病人的社会经济差异报告结果测量中风后3个月:一项全国性的瑞典基于注册的研究
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.
Stroke
|July 1, 2024
概括
低社会经济地位 (SES) 与中风后患者报告的结果更差有关,包括日常活动的困难和中风后症状增加. 这些差异在男性和劳动年龄人群中更为显著.
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:
- 已知社会经济地位 (SES) 与中风后的生存率和临床医生评估结果相关.
- 之前的研究还没有充分探讨中风后患者报告的结果措施 (PROM) 中的SES差异.
研究的目的:
- 调查急性中风后3个月患者报告的结果测量 (PROM) 的社会经济差异.
- 在中风幸存者中识别受社会经济地位 (SES) 影响的特定PROM.
主要方法:
- 一项全国性的队列研究分析了来自瑞典中风登记册 (2015-2017) 的数据.
- 患者报告的结果指标 (PROM) 包括日常生活活动和中风后症状.
- 社会经济地位 (SES) 由教育和收入来定义,分析对混因素和潜在调解者进行了调整.
主要成果:
- 超过44,000名中风患者被纳入调查,其中显著的比例报告了需要帮助的流动性 (31.1%),所 (18%) 和穿衣 (22.2%).
- 脑卒中后的症状很常见:情绪低落 (12.3%),疲劳 (39.1%),疼痛 (22.7%) 和一般健康状况不佳 (21.4%).
- 低SES与需要日常活动协助和经历中风后症状的几率明显增加,即使在调整后.
结论:
- 在患者报告的中风后3个月的结果中存在显著的社会经济差异.
- 低SES对中风结果的负面影响在男性和年轻 (工作年龄) 患者中更为明显.
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