The effects of socioeconomic and geographic factors on chronic phase long-term survival after stroke in South Korea
DC Field | Value | Language |
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dc.contributor.author | Park, Dougho | - |
dc.contributor.author | Lee, Su Yun | - |
dc.contributor.author | Jeong, Eunhwan | - |
dc.contributor.author | Hong, Daeyoung | - |
dc.contributor.author | Kim, Mun-Chul | - |
dc.contributor.author | Choi, Jun Hwa | - |
dc.contributor.author | Shin, Eun Kyong | - |
dc.contributor.author | Son, Kang Ju | - |
dc.contributor.author | Kim, Hyoung Seop | - |
dc.date.accessioned | 2022-04-12T05:42:52Z | - |
dc.date.available | 2022-04-12T05:42:52Z | - |
dc.date.created | 2022-04-12 | - |
dc.date.issued | 2022-03-14 | - |
dc.identifier.issn | 2045-2322 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/140091 | - |
dc.description.abstract | 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 < 0.001). The patient survival rate was highest in the capital city and lowest at the county level (P < 0.001). Regions with a university hospital(s) showed a higher survival rate (P = 0.006). Cox regression revealed that the medical-aid group was identified as an independent risk factor for chronic phase mortality. Further, NHIP level had a more significant effect than geographic factors on chronic stroke mortality. From these results, long-term nationwide efforts to reduce inter-regional as well as SES discrepancies affecting stroke management are needed. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | NATURE PORTFOLIO | - |
dc.subject | NATIONAL-HEALTH INSURANCE | - |
dc.subject | ACUTE ISCHEMIC-STROKE | - |
dc.subject | RECOVERY | - |
dc.subject | GUIDELINES | - |
dc.subject | MORTALITY | - |
dc.subject | DISEASE | - |
dc.subject | UPDATE | - |
dc.subject | DEATH | - |
dc.title | The effects of socioeconomic and geographic factors on chronic phase long-term survival after stroke in South Korea | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Shin, Eun Kyong | - |
dc.identifier.doi | 10.1038/s41598-022-08025-2 | - |
dc.identifier.scopusid | 2-s2.0-85126196260 | - |
dc.identifier.wosid | 000769065000013 | - |
dc.identifier.bibliographicCitation | SCIENTIFIC REPORTS, v.12, no.1 | - |
dc.relation.isPartOf | SCIENTIFIC REPORTS | - |
dc.citation.title | SCIENTIFIC REPORTS | - |
dc.citation.volume | 12 | - |
dc.citation.number | 1 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Science & Technology - Other Topics | - |
dc.relation.journalWebOfScienceCategory | Multidisciplinary Sciences | - |
dc.subject.keywordPlus | NATIONAL-HEALTH INSURANCE | - |
dc.subject.keywordPlus | ACUTE ISCHEMIC-STROKE | - |
dc.subject.keywordPlus | RECOVERY | - |
dc.subject.keywordPlus | GUIDELINES | - |
dc.subject.keywordPlus | MORTALITY | - |
dc.subject.keywordPlus | DISEASE | - |
dc.subject.keywordPlus | UPDATE | - |
dc.subject.keywordPlus | DEATH | - |
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