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University education and cervical artery dissection

Background and purposeWe 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).MethodsPatients from the Cervical Artery Dissection and Ischemic...

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Main Authors: Kellert, Lars (Author) , Grau, Armin J. (Author) , Pezzini, Alessandro (Author) , Debette, Stéphanie (Author) , Leys, Didier (Author) , Caso, Valeria (Author) , Thijs, Vincent N. (Author) , Bersano, Anna (Author) , Touzé, Emmanuel (Author) , Tatlisumak, Turgut (Author) , Traenka, Christopher (Author) , Lyrer, Philippe A. (Author) , Engelter, Stefan T. (Author) , Metso, Tiina M. (Author) , Grond-Ginsbach, Caspar (Author) , Kloss, Manja (Author)
Format: Article (Journal)
Language:English
Published: 24 February 2018
In: Journal of neurology
Year: 2018, Volume: 265, Issue: 5, Pages: 1065-1070
ISSN:1432-1459
DOI:10.1007/s00415-018-8798-7
Online Access:Verlag, Volltext: https://doi.org/10.1007/s00415-018-8798-7
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Author Notes:Lars Kellert, Armin Grau, Alessandro Pezzini, Stéphanie Debette, Didier Leys, Valeria Caso, Vincent N. Thijs, Anna Bersano, Emmanuel Touzé, Turgut Tatlisumak, Christopher Traenka, Philippe A. Lyrer, Stefan T. Engelter, Tiina M. Metso, Caspar Grond-Ginsbach, Manja Kloss, for the Cervical Artery Dissection and Ischemic Stroke Patients (CADISP)-Study Group
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Summary:Background and purposeWe 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).MethodsPatients 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.ResultsUniversity 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).ConclusionWe 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.
Item Description:Gesehen am 31.10.2019
Physical Description:Online Resource
ISSN:1432-1459
DOI:10.1007/s00415-018-8798-7

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