not maintaining regular medical follow-up after stroke.
Predictors of not maintaining regular medical follow-up after stroke.
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DOI：
10.1186/s12883-023-03262-y
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发表时间：
2023-06-20
期刊：
影响因子：
2.6
通讯作者：
Burke JF
中科院分区：
文献类型：
--
作者：
Springer MV;Skolarus LE;Feng C;Burke JF
卒中后定期医学随访对于降低卒中后并发症和再入院的风险非常重要。人们对中风幸存者没有定期进行医疗随访的相关因素知之甚少。我们试图量化未长期定期医疗随访的中风幸存者的患病率和预测因素。我们在国家健康与老龄化趋势研究（2011-2018）中对中风幸存者进行了回顾性队列研究，该研究是美国医疗保险受益人的全国性纵向样本。我们的主要结局是没有维持定期的医疗随访。我们进行了cox回归来估计不保持定期医疗随访的预测因素。纳入1330名中风幸存者，其中150人（11.3%）没有保持定期的医疗随访。与不保持定期医疗随访相关的中风幸存者特征包括没有限制社交活动（与没有限制社交活动相比，限制社交活动的HR为0.64,95% CI为0.41,1.01），自我照顾活动的更大限制（HR为1.13,95% CI为1.03,1.23），以及可能的痴呆（与无痴呆相比，HR为2.23,95% CI为1.42,3.49）。随着时间的推移，大多数中风幸存者保持定期的医疗随访。在定期医疗随访中保留中风幸存者的策略应针对那些在社会活动参与方面没有限制的中风幸存者，那些在自我护理活动方面有较大限制的中风幸存者，以及那些可能患有痴呆症的中风幸存者。
Regular medical follow-up after stroke is important to reduce the risk of post-stroke complications and hospital readmission. Little is known about the factors associated with stroke survivors not maintaining regular medical follow-up. We sought to quantify the prevalence and predictors of stroke survivors not maintaining regular medical follow-up over time. We conducted a retrospective cohort study of stroke survivors in the National Health and Aging Trends Study (2011–2018), a national longitudinal sample of United States Medicare beneficiaries. Our primary outcome was not maintaining regular medical follow-up. We performed a cox regression to estimate predictors of not maintaining regular medical follow-up. There were 1330 stroke survivors included, 150 of whom (11.3%) did not maintain regular medical follow-up. Stroke survivor characteristics associated with not maintaining regular medical follow-up included not having restrictions in social activities (HR 0.64, 95% CI 0.41, 1.01 for having restrictions in social activities compared to not having restrictions in social activities), greater limitations in self-care activities (HR 1.13, 95% CI 1.03, 1.23), and probable dementia (HR 2.23, 95% CI 1.42, 3.49 compared to no dementia). The majority of stroke survivors maintain regular medical follow-up over time. Strategies to retain stroke survivors in regular medical follow-up should be directed towards stroke survivors who do not have restrictions in social activity participation, those with greater limitations in self-care activities, and those with probable dementia.
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影响因子：
2.3
作者：
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DOI：
10.1161/circoutcomes.117.004024
发表时间：
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期刊：
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影响因子：
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作者：
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通讯作者：
Burke JF
影响因子：
9.9
作者：
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通讯作者：
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