Ethnic disparities in long-term outcomes and health care usage after stroke in the Netherlands.

Autor: Lee YX; Haaglanden Medical Center, Department of Neurology, Lijnbaan 32, 2512 VA, The Hague, the Netherlands. Electronic address: t.lee@haaglandenmc.nl., Auwerda ST; Basalt Rehabilitation Center, Vrederustlaan 180, 2543 SW, The Hague, the Netherlands. Electronic address: sjoerdauwerda@gmail.com., Jellema K; Haaglanden Medical Center, Department of Neurology, Lijnbaan 32, 2512 VA, The Hague, the Netherlands. Electronic address: k.jellema@haaglandenmc.nl., Vliet Vlieland TPM; Leiden Universitary Medical Center, Department of Orthopaedics, Rehabilitation and Physical Therapy, Albinusdreef 2, 2333 ZA, Leiden, the Netherlands. Electronic address: t.p.m.vliet_vlieland@lumc.nl., Arwert HJ; Haaglanden Medical Center, Department of Rehabilitation, Lijnbaan 32, 2512 VA, The Hague, the Netherlands; Basalt Rehabilitation Center, Lijnbaan 32, 2512 VA, The Hague, the Netherlands. Electronic address: h.arwert@haaglandenmc.nl.
Jazyk: angličtina
Zdroj: Disability and health journal [Disabil Health J] 2024 Jul; Vol. 17 (3), pp. 101582. Date of Electronic Publication: 2024 Jan 15.
DOI: 10.1016/j.dhjo.2024.101582
Abstrakt: Background: Poststroke health-related quality of life (HRQOL) is an important outcome that may be influenced by ethnicity.
Objective: To compare long-term HRQOL, mental health and healthcare utilization between stroke survivors with a European (EUB) and non-European background (NEUB) in a hospital population.
Methods: In this retrospective cohort study patients completed questionnaires 2-5 years after stroke. Assessments included the EuroQol-5D-3L (EQ-5D), Short Form (SF-36, with physical and mental component summary scales, PCS and MCS), Hospital Anxiety and Depression Scale (HADS; scores ≥8 indicate clinically relevant complaints) and a questionnaire on the usage of services from physicians and/or healthcare professionals (HCP) in the past 6 months. Linear and logistic regression analysis was used, adjusted for age, sex, level of education and functional outcome.
Results: We included 207 patients (169 EUB, 38 NEUB); mean age 63.8 years (SD 14.4); 60.4 % male; mean follow up 36.3 months (SD 9.9). The EQ-5D and the PCS were higher in EUB versus NEUB patients (42.9 vs 35.4, p < 0.01; 0.76 vs 0.60, p < 0.01). The MCS showed a comparable, non-significant trend. The percentage of patients with HADS depression ≥8 was higher in NEUB patients versus EUB patients (54.3 % vs 29.8 %; p > 0.01). Significantly more NEUB patients had visited two or more physicians in the past six months compared to EUB patients (52.0 % vs 26.0 %; p = 0.01) whereas the use of services from HCP was similar.
Conclusions: NEUB stroke patients had worse outcomes regarding HRQOL and depressive symptoms compared to EUB patients. NEUB patients visited more physicians.
Competing Interests: Declaration of competing interest S.T. Auwerda reports no disclosures. Y.X. Lee reports no disclosures. K. Jellema reports no disclosures. H.J. Arwert: Is member of advisory board for development of quality criteria in primary care of stroke patients; payments are made to Basalt Rehabilitation. T.P.M. Vliet Vlieland: Abbvie speaker fee (not related to this study).
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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