Evidence map›Paper›PMID 35510813›Full record

ArticleAnnals of medicine2022

Pre-stroke socioeconomic status predicts upper limb motor recovery after inpatient neurorehabilitation.

S Wolf, S E Holm, T Ingwersen, C Bartling, G Bender, G Birke, A Meyer, A Nolte, K Ottes, O Pade and 4 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Annals of medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 2 countries.

S WolfDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
S E HolmDepartment of Neurology, Charité - University Medicine Berlin, Berlin, Germany.
T IngwersenDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
C BartlingClinic for Neurological Rehabilitation, MEDICLIN Klinikum Soltau, Soltau, Germany.
G BenderDepartment Neurology, RehaCentrum Hamburg, Hamburg, Germany.
G BirkeDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
A MeyerClinic for Neurological Rehabilitation, MEDICLIN Klinikum Soltau, Soltau, Germany.
A NolteDepartment Neurology, VAMED Klinik Geesthacht, Geesthacht, Germany.
K OttesDepartment Neurology, RehaCentrum Hamburg, Hamburg, Germany.
O PadeClinic for Neurological Rehabilitation, Klinikum Bad Bramstedt, Bad Bramstedt, Germany.
M PellerDepartment Neurology, VAMED Rehaklinik Damp, Damp, Germany.
J SteinmetzClinic for Neurological Rehabilitation, Klinikum Bad Bramstedt, Bad Bramstedt, Germany.
C GerloffDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
G ThomallaDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
University Medical Center Hamburg-Eppendorf · DEHNO Bad Bramstedt · DEMammazentrum Hamburg · DECharité - Universitätsmedizin Berlin · DECoastal Impact · INSana Klinikum · DESchmerzklinik Kiel · DEStädtisches Klinikum Solingen · DEUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLower socioeconomic status (SES) is associated with higher mortality rates and the likelihood of receiving less evidence-based treatment after stroke. In contrast, little is known about the impact of SES on recovery after discharge from inpatient rehabilitation. The aim of this study was to investigate the influence of SES on long-term recovery after stroke. PATIENTS AND

methodsIn a prospective, observational, multicentre study, inpatients were recruited towards the end of rehabilitation. The 12-month follow-up focussed on upper limb motor recovery, measured by the Fugl-Meyer score. A clinically relevant improvement of ≥5.25 points was considered recovery. Patient-centric measures such as the Patient-reported Outcomes Measurement Information System-Physical Health (PROMIS-10 PH) provided secondary outcomes. Information on schooling, vocational training, income and occupational status pre-stroke entered a multidimensional SES index. Multivariate logistic regression models calculating odds ratios (ORs) and corresponding confidence intervals (CIs) were applied. SES was added to an initial model including age, sex and baseline neurological deficit. Additional exploratory analyses examined the association between SES and outpatient treatment.

resultsOne hundred and seventy-six patients were enrolled of whom 98 had SES and long-term recovery data. Model comparisons showed the SES-model superior to the initial model (Akaike information criterion (AIC): 123 vs. 120, Pseudo

conclusionsHigher pre-stroke SES is associated with better long-term recovery after discharge from rehabilitation. Understanding these factors can improve outpatient long-term stroke care and lead to better recovery.KEY MESSAGEHigher pre-stroke socioeconomic status (SES) is associated with better long-term recovery after discharge from rehabilitation both in terms of motor function and self-reported health status.Higher SES is associated with significantly higher utilization of outpatient therapies.Discharge management of rehabilitation clinics should identify and address socioeconomic factors in order to detect individual needs and to improve outpatient recovery.

Indexed as

Neurological RehabilitationStrokeStroke RehabilitationHumansInpatientsProspective StudiesRecovery of FunctionSocial ClassTreatment OutcomeUpper Extremityneurological rehabilitationpatient reported outcome measuresrecovery of functionsocioeconomic statusStrokeupper extremity

Identifiers

PMID35510813
PMCPMC9090381
OpenAlexW4229046483

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.