Characteristics of cerebrovascular disease in patients with economic difficulty

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  • 経済的困難者における脳血管障害の特徴

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<p>Background and purpose: In recent years, the poverty ratio has been increasing due to widening economic disparity. The purpose of this study was to analyze the characteristics of cerebrovascular disease (CVD) in economically challenged patients. Methods: Eight hundred and sixteen patients with CVD from 2014 to 2018 were investigated. Patients who had a low-cost medical care treatment and livelihood protection belonged to the economically challenged group, while the rest of the patients were assigned the control group. The disease type, average age at onset, male-female ratio, living conditions before hospitalization, home discharge ratio, and modified Rankin Scale (mRS) scores at discharge were compared between the control and economically challenged groups. Results: Analyses of the patients with CVD revealed that the economically challenged group had a (1) higher proportion of men than women (especially under 65 years of age), (2) high rate of living alone before hospitalization, (3) lower average age at the onset of ischemic CVD, and (4) deterioration of the mRS score at discharge for intracerebral hemorrhage. Conclusions: In economically challenging conditions, ischemic CVD frequently occurs at an earlier age and the severity of intracerebral hemorrhage tends to increase.</p>

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