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Table 3 Association of caregiver and patient characteristics with outpatient medical follow-up (primary care) 4–12 months post-stroke

From: Role of caregiver factors in outpatient medical follow-up post-stroke: observational study in Singapore

Variable

Reference category

Primary care visits (4 - 12 months)

IRR (95% CI)

P-value

aIRRa (95% CI)

P-value

Caregiver factors

 Age (in years)

 

1.005 (0.999, 1.011)

0.127

  

 Gender

Male

0.978 (0.810, 1.180)

0.816

  

 Ethnicity

Non-Chinese

0.981 (0.833, 1.154)

0.816

  

 Marital status

Single

1.050 (0.860, 1.281)

0.633

  

 Caregiver relationship

Spouse

 

0.115

  

 Adult-child

 

0.989 (0.823, 1.187)

  

 Sibling

 

0.606 (0.355, 1.034)

  

 Others

 

1.248 (0.926, 1.682)

  

 Comorbid conditions

None

 

0.418

  

  1

 

1.124 (0.925, 1.365)

  

  2

 

1.093 (0.830, 1.441)

  

  ≥3

 

0.869 (0.633, 1.194)

  

 Co-residing with patient

No

1.218 (0.925, 1.604)

0.160

  

 Caring for multiple care recipients

No

0.998 (0.847, 1.176)

0.980

  

Revised memory and behavior checklist

 Memory problems

 

0.988 (0.974, 1.003)

0.108

  

 Depressive behavior problems

 

0.980 (0.962, 0.999)

0.035

  

 Disruptive behavior problems

 

0.996 (0.974, 1.019)

0.714

  

Caregiver burden

 Oberst caregiving burden scale

 

0.989 (0.982, 0.995)

0.001

  

 Zarit burden interview

 

0.994 (0.983, 1.004)

0.232

  

Family conflict

 Attitude towards patient

 

0.978 (0.961, 0.995)

0.013

  

 Attitude towards caregiver

 

0.987 (0.970, 1.006)

0.173

  

Social support (instrumental)

 FDW for general help

No

1.233 (0.988, 1.539)

0.064

  

 FDW for stroke patient

No

0.681 (0.515, 0.901)

0.007

  

 Social support (perceived)

 

1.000 (0.984, 1.017)

0.987

  

Care management strategies

 Positive strategies

 

0.996 (0.989, 1.004)

0.332

  

 Negative strategies

 

0.995 (0.978, 1.013)

0.600

  

Patient factors

 Age (in years)

 

0.998 (0.991, 1.006)

0.686

  

 Gender

Male

0.828 (0.696, 0.986)

0.034

  

 Ethnicity

Non-Chinese

0.899 (0.764, 1.058)

0.199

  

 Marital status

Single

1.148 (0.928, 1.419)

0.204

  

 Ward class

Unsubsidized

1.137 (0.833, 1.551)

0.418

  

 CCI

1 - 3

 

0.002

 

0.023

 4 - 6

 

1.526 (1.207, 1.928)

1.655 (1.152, 2.378)

 >= 7

 

1.471 (1.102, 1.963)

1.590 (0.999, 2.527)

 Stroke type

Non-ischemic

1.805 (1.304, 2.497)

<0.001

1.867 (1.137, 3.066)

0.014

 Recurrent stroke

No

0.893 (0.712, 1.120)

0.328

  

 National Institute of Health Scale

Mild (0-4)

 

<0.001

 

0.010

 Moderately severe (5-14)

 

0.686 (0.575, 0.819)

0.649 (0.490, 0.859)

 Severe (15-24)

 

0.558 (0.360, 0.865)

0.813 (0.414, 1.596)

 Modified rankin scale

No or slight disability (0-2)

    

 Moderate or severe disability (3-5)

 

0.724 (0.616, 0.851)

<0.001

  

 Mini-mental state examination

No cognitive impairment (24-30)

 

0.003

  

 Mild cognitive impairment (18-23)

 

1.086 (0.903, 1.307)

  

 Severe cognitive impairment (1-17)

 

0.679 (0.528, 0.874)

  

 Discharge to community hospital

No

0.766 (0.628, 0.935)

0.009

  

 Centre for epidemiological studies depression scale

 

1.006 (0.992, 1.021)

0.387

  
  1. Abbreviations: IRR incidence rate ratio, aIRR adjusted incidence rate ratio, CI confidence interval, FDW foreign domestic worker
  2. aModel adjusted for age, gender, ethnicity and ward class of the patient