Evidence map›Paper›PMID 41219713›Full record

ArticleBMC geriatrics2025

Association between living arrangements and health outcomes among stroke survivors in China.

Bifan Zhu, Duo Chen, Xiaohui Hou, Kun Fang, Yunwei Zhang, Chunlin Jin, Hansheng Ding

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

7 authors.

Bifan Zhu *Shanghai Health Development Research Center, No. 602 West Jianguo Road, Shanghai, 200030, China.
Duo Chen *Shanghai Health Development Research Center, No. 602 West Jianguo Road, Shanghai, 200030, China.
Xiaohui HouShanghai Health Development Research Center, No. 602 West Jianguo Road, Shanghai, 200030, China.
Kun FangHuashan Hospital, Fudan University, Shanghai, China.
Yunwei ZhangShanghai Health Development Research Center, No. 602 West Jianguo Road, Shanghai, 200030, China.
Chunlin JinShanghai Health Development Research Center, No. 602 West Jianguo Road, Shanghai, 200030, China. jinchunlin@shdrc.org.
Hansheng DingShanghai Health Development Research Center, No. 602 West Jianguo Road, Shanghai, 200030, China. dinghansheng@shdrc.org.

Funding

National Natural Science Foundation of China 72074152Shanghai Municipal Health Commission 20224Y0101
6 · The paper itself

Abstract

backgroundStroke is the leading cause of death and a major cause of disability in China, posing significant challenges for post-stroke care and rehabilitation. Understanding how different living arrangements affect the health outcomes of stroke survivors is increasingly important. This study aims to compare different living arrangements-either living at home or in care institutions-and to evaluate their impact on stroke survivors' health.

methodsBased on the cross-sectional survey data from the Long-Term Care Insurance of Shanghai, China from January to June 2023, we identify the key characteristics of stroke survivors living in different locations. Kernel-based propensity score matching is employed to enhance comparability between groups. Health outcomes, including self-reported health status, and post-stroke infections, are compared between the two living locations.

resultsAmong 54,575 stroke survivors, 47,347 (86.76%) reside at home, 7,228 (13.24%) live in care institutions. Stroke survivors residing in health institutions are generally older and exhibit worse disability status compared to those living at home. The median Barthel Index of the home group is 10 (6-13), and 5 (2-9) in the institution group (P < 0.05). Individuals living at home (odds ratio [95% CI]) report poorer health status (1.349[1.238-1.470]) and higher risks of pulmonary infections (1.319[1.150-1.513]), urinary tract infections (1.745[1.458-2.090]) and pressure sores (2.410[2.027-2.866]). The Barthel Index correlates with improved self-reported health status, and a reduced risk of pulmonary infections and pressure sores.

conclusionsThis is the first large-scale study in China to systematically assess the living arrangements of stroke survivors, revealing significant disparities in health outcomes based on living location. The findings underscore potential limitations in both home care and institutionalized care for stroke survivors and highlight the need for enhanced support in both settings.

Indexed as

Health StatusResidence CharacteristicsStrokeSurvivorsAgedAged, 80 and overChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedStroke RehabilitationLiving arrangementsLong-term carePost-stroke infectionStroke

Identifiers

PMID41219713
PMCPMC12606810

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.