Spatial analysis of ischemic stroke in Spain
The Roles of Accessibility to Healthcare and Economic Development
Bibliographic Data
| ID | 5168729 |
|---|---|
| Authors | Carlos Marcelo Leveau (0000-0001-6240-9811, Consejo Nacional de Investigaciones Científicas y Técnicas, Argentina; Universidad Nacional de Lanús, Argentina), Javier Riancho (0000-0001-7929-1055, Universidad de Cantabria, Spain; Universidad de Cantabria, Spain; Instituto de Investigación Marqués de Valdecilla, España), Jeffrey Shaman (0000-0002-7216-7809, Columbia University), Ana Santurtún (0000-0003-3846-556X, Universidad de Cantabria, Spain; Instituto de Investigación Marqués de Valdecilla, España) |
| Year | 2024 |
| Volume | 40 |
| Issue | 9 |
| Pages | e00212923-e00212923 |
| Publication date | 2024-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Cadernos de Saude Publica (JOURNAL) |
| Journal identifiers | ISSN: 0102-311X • E-ISSN: 1678-4464 |
| Publisher | FapUNIFESP (SciELO) (PUBLISHER) |
| DOI | 10.1590/0102-311xen212923 |
| PMID | 39319949 |
| OpenAlex | W4402800954 |
| SCIELO_PID | S0102-311X2024000901402 |
| Language | EN |
| References cited | 30 |
Ischemic stroke is a major cause of mortality worldwide; however, few studies have been conducted to measure the impact of the distribution of healthcare services on ischemic stroke fatality. This study aimed to explore the relationship between three ischemic stroke outcomes (incidence, mortality, and fatality) and accessibility to hospitals in Spain, considering its economic development. A cross-sectional ecological study was performed using data on hospital admissions and mortality due to ischemic stroke during 2016-2018. Gross geographic product (GGP) per capita was estimated and a healthcare accessibility index was created. A Besag-York-Mollié autoregressive spatial model was used to estimate the magnitude of association between ischemic stroke outcomes and economic development and healthcare accessibility. GGP per capita showed a geographical gradient from southwest to northeast in Spain. Mortality and case-fatality rates due to ischemic stroke were higher in the south of the country in both women and men aged 60+ years. In women and men aged 20-59 years a EUR 1,000 increase in GGP per capita was associated with decreases in mortality of 5% and 4%, respectively. Fatality decreased 3-4% with each EUR 1,000 increase of GGP per capita in both sexes and in the 20-59 and 60+ age groups. Decreased healthcare accessibility was associated with higher fatality in the population aged 60+. Economic development in southwest Spain would not only improve employment opportunities but also reduce ischemic stroke mortality. New health related strategies to improve hospital accessibility should be considered in more sparsely populated regions or those with worse transport and/or healthcare infrastructure
Case fatality rate · Ecological study · Economic growth · Economics · Environmental health · Geography · Gross domestic product · Health care · Incidence (geometry) · Ischemia · Ischemic stroke · Mortality rate · Per capita · Population · Stroke (engine) · Acute Ischemic Stroke Management · Cerebrovascular and Carotid Artery Diseases · Demography · Health Systems, Economic Evaluations, Quality of Life · Internal Medicine · Medicine · Surgery
Spatial and Spatio‐temporal Bayesian Models with R‐Inla
Global, regional, and national burden of neurological disorders, 1990–2016
Bayesian image restoration, with two applications in spatial statistics
Penalising Model Component Complexity
An intuitive Bayesian spatial model for disease mapping that accounts for scaling
Global, regional, and national burden of stroke and its risk factors, 1990–2019
Iniquidades raciais no acesso à reabilitação após acidente vascular cerebral
| Citation velocity | historical |
|---|---|
| Highly cited | No |