@article {Kim3607作者= {Jisoo金伊娃Kitlen和维克多Torres-Lopez Cyprien河和Daniela Renedo玛雅阿利亚和梅丽莎呸jonkleinberg迈克尔Kampp和莎拉Jasak劳伦san和凯文Sheth圭多要求},title ={社区劣势和结果脑出血后(S29.002)},体积={100}={17补充2},elocation-id = {3607} = {2023}, doi = {10.1212 / WNL。出版商0000000000203392}= {Wolters Kluwer健康,公司代表美国神经病学学会},文摘={目的:旨在确定社区劣势与贫穷有关结果脑出血后(我)。首页背景:社区劣势独特捕获许多社会和环境风险。有越来越多的证据表明社会决定因素不同的健康状况。设计/方法:我们进行了一个嵌套的研究在一个正在进行的纵向研究,前瞻性地遵循脑损伤患者在康涅狄格{\ textquoteright}最大的医疗保健系统。嵌套的研究包括我幸存者和评价社区剥夺剥夺使用面积指数(ADI),一个公开可用的指标排名社区{\ textquoteright}劣势基于许多因素。病人被给予一个ADI tertile名称:低,中间,和高不足。最初我严重程度定义与gc的承认。结果是评估通过放电和6个月post-ICH改良Rankin规模(夫人),一分为二,0 {\ textendash} 3(结果)和4 {\ textendash} 6(可怜的结果)。我们使用卡方测试和未经调整和调整协会多变量逻辑回归分析,分别。结果:687注册我的病人,518年(平均年龄67,47.5 \ %女,19 \ %黑色,8 \ %拉美裔)有9-digit你和结果数据。附近的劣势与入学GCS无关(p = 0.59)或放电夫人(p = 0.95)。 However, at 6-months post-discharge, the risk of poor outcome was 28\%, 44\%, and 47\% for patients in neighborhoods with low, intermediate, and high disadvantage (unadjusted p=0.02). Multivariable analyses adjusting for potential confounders confirmed these results: compared to low-disadvantage neighborhoods, those living in neighborhoods with intermediate and high disadvantage had 52\% (OR 1.52, 95\%CI 0.76{\textendash}3.08) and 89\% (OR 1.89, 95\%CI 0.91{\textendash}3.94) higher risk of poor outcomes (test-for-trend p=0.01).Conclusions: Among ICH patients enrolled in a prospective study of acute brain injury, higher neighborhood disadvantage was associated with a higher risk of poor outcomes 6-months post-ICH but not with admission or discharge clinical status. These results suggest that the numerous factors captured by the ADI influence these subjects{\textquoteright} complex post-discharge evolution.Disclosure: Ms. Kim has nothing to disclose. Ms. Kitlen has nothing to disclose. Mr. Torres-Lopez has nothing to disclose. Dr. Rivier has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Pyxis Partners. Dr. Renedo has nothing to disclose. Ms. Schlechter has nothing to disclose. Ms. Kleinberg has nothing to disclose. Ms. Pish has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Twill Therapeutics. Mr. Kampp has nothing to disclose. Sara Jasak has nothing to disclose. Dr. Sansing has nothing to disclose. Dr. Sheth has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Ceribell. Dr. Sheth has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Zoll. Dr. Sheth has received personal compensation in the range of $10,000-$49,999 for serving on a Scientific Advisory or Data Safety Monitoring board for NControl. Dr. Sheth has received stock or an ownership interest from Astrocyte. Dr. Sheth has received stock or an ownership interest from Alva. The institution of Dr. Sheth has received research support from Biogen. The institution of Dr. Sheth has received research support from Novartis. The institution of Dr. Sheth has received research support from Bard. The institution of Dr. Sheth has received research support from Hyperfine. Dr. Sheth has received intellectual property interests from a discovery or technology relating to health care. The institution of Dr. Falcone has received research support from NIH. The institution of Dr. Falcone has received research support from AHA.}, issn = {0028-3878}, URL = {//www.ez-admanager.com/content/100/17_Supplement_2/3607}, eprint = {//www.ez-admanager.com/content}, journal = {Neurology} }