Is the socioeconomic inequality in stroke prognosis changing over time and does quality of care play a role?

ABSTRACT:

Introduction

In a publicly financed healthcare system we aimed to study the development in socioeconomic disparity in ischemic stroke outcomes over time. In addition, we study whether the healthcare system affects these outcomes through the quality of early stroke care when adjustments are made for various patient characteristics incl. comorbidity and stroke severity.

Patients and methods

Using nationwide, detailed individual-level register-data we analysed how income-related and education-related inequality in 30-day mortality and 30-day readmission risk developed between 2003 and 2018. In addition, focusing on income-related inequality, we applied mediation analyses to estimate the mediating role of quality of acute stroke care on 30-day mortality and 30-day readmission.

SUBMITTER: Hyldgard VB 

PROVIDER: S-EPMC10069209 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature