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Effects of sociodemographic and socioeconomic factors on stroke development in Lebanese patients with atrial fibrillation: a cross-sectional study

Background: Non-communicable diseases, the major cause of death and disability, are susceptible to modifiable and non-modifiable risk factors. Atrial fibrillation (AF) increases the risk of stroke by 4 to 5 times and can lead to cardiovascular mortality. This study was conducted to assess the effect...

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Autores principales: Malaeb, Diana, Hallit, Souheil, Dia, Nada, Cherri, Sarah, Maatouk, Imad, Nawas, George, Salameh, Pascale, Hosseini, Hassan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: F1000 Research Limited 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8383125/
https://www.ncbi.nlm.nih.gov/pubmed/34504688
http://dx.doi.org/10.12688/f1000research.54236.2
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author Malaeb, Diana
Hallit, Souheil
Dia, Nada
Cherri, Sarah
Maatouk, Imad
Nawas, George
Salameh, Pascale
Hosseini, Hassan
author_facet Malaeb, Diana
Hallit, Souheil
Dia, Nada
Cherri, Sarah
Maatouk, Imad
Nawas, George
Salameh, Pascale
Hosseini, Hassan
author_sort Malaeb, Diana
collection PubMed
description Background: Non-communicable diseases, the major cause of death and disability, are susceptible to modifiable and non-modifiable risk factors. Atrial fibrillation (AF) increases the risk of stroke by 4 to 5 times and can lead to cardiovascular mortality. This study was conducted to assess the effects of different sociodemographic and socioeconomic factors on stroke development in patients with AF. Methods: A cross-sectional study was conducted between January and June 2018 on patients recruited from Lebanese community pharmacies. The CHA (2)DS (2)-VASc scoring system is utilized as a stroke risk stratification tool in AF patients. Participants with a previous physician diagnosis of AF, documented on medical records, were included in this study. Data was collected through a survey that was distributed to all eligible patients. Results: A total of 524 patients were enrolled in the study with a mean age (± SD) of 58.75 ± 13.59 years with hypertension (78.4%) being the most predominant disease. The results showed that obesity (Beta=0.61, p-value =0.011), retirement and unemployment compared to employment (Beta=1.44 and 1.44, p-value=0.001 respectively), divorced/widow compared to married (Beta=1.38, p-value =0.001) were significantly associated with higher CHA (2)DS (2)-VASc scores whereas high versus low socio-economic status (Beta=-1.03, p=0.009) and high school education versus primary education level (Beta=-0.49, p-value=0.025) were significantly associated with lower CHA (2)DS (2)-VASc scores. Conclusions: The study highlights that the CHA (2)DS (2)-VASc score is affected by the presence of various sociodemographic and socioeconomic characteristics in patients with AF. Thus, screening for those factors may predict the progression of cardiovascular disease and may provide an optimal intervention.
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spelling pubmed-83831252021-09-08 Effects of sociodemographic and socioeconomic factors on stroke development in Lebanese patients with atrial fibrillation: a cross-sectional study Malaeb, Diana Hallit, Souheil Dia, Nada Cherri, Sarah Maatouk, Imad Nawas, George Salameh, Pascale Hosseini, Hassan F1000Res Research Article Background: Non-communicable diseases, the major cause of death and disability, are susceptible to modifiable and non-modifiable risk factors. Atrial fibrillation (AF) increases the risk of stroke by 4 to 5 times and can lead to cardiovascular mortality. This study was conducted to assess the effects of different sociodemographic and socioeconomic factors on stroke development in patients with AF. Methods: A cross-sectional study was conducted between January and June 2018 on patients recruited from Lebanese community pharmacies. The CHA (2)DS (2)-VASc scoring system is utilized as a stroke risk stratification tool in AF patients. Participants with a previous physician diagnosis of AF, documented on medical records, were included in this study. Data was collected through a survey that was distributed to all eligible patients. Results: A total of 524 patients were enrolled in the study with a mean age (± SD) of 58.75 ± 13.59 years with hypertension (78.4%) being the most predominant disease. The results showed that obesity (Beta=0.61, p-value =0.011), retirement and unemployment compared to employment (Beta=1.44 and 1.44, p-value=0.001 respectively), divorced/widow compared to married (Beta=1.38, p-value =0.001) were significantly associated with higher CHA (2)DS (2)-VASc scores whereas high versus low socio-economic status (Beta=-1.03, p=0.009) and high school education versus primary education level (Beta=-0.49, p-value=0.025) were significantly associated with lower CHA (2)DS (2)-VASc scores. Conclusions: The study highlights that the CHA (2)DS (2)-VASc score is affected by the presence of various sociodemographic and socioeconomic characteristics in patients with AF. Thus, screening for those factors may predict the progression of cardiovascular disease and may provide an optimal intervention. F1000 Research Limited 2021-11-10 /pmc/articles/PMC8383125/ /pubmed/34504688 http://dx.doi.org/10.12688/f1000research.54236.2 Text en Copyright: © 2021 Malaeb D et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Malaeb, Diana
Hallit, Souheil
Dia, Nada
Cherri, Sarah
Maatouk, Imad
Nawas, George
Salameh, Pascale
Hosseini, Hassan
Effects of sociodemographic and socioeconomic factors on stroke development in Lebanese patients with atrial fibrillation: a cross-sectional study
title Effects of sociodemographic and socioeconomic factors on stroke development in Lebanese patients with atrial fibrillation: a cross-sectional study
title_full Effects of sociodemographic and socioeconomic factors on stroke development in Lebanese patients with atrial fibrillation: a cross-sectional study
title_fullStr Effects of sociodemographic and socioeconomic factors on stroke development in Lebanese patients with atrial fibrillation: a cross-sectional study
title_full_unstemmed Effects of sociodemographic and socioeconomic factors on stroke development in Lebanese patients with atrial fibrillation: a cross-sectional study
title_short Effects of sociodemographic and socioeconomic factors on stroke development in Lebanese patients with atrial fibrillation: a cross-sectional study
title_sort effects of sociodemographic and socioeconomic factors on stroke development in lebanese patients with atrial fibrillation: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8383125/
https://www.ncbi.nlm.nih.gov/pubmed/34504688
http://dx.doi.org/10.12688/f1000research.54236.2
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