Influence of socioeconomic status on cognitive outcome after childhood arterial ischemic stroke.

Autor: Bartha-Doering L; Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.; Comprehensive Centre for Pediatrics, Medical University of Vienna, Vienna, Austria., Gleiss A; Centre for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria., Knaus S; Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.; Comprehensive Centre for Pediatrics, Medical University of Vienna, Vienna, Austria., Schmook MT; Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria., Seidl R; Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.; Comprehensive Centre for Pediatrics, Medical University of Vienna, Vienna, Austria.
Jazyk: angličtina
Zdroj: Developmental medicine and child neurology [Dev Med Child Neurol] 2021 Apr; Vol. 63 (4), pp. 465-471. Date of Electronic Publication: 2020 Dec 18.
DOI: 10.1111/dmcn.14779
Abstrakt: Aim: To determine whether socioeconomic status (SES) is a stronger predictor for cognitive outcome after childhood arterial ischemic stroke compared to clinical factors.
Method: We investigated perceptual reasoning, executive functions, language, memory, and attention in 18 children and adolescents (12 males, six females, median age at testing 13y 4mo, range 7y-17y 5mo) after arterial ischemic stroke; collected sociodemographic information (education of parents, household income); and used clinical information (initial lesion volume, residual lesion volume, age at stroke, time since stroke). Linear regression models were used to investigate the potential influence of SES and clinical parameters on cognitive abilities.
Results: SES had a moderate effect on all cognitive outcome parameters except attention by explaining 41.9%, 37.9%, 38.0%, and 22.5% of variability in perceptual reasoning, executive functions, language, and memory respectively. Initial lesion volume was the only clinical parameter that showed moderate importance on cognitive outcome (33.1% and 25.6% of the variability in perceptual reasoning and memory respectively). Overall, SES was a stronger predictor of cognitive outcome than clinical factors.
Interpretation: Future paediatric studies aiming at clinical predictors of cognitive outcome should control their analyses for SES in their study participants. The findings of the present study further point to the need for more attention to the treatment of children with low SES.
What This Paper Adds: Socioeconomic status (SES) explains up to 42% of variance in cognitive outcome after childhood arterial ischemic stroke. SES is a stronger predictor of outcome than clinical factors.
(© 2020 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press.)
Databáze: MEDLINE
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