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Sex and Economic Disparity Related to Reperfusion Therapies for Patients with Acute Ischemic Stroke in South Korea across a 10-Year Period: A Nationwide Population-Based Study Using the National Health Insurance Database

Author

Listed:
  • Jusun Moon

    (Department of Neurology, National Medical Center, Seoul 04564, Korea)

  • Jinyoung Shin

    (Department of Family Medicine, Konkuk University School of Medicine, Konkuk University Medical Center, Seoul 05030, Korea)

  • Jeehye Lee

    (Department of Preventive Medicine, School of Medicine, Eulji University, Daejeon 34824, Korea)

  • Ho Jin Jeong

    (Department of Preventive Medicine, Konkuk University School of Medicine, Seoul 05029, Korea)

  • Hyeongsu Kim

    (Department of Preventive Medicine, Konkuk University School of Medicine, Seoul 05029, Korea)

  • Jaehyeong An

    (Department of Neurology, National Medical Center, Seoul 04564, Korea)

  • Sung Hyun Jo

    (Department of Neurology, National Medical Center, Seoul 04564, Korea)

  • Kwang-Pil Ko

    (Clinical Preventive Medicine Center, Seoul National University Bundang Hospital, Seongnam 13620, Korea)

  • Jeoungbin Choi

    (Department of Biomedical Science, Seoul National University Graduate School, Seoul 03080, Korea)

Abstract

A complete enumeration study was conducted to evaluate trends related to reperfusion therapies (intravenous thrombolysis (IVT) and endovascular treatment (EVT)) in acute ischemic stroke (AIS) in South Korea, according to sex, economic status, and age, over a 10-year period retrospectively, using the National Health Information Database (NHIS-2020-1-481). This study included AIS patients aged ≥20 years who were hospitalized in a general hospital or tertiary hospital for ≥4 days and underwent brain imaging during the same period. Study participants were classified by sex, economic status (Medical Aid beneficiaries and National Health Insurance beneficiaries) and age (20–44, 45–64, 65–79, and ≥80 years). Women showed a significantly lower OR (Odds ratio) than men in IVT (OR: 0.75; 95% CI: 0.73–0.77), EVT (OR: 0.96; 95% CI: 0.93–0.99), and any therapy (OR: 0.82; 95% CI: 0.80–0.84). The Medical Aid beneficiaries showed significantly lower OR in IVT (OR 0.91, 95% CI 0.88–0.95), EVT (OR 0.93, 95% CI 0.89–0.98), and either therapy (OR 0.92, 95% CI 0.90–0.95) than the National Health Insurance beneficiaries. This study showed sex and economic disparity related to reperfusion therapies in patients with AIS in Korea.

Suggested Citation

  • Jusun Moon & Jinyoung Shin & Jeehye Lee & Ho Jin Jeong & Hyeongsu Kim & Jaehyeong An & Sung Hyun Jo & Kwang-Pil Ko & Jeoungbin Choi, 2022. "Sex and Economic Disparity Related to Reperfusion Therapies for Patients with Acute Ischemic Stroke in South Korea across a 10-Year Period: A Nationwide Population-Based Study Using the National Healt," IJERPH, MDPI, vol. 19(5), pages 1-9, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:3050-:d:764735
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    References listed on IDEAS

    as
    1. Hyunjoon Park & Jaesung Choi, 2015. "Long-term trends in living alone among Korean adults: Age, gender, and educational differences," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 32(43), pages 1177-1208.
    2. Seungmin Jeong & Sung-il Cho & So Yeon Kong, 2020. "Long-Term Effect of Income Level on Mortality after Stroke: A Nationwide Cohort Study in South Korea," IJERPH, MDPI, vol. 17(22), pages 1-11, November.
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