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Association between annual household income and adverse outcomes in patients who had ischaemic stroke

Bibliographic Data

ID11174217
AuthorsYuhan Zang (0000-0002-6306-3100, Department of Epidemiology, Soochow University Medical College, Suzhou, Jiangsu, China), Zhengbao Zhu (0000-0001-5500-0014, Department of Epidemiology, Soochow University Medical College, Suzhou, Jiangsu, China), Mengyao Shi (0000-0001-7490-8976, Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA), Aili Wang (0000-0003-3372-899X, Department of Epidemiology, Soochow University Medical College, Suzhou, Jiangsu, China), Xuewei Xie (0000-0001-8154-1957, Capital Medical University), Tan Xu (0000-0003-3798-1247, Department of Epidemiology, Soochow University Medical College, Suzhou, Jiangsu, China), Yanbo Peng (Department of Neurology, Affiliated Hospital of North China University of Science and Technology, Tangshan, Hebei, China), Pinni Yang (0000-0001-7327-3294, Department of Epidemiology, Soochow University Medical College, Suzhou, Jiangsu, China), Qunwei Li (0000-0001-8211-8122, Shandong First Medical University), Zhong Ju (Department of Neurology, Kerqin District First People’s Hospital of Tongliao City, Inner Mongolia, China), Deqin Geng (0000-0002-0436-7913, Department of Neurology, Xuzhou Medical College Affiliated Hospital, Xuzhou, Jiangsu, China), Jing Chen (0000-0002-7243-0806, Tulane University), Chen Jing (0000-0002-0237-8467, Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA), Liping Liu (0000-0001-9968-6679, Capital Medical University), Yonghong Zhang (0000-0001-6609-0553, Department of Epidemiology, Soochow University Medical College, Suzhou, Jiangsu, China, corresponding author), Jiang He (0000-0002-3292-9370, Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA)
Year2022
Volume76
Issue3
Pages293-300
Publication date2022-03-01
Open AccessNo
TypeARTICLE
VenueJournal of Epidemiology and Community Health (JOURNAL)
Journal identifiersISSN: 0143-005X • E-ISSN: 1470-2738
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/jech-2021-216481
PMID34493532
OpenAlexW3196398767
LanguageEN
Citations received1
References cited27

BACKGROUND AND PURPOSE: The association between annual household income and prognosis of ischaemic stroke remains debatable. We aimed to prospectively investigate the relationship between annual household income and prognosis at 3 months after ischaemic stroke. METHODS: We included 3975 participants from the China Antihypertensive Trial in Acute Ischemic Stroke. All participants were categorised into three groups according to annual household income per capita: <¥10 000 (Chinese Yuan Renminbi (RMB)), ¥10 000-19 999 and ≥¥20 000. The primary outcome was a composite outcome of death and major disability (modified Rankin Scale score ≥3) at 3 months after stroke onset, and secondary outcomes included major disability, death, and vascular events. A meta-analysis was conducted to incorporate the results of the current study and previous studies on the association of income level with outcomes after stroke. RESULTS: =0.034) when two extreme groups were compared. The meta-analysis confirmed the significant association between income level and death or major disability after stroke (pooled relative risk for lowest vs highest income level, 1.31 (95% CI: 1.18 to 1.45)). CONCLUSIONS: Low annual household income per capita was significantly associated with increased risks of adverse clinical outcomes at 3 months after ischaemic stroke, independently of established risk factors. Further studies from other samples are needed to replicate our findings due to a reason for excluding some patients who had a severe stroke in this study. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov (http://wwwclinicaltrialsgov) Registry (NCT01840072)

Confidence interval · Household income · Ischemia · Ischemic stroke · Modified Rankin Scale · Relative risk · Stroke (engine) · Acute Ischemic Stroke Management · Demography · Health disparities and outcomes · Internal Medicine · Medicine · Stroke Rehabilitation and Recovery · Gerontology

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Citations per year0.33
Citation span2023 - 2023 (1)
Highly citedNo
Open DOI
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