The effects of socioeconomic and geographic factors on chronic phase long-term survival after stroke in South Korea

The stroke incidence has increased rapidly in South Korea, calling for a national-wide system for long-term stroke management. We investigated the effects of socioeconomic status (SES) and geographic factors on chronic phase survival after stroke. We retrospectively enrolled 6994 patients who experi...

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Bibliographic Details
Published in:Scientific reports 2022-03, Vol.12 (1), p.4327-4327, Article 4327
Main Authors: Park, Dougho, Lee, Su Yun, Jeong, Eunhwan, Hong, Daeyoung, Kim, Mun-Chul, Choi, Jun Hwa, Shin, Eun Kyong, Son, Kang Ju, Kim, Hyoung Seop
Format: Article
Language:English
Subjects:
692/308/174
692/617/375/1370/534
Geography
Humanities and Social Sciences
Humans
Mortality
multidisciplinary
Patients
Republic of Korea - epidemiology
Retrospective Studies
Risk Factors
Science
Science (multidisciplinary)
Social Class
Socioeconomic Factors
Socioeconomics
Stroke
Stroke - epidemiology
Survival
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Summary:The stroke incidence has increased rapidly in South Korea, calling for a national-wide system for long-term stroke management. We investigated the effects of socioeconomic status (SES) and geographic factors on chronic phase survival after stroke. We retrospectively enrolled 6994 patients who experienced a stroke event in 2009 from the Korean National Health Insurance database. We followed them up from 24 to 120 months after stroke onset. The endpoint was all-cause mortality. We defined SES using a medical-aid group and four groups divided by health insurance premium quartiles. Geographic factors were defined using Model 1 (capital, metropolitan, city, and county) and Model 2 (with or without university hospitals). The higher the insurance premium, the higher the survival rate tended to be ( P  
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-022-08025-2