Assessing the individual risk of stroke in caregivers of patients with stroke

Author:

Marquez-Romero Juan Manuel1ORCID,Romo-Martínez Jessica2ORCID,Hernández-Curiel Bernardo3ORCID,Ruiz-Franco Angélica4ORCID,Krishnamurthi Rita5ORCID,Feigin Valery5ORCID

Affiliation:

1. Instituto Mexicano del Seguro Social, Órgano de Operación Administrativa Desconcentrada, Hospital General de Zona #2, Departamento de Neurología, Aguascalientes AGS, Mexico.

2. Instituto Mexicano del Seguro Social, Órgano de Operación Administrativa Desconcentrada, Centro Médico de Occidente, Departamento de Radiología, Guadalajara JAL, Mexico.

3. Hospital Hispano Americano, Departamento de Neurología, Mexicali BC, Mexico.

4. Hospital Juárez de México, Departamento de Neurología, Ciudad México CDMX, Mexico.

5. National Institute for Stroke & Applied Neurosciences, School of Clinical Sciences, Auckland AUK, New Zealand.

Abstract

Abstract Background Genetic factors influence the risk of developing stroke. Still, it is unclear whether this risk is intrinsically high in certain people or if nongenetic factors explain it entirely. Objective To compare the risk of stroke in kin and nonkin caregivers. Methods In a cross-sectional study using the Stroke Riskometer app (AUT Ventures Limited, Auckland, AUK, New Zealand), we determined the 5- and 10-year stroke risk (SR) among caregivers of stroke inpatients. The degree of kinship was rated with a score ranging from 0 to 50 points. Results We studied 278 caregivers (69.4% of them female) with a mean age of 47.5 ± 14.2 years. Kin caregivers represented 70.1% of the sample, and 49.6% of them were offspring. The median SR at 5 years was of 2.1 (range: 0.35–17.3) versus 1.73 (range: 0.04–29.9), and of 4.0 (range: 0.45–38.6) versus 2.94 (range: 0.05–59.35) at 10 years for the nonkin and kin caregivers respectively. In linear logistic regression controlled for the age of the caregivers, adding the kinship score did not increase the overall variability of the model for the risk at 5 years (R2 = 0.271; p = 0.858) nor the risk at 10 years (R2 = 0.376; p = 0.78). Conclusion Caregivers of stroke patients carry a high SR regardless of their degree of kinship.

Publisher

Georg Thieme Verlag KG

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