University education and cervical artery dissection

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http://hdl.handle.net/10138/301398

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Cervical Artery Dissection Ischemi 2018 , ' University education and cervical artery dissection ' , Journal of Neurology , vol. 265 , no. 5 , pp. 1065-1070 . https://doi.org/10.1007/s00415-018-8798-7

Title: University education and cervical artery dissection
Author: Cervical Artery Dissection Ischemi
Date: 2018-05
Language: eng
Number of pages: 6
Belongs to series: Journal of Neurology
ISSN: 0340-5354
URI: http://hdl.handle.net/10138/301398
Abstract: 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). 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. 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). 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.
Subject: Cervical artery dissection
Ischemic stroke
Young adults
Outcome
University education
Level of education
Socioeconomic status
VASCULAR RISK-FACTORS
SOCIOECONOMIC-STATUS
STROKE
ASSOCIATION
INFECTION
MORTALITY
3112 Neurosciences
3124 Neurology and psychiatry
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