Evidence map›Paper›PMID 24666657›Full record

ArticleBMC public health2014

The association between socioeconomic status and disability after stroke: findings from the Adherence eValuation After Ischemic stroke Longitudinal (AVAIL) registry.

Janet Prvu Bettger, Xin Zhao, Cheryl Bushnell, Louise Zimmer, Wenqin Pan, Linda S Williams, Eric D Peterson

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. The association between social networks and functional recovery after stroke.International journal of stroke : official journal of the International Stroke Society · 2025
    Article
  10. Shifting the attention to long- term community stroke care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  11. Review
  12. Article
  13. Article
  14. Household income is associated with functional outcomes in a multi-institutional cohort of patients with ischemic stroke and COVID-19.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2023
    Article
  15. Article
  16. Article
  17. Association of Cardiovascular Disease Risk and Health-Related Behaviors in Stroke Patients.International journal of environmental research and public health · 2023
    Article
  18. Socioeconomic deprivation and post-stroke care in the community.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Janet Prvu BettgerDuke School of Nursing and Duke Clinical Research Institute, 307 Trent Drive, 511 DUMC 3322, Durham, NC 27710, USA. janet.bettger@duke.edu.
Xin Zhao
Cheryl Bushnell
Louise Zimmer
Wenqin Pan
Linda S Williams
Eric D Peterson
Clinical Research Institute · USAtrium Health Wake Forest Baptist · USDurham University · GBRichard L. Roudebush VA Medical Center · US

Funding

Duke Cardiovascular CERTsU18HS016964 · AHRQ · DUKE UNIVERSITY · PI PETERSON, ERIC DAVID · 2007 to 2010
$3.7M
Duke Mentored CER Scholar ProgramK12HS019479 · AHRQ · DUKE UNIVERSITY · PI ODDONE, EUGENE Z. · 2010 to 2010
$1.9M
AHRQ HHS K12HS019479AHRQ HHS U18HS016964
6 · The paper itself

Abstract

backgroundStroke is the leading cause of disability among adults in the United States. The association of patients' pre-event socioeconomic status (SES) with post-stroke disability is not well understood. We examined the association of three indicators of SES--educational attainment, working status, and perceived adequacy of household income--with disability 3-months following an acute ischemic stroke.

methodsWe conducted retrospective analyses of a prospective cohort of 1965 ischemic stroke patients who survived to 3 months in the Adherence eValuation After Ischemic stroke--Longitudinal (AVAIL) study. Multivariable logistic regression was used to examine the relationship of level of education, pre-stroke work status, and perceived adequacy of household income with disability (defined as a modified Rankin Scale of 3-5 indicating activities of daily living limitations or constant care required).

resultsOverall, 58% of AVAIL stroke patients had a high school or less education, 61% were not working, and 27% perceived their household income as inadequate prior to their stroke. Thirty five percent of patients were disabled at 3-months. After adjusting for demographic and clinical factors, stroke survivors who were unemployed or homemakers, disabled and not-working, retired, less educated, or reported to have inadequate income prior to their stroke had a significantly higher odds of post-stroke disability.

conclusionsIn this cohort of stroke survivors, socioeconomic status was associated with disability following acute ischemic stroke. The results may have implications for public health and health service interventions targeting stroke survivors at risk of poor outcomes.

Indexed as

Activities of Daily LivingEducational StatusEmploymentIncomePersons with DisabilitiesStrokeAdultAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesRegistriesRetirement

Identifiers

PMID24666657
PMCPMC3987648
OpenAlexW2019984765

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.