The impact of regional deprivation on stroke incidence, treatment, and mortality in Germany.

Neurological Research and Practice Pub Date : 2023-02-09 DOI:10.1186/s42466-023-00232-0

Matthias Hans Belau, Heiko Becher, Maya Riefflin, Dirk Bartig, Lars Schwettmann, Christopher Jan Schwarzbach, Armin Grau

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Abstract

Background: Regional deprivation has been shown to be an influential factor in stroke incidence risk. However, there is a paucity of knowledge on regional differences in stroke incidence and mortality in Germany.

Methods: We assessed data from the Diagnosis Related Groups statistics (2016-2019) and the German Federal Registry of Physicians (2019). Negative binomial regression analysis was used to examine the association between the German Index of Multiple Deprivation 2015 covering 401 districts and district-free cities in Germany and stroke incidence, treatment, and mortality.

Results: The adjusted rate ratios of stroke incidence and mortality with the highest deprivation level compared with the least deprived area were 1.161 (95% CI [1.143, 1.179]) and 1.193 (95% CI [1.148, 1.239]), respectively. Moreover, this study revealed that physician density was higher in district-free cities compared to districts.

Conclusions: Our results indicate that regional deprivation is associated with incident and mortality cases of stroke, necessitating a more targeted approach to stroke prevention in deprived regions.

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德国地区贫困对中风发病率、治疗和死亡率的影响。

背景：地区贫困已被证明是中风发病风险的一个影响因素。然而，人们对德国中风发病率和死亡率的地区差异知之甚少：我们评估了来自诊断相关组统计（2016-2019 年）和德国联邦医师注册处（2019 年）的数据。采用负二项回归分析法研究了覆盖德国 401 个区和无区城市的 2015 年德国多重贫困指数与中风发病率、治疗率和死亡率之间的关联：结果：与最贫困地区相比，贫困程度最高地区的中风发病率和死亡率的调整比率分别为 1.161（95% CI [1.143，1.179]）和 1.193（95% CI [1.148，1.239]）。此外，这项研究还显示，与地区相比，无区城市的医生密度更高：我们的研究结果表明，地区贫困与脑卒中的发病率和死亡率有关，因此有必要在贫困地区采取更有针对性的方法来预防脑卒中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Neurological Research and Practice

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