Title :

University education and cervical artery dissection

Author(s) :

Kellert, Lars [Auteur]
Grau, Armin J. [Auteur]
Pezzini, Alessandro [Auteur]
Debette, Stéphanie [Auteur]
LEYS, Didier [Auteur]
Troubles cognitifs dégénératifs et vasculaires - U 1171 [TCDV]
Caso, Valeria [Auteur]
Thijs, Vincent N. S. [Auteur]
Bersano, Anna [Auteur]
Touze, Emmanuel [Auteur]
Tatlisumak, Turgut [Auteur]
Traenka, Christopher [Auteur]
Lyrer, Philippe A. [Auteur]
Engelter, Stefan T. [Auteur]
Metso, Tiina M. [Auteur]
Grond-Ginsbach, Caspar [Auteur]
Kloss, Manja [Auteur]

Journal title :

Journal of Neurology

Abbreviated title :

J. Neurol.

Publication date :

2018-02-24

ISSN :

1432-1459

English keyword(s) :

Young adults
Outcome
Socioeconomic status
Ischemic stroke
Level of education
Cervical artery dissection
University education

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

OBJECTIVE: We investigated whether university education is more likely in cervical artery dissection (CeAD)-patients than in age- and sex-matched patients with ischemic stroke (IS) due to other causes (non-CeAD-IS-patien ...
Show more >OBJECTIVE: We investigated whether university education is more likely in cervical artery dissection (CeAD)-patients than in age- and sex-matched patients with ischemic stroke (IS) due to other causes (non-CeAD-IS-patients). METHODS: Patients from the Cervical Artery Dissection and Ischemic Stroke Patients study with documented self-reported profession before onset of IS due to CeAD (n = 715) or non-CeAD causes (n = 631) were analyzed. In the reported profession, the absence or presence of university education was assessed. Professions could be rated as academic or non-academic in 518 CeAD and 456 non-CeAD patients. Clinical outcome at 3 months was defined as excellent if modified Rankin Scale was 0-1. RESULTS: University education was more frequent in CeAD-patients (100 of 518, 19.3%) than in non-CeAD-IS-patients (61 of 456, 13.4%, p = 0.008). CeAD-patients with and without university education differed significantly with regard to smoking (39 vs. 57%, p = 0.001) and excellent outcome (80 vs. 66%, p = 0.004). In logistic regression analysis, university education was associated with excellent outcome in CeAD-patients (OR 2.44, 95% CI 1.37-5.38) independent of other outcome predictors such as age (OR 0.97, 95% CI 0.84-0.99), NIHSS (OR 0.80, 95% CI 0.76-0.84) and local signs (OR 2.77, 95% CI 1.37-5.57). CONCLUSIONS: We observed a higher rate of university education in patients with CeAD compared with non-CeAD patients in our study population. University education was associated with favorable outcome in CeAD-patients. The mechanism behind this association remains unclear.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
CNRS
Inserm
Université de Lille

Collections :

• Autres travaux scientifiques

Submission date :

2019-11-27T14:28:55Z