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Socioeconomic Differences in Patient Reported Outcome Measures 3 Months After Stroke: A Nationwide Swedish
Anita Lindmark1, Mia von Euler2, Eva-Lotta Glader3
1Department of Statistics, Umeå School of Business, Economics and Statistics (A.L., M.E.), Umeå University, Sweden.
Low socioeconomic status (SES) is linked to worse patient-reported outcomes after stroke, including difficulties with daily activities and increased post-stroke symptoms. These disparities are more significant in men and working-age individuals.
Area of Science:
- Neurology
- Public Health
- Health Services Research
Background:
- Socioeconomic status (SES) is known to correlate with survival and clinician-assessed outcomes post-stroke.
- Previous research has not fully explored SES disparities in patient-reported outcome measures (PROMs) after stroke.
Purpose of the Study:
- To investigate socioeconomic differences in patient-reported outcome measures (PROMs) 3 months after acute stroke.
- To identify specific PROMs affected by socioeconomic status (SES) in stroke survivors.
Main Methods:
- A nationwide cohort study analyzed data from the Swedish Stroke Register (2015-2017).
- Patient-reported outcome measures (PROMs) included activities of daily living and post-stroke symptoms.
- Socioeconomic status (SES) was defined by education and income, with analyses adjusted for confounders and potential mediators.
Main Results:
- Over 44,000 stroke patients were included, with significant percentages reporting mobility (31.1%), toileting (18%), and dressing (22.2%) assistance needs.
- Post-stroke symptoms were common: low mood (12.3%), fatigue (39.1%), pain (22.7%), and poor general health (21.4%).
- Low SES was associated with significantly higher odds of needing assistance with daily activities and experiencing post-stroke symptoms, even after adjustments.
Conclusions:
- Substantial socioeconomic disparities exist in patient-reported outcomes 3 months post-stroke.
- The negative impact of low SES on stroke outcomes is more pronounced in men and younger (working-age) patients.
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