Association Between Socioeconomic Deprivation and Functional Impairment After Stroke The South London Stroke Register
Association Between Socioeconomic Deprivation and Functional Impairment After Stroke The South London Stroke Register
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DOI：
10.1161/strokeaha.114.007569
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发表时间：
2015-03-01
期刊：
影响因子：
8.3
通讯作者：
Wolfe, Charles D. A.
中科院分区：
文献类型：
--
作者：
Chen, Ruoling;Crichton, Siobhan;Wolfe, Charles D. A.
背景和目的--先前关于社会经济剥夺与卒中后功能损害之间关系的研究结果并不一致。缺乏关于长期联系的数据。我们通过年龄、性别、卒中前合并症和卒中表型来评估这种联系和差异。方法：我们检查了1995年至2011年伦敦南部卒中登记队列的数据，记录了伦敦南部所有年龄段患者的所有首次卒中。共有2104名患者在卒中后3个月存活。社会经济剥夺采用基于患者邮政编码的多重剥夺指数进行测量，卒中后功能损害被定义为=65岁的Barthel指数(对应的优势比分别为1.49[1.02~2.17]、1.21[0.83~1.75]和1.94[1.34~2.81]；P=0.003)；在女性中，P=0.008，在没有卒中前合并症的患者中，P=0.009；在缺血性卒中患者中，P=0.009。
Background and Purpose-Previous findings of the association between socioeconomic deprivation and functional impairment after stroke are inconsistent. There is a lack of data on long-term association. We assessed the association and differences by age, sex, prestroke comorbidities, and stroke phenotypes.Methods-We examined data from the South London Stroke Register cohort of 1995 to 2011, recording all first-ever strokes in patients of all ages in South London. A total of 2104 patients were alive at 3 months after stroke. Socioeconomic deprivation was measured using the index of multiple deprivation based on patient postcodes, and functional impairment after stroke was defined as a Barthel index of = 65 years (corresponding odds ratios were 1.49 [1.02-2.17], 1.21 [0.83-1.75], and 1.94 [1.34-2.81]; P=0.003); in women, P=0.008, in patients who do not have prestroke comorbidities, P=0.009, and in patients with ischemic stroke, P