Stroke: higher frequency and severity among the poorest

Stroke higher frequency and severity among the poorest

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    The report of the Directorate of Statistics (Drees) indicates that the risk of occurrence of a stroke is higher among people with the most modest standard of living. The frequency of occurrence of a stroke among people belonging to the poorest 25% is 40% higher than among those belonging to the wealthiest 25% quarter.

    The Ministry of Health has published a study Wednesday, February 9 about the occurrence of cerebrovascular accidents (CVA). The study provides information on the frequency, treatment and sequelae according to people’s standard of living. “Based on matched data from permanent demographic sample and health data (EDP-santé), this study describes social inequalities in health related to stroke”, can we read in the document.

    The most modest people more at risk of stroke

    The report of the Directorate of Statistics (Orders) indicates that the risk of occurrence of a stroke is higher among people with the lowest standard of living: “Between 2014 and 2017, the frequency of occurrence of a stroke among people belonging to the poorest 25% is 40% higher than among those belonging to the wealthiest 25% quarter”. Also among people between the ages of 45 and 64, the rate of occurrence is “almost twice as high among the poorest compared to the wealthiest”.

    In addition, the poorest people have 10% less chance of being taken care of in the neuro-vascular units (UNV) in the event of ischemic stroke, most often linked to an occlusion of a cerebral artery by a blood clot. And these chances decrease with age. “This observation can be linked to the offer of care in beds of UNV: the number of these beds being limited, they would be reserved in priority for the youngest patients”.

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    A higher risk of sequelae

    The document also indicates that belonging to the quarter of the most modest people increases the risk of 22% of paralysis which persists beyond 24 hours. “Same for language disorders where the risk is increased by 11% in the most modest compared to people belonging to the wealthiest 25%.”

    The study compared the risk of death with comparable demographic characteristics (age, sex, living alone, state of health and type of care). Assessment: “it appears that a high standard of living is associated with an 11% reduction in the risk of death at one year. Among ischemic strokes, the reduction in the risk of death at one year among the wealthiest is 13%.

    Note that 27% of patients die in the year following their stroke. This figure rises to 41% for hemorrhagic strokes against 23% for ischemic strokes.

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