ArticleBMJ open2018
Insurance status and 1-year outcomes of stroke and transient ischaemic attack: a registry-based cohort study in China.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Different change patterns and sex difference for stroke and its subtypes mortality attributable to tobacco in China from 1990 to 2021.BMC public health · 2025Article
- The Risk Factors of Self-Management Behavior among Chinese Stroke Patients.International journal of clinical practice · 2023Article
- Article
- A positive association between hunger in childhood and frailty in old age: Findings from the Chinese longitudinal healthy longevity survey.Frontiers in medicine · 2022Article
- Health care reform and stroke prognosis in low-income Chinese populations from 1992 to 2018.Journal of global health · 2021Article
- Health care utilization for patients with stroke: a 3-year cross-sectional study of China's two urban health insurance schemes across four cities.BMC public health · 2021Article
- An Analysis of the Potential Relationship of Triglyceride Glucose and Body Mass Index With Stroke Prognosis.Frontiers in neurology · 2021Article
- Long-Term Trends in the Stroke Prognosis Among Rural Residents in China: A Population-Based Surveillance Study.Risk management and healthcare policy · 2021Article
- Risk Factors for Incident Stroke and Its Subtypes in China: A Prospective Study.Journal of the American Heart Association · 2020Article
- Article
- Effect of Stress Hyperglycemia on Neurological Deficit and Mortality in the Acute Ischemic Stroke People With and Without Diabetes.Frontiers in neurology · 2020Article
- China's response to the rising stroke burden.BMJ (Clinical research ed.) · 2019Article
- Patient Readmission for Ischemic Stroke: Risk Factors and Impact on Mortality.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAlthough more than 95% of the population is insured by urban or rural insurance programmes in China, little research has been done on insurance-related outcome disparities for patients with acute stroke and transient ischaemic attack (TIA). This study aimed to examine the relationship between insurance status and 1-year outcomes for patients with stroke and TIA.
methodsWe abstracted 24 941 patients with acute stroke and TIA from the China National Stroke Registry II. Insurance status was categorised as Urban Basic Medical Insurance Scheme (UBMIS), New Rural Cooperative Medical Scheme (NRCMS) and self-payment. The relationship between insurance status and 1-year outcomes, including all-cause death, stroke recurrence and disability, was analysed using the shared frailty model in the Cox model or generalised estimating equation with consideration of the hospital's cluster effect.
resultsAbout 50% of patients were covered by UBMIS, 41.2% by NRCMS and 8.9% by self-payment. Compared with patients covered by UBMIS, patients covered by NRCMS had a significantly higher risk of all-cause death (9.7% vs 8.6%, adjusted HR: 1.32 (95% CI 1.17 to 1.48), p<0.001), stroke recurrence (7.2% vs 6.5%, adjusted HR: 1.12 (95% CI 1.11 to 1.37), p<0.001) and disability (32.0% vs 26.3%, adjusted OR: 1.29 (95% CI 1.21 to 1.39), p<0.001). Compared with patients covered by UBMIS, self-payment patients had a similar risk of death and stroke recurrence but a higher risk of disability.
conclusionsPatients with stroke and TIA demonstrated differences in 1-year mortality, stroke recurrence and disability between urban and rural insurance groups in China.
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