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在再输血治疗的缺血性中风后的功能性结果中的社会经济不平等

Sine Mette Øgendahl Buus¹, Marie Louise Schmitz¹, Pia Cordsen²

¹Department of Neurology, Aarhus University Hospital, Aarhus N, Denmark (S.M.Ø.B., M.L.S., G.A., C.Z.S.).

|June 28, 2023

概括

社会经济状况影响了因缺血性中风后的功能恢复,后者接受了再输液治疗. 较低的社会经济地位,特别是失业率,与较差的结果有关,主要是由于不利的预后因素.

科学领域:

神经学神经学
公共卫生公共卫生
医疗保健服务研究医疗服务研究

背景情况:

社会经济地位 (SES) 是健康结果的关键决定因素.
调查SES与缺血性中风后功能恢复的关联对于公平的医疗保健至关重要.

研究的目的:

检查接受再输液治疗的缺血性中风患者的社会经济地位 (SES) 和功能结果之间的关系.
为了确定与不同功能恢复相关的特定SES指标.

主要方法:

全国范围内对5666名缺血性中风患者 (2015-2018) 的队列研究,这些患者接受了再输血治疗.
使用修改的兰金尺度 (mRS) 评估90天后的功能结果.
由教育,收入和就业来定义的SES,与丹麦统计局联系在一起.

主要成果:

低的SES与实现良好的功能恢复 (较低的mRS分数) 的几率明显降低相关.
低教育程度 (COR 0.69),低收入 (COR 0.59) 和失业 (COR 0.70) 与较差的结果有关.
调整人口统计因素减少了不平等,但失业仍然与更糟糕的结果有很大关系.

结论:

在再输血治疗的缺血性中风后的功能性结果中存在社会经济不平等.
脑卒中前的失业是功能恢复不良的一个重要预测因素.
较低SES患者的不良预后概况在很大程度上解释了这些观察到的健康差异.

关键词:

日常生活中的日常生活活动.医疗保健中的差异.缺血性中风中风社会经济因素社会经济因素中风康复中风康复中风康复进行血栓切除术 (thrombectomy).组织类型的塑原激活剂.

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