Sex and Economic Disparity Related to Reperfusion Therapies for Patients with Acute Ischemic Stroke in South Korea across a 10-Year Period
A Nationwide Population-Based Study Using the National Health Insurance Database
Bibliographic Data
| ID | 15467423 |
|---|---|
| Authors | Jusun Moon (0000-0001-8877-7591, National Medical Center), Jinyoung Shin (0000-0001-9558-1853, Konkuk University Medical Center), Jeehye Lee (0000-0002-9522-1919, Eulji University), Ho Jin Jeong (0000-0003-3214-4992, Konkuk University), Hyeongsu Kim (0000-0002-5379-134X, Konkuk University), Jaehyeong An (0000-0002-3957-7806, National Medical Center), Sung Hyun Jo (0000-0002-6616-4564, National Medical Center), Kwang‐Pil Ko (0000-0002-7788-2887, Seoul National University Bundang Hospital), Jeoungbin Choi (0000-0001-7655-6273, Seoul National University, corresponding author) |
| Year | 2022 |
| Volume | 19 |
| Issue | 5 |
| Pages | 3050-3050 |
| Publication date | 2022-03-05 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph19053050 |
| PMID | 35270741 |
| OpenAlex | W4221126461 |
| Language | EN |
| References cited | 3 |
A complete enumeration study was conducted to evaluate trends related to reperfusion therapies (intravenous thrombolysis (IVT) and endovascular treatment (EVT)) in acute ischemic stroke (AIS) in South Korea, according to sex, economic status, and age, over a 10-year period retrospectively, using the National Health Information Database (NHIS-2020-1-481). This study included AIS patients aged ≥20 years who were hospitalized in a general hospital or tertiary hospital for ≥4 days and underwent brain imaging during the same period. Study participants were classified by sex, economic status (Medical Aid beneficiaries and National Health Insurance beneficiaries) and age (20-44, 45-64, 65-79, and ≥80 years). Women showed a significantly lower OR (Odds ratio) than men in IVT (OR: 0.75; 95% CI: 0.73-0.77), EVT (OR: 0.96; 95% CI: 0.93-0.99), and any therapy (OR: 0.82; 95% CI: 0.80-0.84). The Medical Aid beneficiaries showed significantly lower OR in IVT (OR 0.91, 95% CI 0.88-0.95), EVT (OR 0.93, 95% CI 0.89-0.98), and either therapy (OR 0.92, 95% CI 0.90-0.95) than the National Health Insurance beneficiaries. This study showed sex and economic disparity related to reperfusion therapies in patients with AIS in Korea
Environmental health · Health care · Health insurance · Logistic regression · Myocardial infarction · National health insurance · National Health Interview Survey · Odds · Odds ratio · Population · Stroke (engine · Thrombolysis · Acute Ischemic Stroke Management · Antiplatelet Therapy and Cardiovascular Diseases · Demography · Medicine · Venous Thromboembolism Diagnosis and Management · Emergency Medicine · Internal Medicine · Pediatrics
| Citation velocity | historical |
|---|---|
| Highly cited | No |