The impact of regional deprivation on stroke incidence, treatment, and mortality in Germany.

Autor: Belau MH; Institute of Medical Biometry and Epidemiology, University Medical Centre Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany. m.belau@uke.de., Becher H; Heidelberg University Hospital, Heidelberg Institute of Global Health, Heidelberg, Germany., Riefflin M; Institute of Medical Biometry and Epidemiology, University Medical Centre Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany., Bartig D; Department of Neurology, St. Josef Hospital Bochum, Ruhr University Bochum, Bochum, Germany., Schwettmann L; Department of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany., Schwarzbach CJ; Department of Neurology, Hospital of the City Ludwigshafen, Ludwigshafen, Germany., Grau A; Department of Neurology, Hospital of the City Ludwigshafen, Ludwigshafen, Germany.
Jazyk: angličtina
Zdroj: Neurological research and practice [Neurol Res Pract] 2023 Feb 09; Vol. 5 (1), pp. 6. Date of Electronic Publication: 2023 Feb 09.
DOI: 10.1186/s42466-023-00232-0
Abstrakt: Background: Regional deprivation has been shown to be an influential factor in stroke incidence risk. However, there is a paucity of knowledge on regional differences in stroke incidence and mortality in Germany.
Methods: We assessed data from the Diagnosis Related Groups statistics (2016-2019) and the German Federal Registry of Physicians (2019). Negative binomial regression analysis was used to examine the association between the German Index of Multiple Deprivation 2015 covering 401 districts and district-free cities in Germany and stroke incidence, treatment, and mortality.
Results: The adjusted rate ratios of stroke incidence and mortality with the highest deprivation level compared with the least deprived area were 1.161 (95% CI [1.143, 1.179]) and 1.193 (95% CI [1.148, 1.239]), respectively. Moreover, this study revealed that physician density was higher in district-free cities compared to districts.
Conclusions: Our results indicate that regional deprivation is associated with incident and mortality cases of stroke, necessitating a more targeted approach to stroke prevention in deprived regions.
(© 2023. The Author(s).)
Databáze: MEDLINE
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