Evidence map›Paper›PMID 29370778›Full record

ArticleBMC neurology2018

Association between socioeconomic status and post-stroke functional outcome in deprived rural southern China: a population-based study.

Fubing Ouyang, Ying Wang, Weixian Huang, Yicong Chen, Yuhui Zhao, Ge Dang, Chunbo Zhang, Yang Lin, Jinsheng Zeng

Abstract read
In one paragraph

Article in BMC neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Understanding the relationship between social risk factors and functional limitation among stroke survivors in the US.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024
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  17. Using an Accelerometer-Based Step Counter in Post-Stroke Patients: Validation of a Low-Cost Tool.International journal of environmental research and public health · 2020
    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

9 authors.

Fubing OuyangDepartment of Neurology and Stroke Center, the First Affiliated Hospital of Sun Yat-Sen University, No.58 Zhongshan Road 2, Guangzhou, 510080, China.
Ying WangDepartment of Neurology and Stroke Center, the First Affiliated Hospital of Sun Yat-Sen University, No.58 Zhongshan Road 2, Guangzhou, 510080, China.
Weixian HuangDepartment of Neurology and Stroke Center, the First Affiliated Hospital of Sun Yat-Sen University, No.58 Zhongshan Road 2, Guangzhou, 510080, China.
Yicong ChenDepartment of Neurology and Stroke Center, the First Affiliated Hospital of Sun Yat-Sen University, No.58 Zhongshan Road 2, Guangzhou, 510080, China.
Yuhui ZhaoDepartment of Neurology and Stroke Center, the First Affiliated Hospital of Sun Yat-Sen University, No.58 Zhongshan Road 2, Guangzhou, 510080, China.
Ge DangDepartment of Neurology and Stroke Center, the First Affiliated Hospital of Sun Yat-Sen University, No.58 Zhongshan Road 2, Guangzhou, 510080, China.
Chunbo ZhangGuangzhou Baiyunshan Qixing Pharmaceutical Co., Ltd, No.32 Yun Pu Road 1, Guangzhou, 510530, China.
Yang LinGuangzhou Baiyunshan Qixing Pharmaceutical Co., Ltd, No.32 Yun Pu Road 1, Guangzhou, 510530, China.
Jinsheng ZengDepartment of Neurology and Stroke Center, the First Affiliated Hospital of Sun Yat-Sen University, No.58 Zhongshan Road 2, Guangzhou, 510080, China. zengjs@pub.guangzhou.gd.cn.

Funding

the National Key Clinical Department, National Key Discipline, the Guangdong Provincial Key Laboratory for diagnosis and treatment of major neurological diseases 2014B030301035the National Key R&D Program of China 2017YFC1307500the Natural Science Foundation of China 81371277,81571107the Project of Guangzhou Science Technology and Innovation Commission 201604020010the Southern China International Cooperation Base for Early Intervention and Functional Rehabilitation of Neurological Diseases 2015B050501003the Special Funds of Public Interest Research and Capacity Building of Guangdong Province 2014B020212003
6 · The paper itself

Abstract

backgroundData on the association between socioeconomic status and post-stroke functional outcome in developing countries is lacking. We aimed to evaluate the association in stroke survivors in deprived rural Southern China.

methodsWe conducted door-to-door interviews and collected data using a structured questionnaire in stroke survivors from five fourth-class rural areas of Guangdong Province through a non-government initiated registry from August 2014 to March 2015. Descriptive statistics were used to provide information on the demographic, socioeconomic and clinical characteristics of the selected population. Univariate and multivariate logistic regression were used to examine the relationship of socioeconomic status indexed by self-reported average family income and functional impairment defined as a modified Rankin Scale of 3 to 5.

resultsAmong the 425 stroke survivors, 52.7% lived below the poverty line set by the local government. About 50% of patients suffered from functional impairment and required assistance in their daily life. Compared with their wealthier counterpart, stroke survivors with lower income were more likely to have functional impairment (OR 2.85, 95% CI 1.93-4.23). The effect size increased and remained significant after adjusting for possible confounding factors (OR 3.17, 95% CI 2.04-4.91).

conclusionsPoorer patients tend to have poorer post-stroke functional outcome. Primary and secondary strategies targeting underprivileged populations in less-developed areas are thus urgently needed in China.

Indexed as

Rural PopulationSocial ClassSurvivorsChinaFemaleHealth Services AccessibilityHumansIncomeMaleMiddle AgedPersons with DisabilitiesPovertyRegistriesStrokeSurveys and QuestionnairesChinaEpidemiologyRural populationSocioeconomic statusStroke recovery

Identifiers

PMID29370778
PMCPMC5785852

What OpenQuestion holds

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Registered trials

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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.