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Patients & Public > Research using SSNAP data > Plain English Summaries > Does socioeconomic status affect stroke patients' experiences?

Lay summary: Does socioeconomic status affect stroke patients' experiences?

It is well known that people with lower socioeconomic status are more likely to develop illnesses and die prematurely. Of the 43.8 million adults in England between 2013 and 2016, 145,324 people were admitted to hospital with their first-ever stroke.

When compared with stroke patients from the highest socioeconomic groups, stroke patients from the lowest socioeconomic groups:
  • had their first stroke a median of seven years earlier.       
  • had more pre-stroke disability and diabetes.        
  • were less likely to receive 5 of the 12 recommended stroke care processes.    
  • were more likely to receive early supported discharge (discharge of a stroke patient from hospital to their own home, coordinated by a team of therapists, nurses, and a doctor).
  • had a higher risk of dying within one year of their stroke. However, this risk was reduced after  adjusting for the presence of pre-stroke diabetes, hypertension (high blood pressure)  and atrial fibrillation (heart condition that causes an irregular and often abnormally fast heart rate).
This study used SSNAP data to show major inequalities in risk of stroke depending on financial status and major inequalities in the delivery of care depending on where a patient lives. Only with data such as these can remedies be put into place to rectify these issues.

About the poster:

Paper title: 'Socioeconomic disparities in first stroke incidence, quality of care, and survival: a nationwide registry-based cohort study of 44 million adults in England.' 
Year published: 2018
Authors: Benjamin D Bray, Lizz Paley, Alex Hoffman, Martin James, Patrick Gompertz, Charles D A Wolfe, Harry Hemingway, Anthony G Rudd, SSNAP Collaboration.

View the full research paper here.
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