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Abstract Details

Living with Children Improved Functional Recovery Post-Stroke
Cerebrovascular Disease and Interventional Neurology
P16 - Poster Session 16 (8:00 AM-9:00 AM)
13-001
The present study will examine the association between individual-level social support and post-stroke functional change as measured by the modified Rankin Scale (mRS). 
Stroke is a major cause of disability around the globe. Social determinants of health, including measures of social support, impact stroke severity and disability, but few have examined their role in post-stroke care and recovery. 
We used data from stroke patients in the ongoing Get With The Guidelines®(GWTG) study enrolled from hospitals in the Florida Stroke Registry. GWTG aims to identify disparities in hospital-to-home transition of stroke care. mRS was assessed at discharge, 30-, and 90-days post-stroke, and dichotomized as improvement/no change vs decline (increase of ≥2 points or worsening from mRS=1 to 2). Self-reported social support (living arrangement, number of friends) was collected by trained interviewers at discharge, and examined in relation to change in mRS via logistic regression adjusting for demographics, stroke type, severity, insurance, and vascular risk factors.
In the study population (N=542, median age=63, IQR=54-74, 43% women, 48% White, 23% Black, 29% Hispanic), 82% had improvement/no change from discharge-30 days and 84% had improvement/no change from discharge-90 days. Those who reported living alone (23%) and those with a spouse/partner (52%) were 60% less likely to show improvement/no change within 30 days than those living with children (14%). Individuals who reported having more than one close social contact (98%) were three times more likely to show improvement/no change from discharge to both 30 and 90days (95% CI=1.36-9.43).
These findings highlight the importance of social support, and specifically living with children, in functional recovery from stroke. Previous studies identified social support as an important factor in quality of life. This study extends those findings to show that social support also plays a role in objective recovery of physical function after stroke.
Authors/Disclosures
Dalton A. George (University of Miami Health System)
PRESENTER 		Mr. George has nothing to disclose.
Antonio Bustillo (University of Miami) No disclosure on file
No disclosure on file
No disclosure on file
Carolina Gutierrez Carolina Gutierrez has nothing to disclose.
No disclosure on file
No disclosure on file
Gillian L. Gordon-Perue, MD, FAAN (University of Miami) The institution of Dr. Gordon-Perue has received research support from CDC Paul Coverdell Grant. The institution of Dr. Gordon-Perue has received research support from Florida Department of Health. Dr. Gordon-Perue has received personal compensation in the range of $500-$4,999 for serving as a Moderator with PRIME ECHO Stroke 好色先生al Webinar.
Erika T. Marulanda, MD, FAAN (University of Miami) Dr. Marulanda has nothing to disclose.
Jose G. Romano, MD, FAAN (University of Miami, Miller School of Medicine) Dr. Romano has stock in Vycor Medical/NovaVision. The institution of Dr. Romano has received research support from NIH/NINDS. The institution of Dr. Romano has received research support from NIH/NHLBI.
Tatjana Rundek, MD, PhD The institution of Dr. Rundek has received research support from NIH.
Ralph L. Sacco, MD, MS, FAHA Dr. Sacco has received personal compensation in the range of $100,000-$499,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for American Heart Association. The institution of Dr. Sacco has received research support from NIH, NINDS, NCATS, NIMHD. The institution of Dr. Sacco has received research support from FL Department of Health. Dr. Sacco has received research support from University of Washington, Seattle. Dr. Sacco has received publishing royalties from a publication relating to health care.
Hannah Gardener, ScD (University of Miami) Ms. Gardener has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Intersocietal Accreditation Commission. Ms. Gardener has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Ellipse Analytics. Ms. Gardener has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for Baum Hedlund. Ms. Gardener has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant with A Green Slate Consulting.