IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i21p8223-d441205.html
   My bibliography  Save this article

Influence of Living Alone or with a Spouse Only on the Short-Term Prognosis in Patients after an Acute Ischemic Stroke

Author

Listed:
  • Yohei Ishikawa

    (Department of Emergency and Critical Care Medicine, St. Luke’s International Hospital, Tokyo 104-8560, Japan
    Division of Molecular Epidemiology, The Jikei University School of Medicine, Tokyo 105-8461, Japan)

  • Toru Hifumi

    (Department of Emergency and Critical Care Medicine, St. Luke’s International Hospital, Tokyo 104-8560, Japan)

  • Mitsuyoshi Urashima

    (Division of Molecular Epidemiology, The Jikei University School of Medicine, Tokyo 105-8461, Japan)

Abstract

Background—This study aimed to explore whether living alone or with a spouse only affects the short-term prognosis of acute ischemic stroke patients. Methods—We conducted a retrospective cohort study of patients with a diagnosis of acute ischemic stroke from April 2014 to February 2019 in Japan. The primary outcome was defined as worsening by at least one grade on the modified Rankin Scale (mRS). The secondary outcome was set as the degree of worsening on the mRS. The outcomes were compared between three groups of patients: (1) those living alone (ALONE), (2) those living with their spouse only (SPOUSE), and (3) OTHERs. Results—In total, 365 patients were included in this study: 111 (30%) ALONE, 133 (36%) SPOUSE, and 121 (33%) OTHERs. Cardiogenic embolisms were observed more frequently in ALONE than in OTHERs. The primary outcome occurred in 88 (79.3%) patients in ALONE and in 96 (72.2%) patients in SPOUSE, both of which were higher than the 72 (59.5%) in OTHERs. After adjusting with 19 variables, the risk of worsening was higher in ALONE (odds ratio (OR): 2.90, 95% confidence interval (CI): 1.50–5.58) and SPOUSE (OR: 1.83, 95% CI: 1.00–3.33) compared with OTHERs. Conclusions—In patients with acute ischemic stroke, not only living alone but also living with a spouse only may be associated with a worse short-term prognosis, independent of other cardiovascular risks.

Suggested Citation

  • Yohei Ishikawa & Toru Hifumi & Mitsuyoshi Urashima, 2020. "Influence of Living Alone or with a Spouse Only on the Short-Term Prognosis in Patients after an Acute Ischemic Stroke," IJERPH, MDPI, vol. 17(21), pages 1-10, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8223-:d:441205
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/21/8223/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/21/8223/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Amar Dhand & Douglas Luke & Catherine Lang & Michael Tsiaklides & Steven Feske & Jin-Moo Lee, 2019. "Social networks and risk of delayed hospital arrival after acute stroke," Nature Communications, Nature, vol. 10(1), pages 1-8, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Joo, Won-tak, 2023. "Educational gradient in social network changes at disease diagnosis," Social Science & Medicine, Elsevier, vol. 317(C).
    2. Liyuan Wang & Lindsay E. Young & Lynn C. Miller, 2021. "The Structure of Social Support in Confidant Networks: Implications for Depression," IJERPH, MDPI, vol. 18(16), pages 1-16, August.
    3. Shukla, Prakriti & Lee, Myeong & Whitman, Samantha A. & Pine, Kathleen H., 2022. "Delay of routine health care during the COVID-19 pandemic: A theoretical model of individuals’ risk assessment and decision making," Social Science & Medicine, Elsevier, vol. 307(C).
    4. Alethea Desrosiers & Laura Bond & Morgan Hoffman & Praveen Kumar & Carolyn Schafer & Isha W. Metzger & Alpha Vandi & Miriam Hinton & Theresa S. Betancourt, 2023. "Exploring Naturalistic Diffusion of an Evidence-Based Mental Health Intervention across Peer Networks of Youth in Sierra Leone," IJERPH, MDPI, vol. 20(5), pages 1-16, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8223-:d:441205. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.