Download PDF
Open Access
CC BY 4.0 · Arq Neuropsiquiatr 2024; 82(03): s00441779691
DOI: 10.1055/s-0044-1779691
Original Article

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

Evaluación del riesgo individual de enfermedad cerebrovascular en cuidadores de pacientes con enfermedad cerebrovascular

Authors

  • Juan Manuel Marquez-Romero 

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

  • Jessica Romo-Martínez 

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

  • Bernardo Hernández-Curiel 

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

  • Angélica Ruiz-Franco 

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

  • Rita Krishnamurthi 

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

  • Valery Feigin 

    5   National Institute for Stroke & Applied Neurosciences, School of Clinical Sciences, Auckland AUK, New Zealand.
Further Information
Also available at
  Permissions and Reprints
Preview

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.

Resumen

Antecedentes Los factores genéticos probablemente influyen en el riesgo de desarrollar enfermedad vascular cerebral (EVC), pero no está claro si el riesgo es intrínsecamente alto o si es totalmente explicado por factores modificables.

Objetivo Comparar el riesgo de EVC (REVC) en cuidadores pertenecientes y no pertenecientes a la misma familia de pacientes con EVC.

Métodos En un estudio transversal que utilizó la aplicación Stroke Riskometer (AUT Ventures Limited, Auckland, AUK, Nueva Zelanda), determinamos el REVC a 5 y 10 años en cuidadores de pacientes hospitalizados por EVC. El grado de parentesco se graduó con un puntaje de 0 a 50 dependiendo de su relación familiar con el paciente.

Resultados Estudiamos a 278 cuidadores (69.4% de ellos mujeres) con edad media de 47.5 ± 14.2 años. Los cuidadores familiares representaron el 70.1% de la muestra, siendo el 49.6% hijos. Las medianas de REVC a 5 años fueron de 2.1 (rango: 0.35–17.3) versus 1.73 (rango: 0.04–29.9), y de 4.0 (rango: 0.45–38.6) versus 2.94 (rango: 0.05–59.35) a 10 años para el grupo de cuidadores familiares y no familiares, respectivamente. En una regresión logística lineal contralando para la edad de los cuidadores, la adición del puntaje de parentesco no incrementó la variabilidad general del modelo para el riesgo a 5 años (R2 = 0.271; p = 0.858) ni para el riesgo a 10 años (R2 = 0.376; p = 0.78).

Conclusión Los cuidadores de pacientes con EVC tienen un REVC alto, independientemente de su grado de parentesco.

Keywords

Stroke - Risk Factors - Caregivers

Palabras clave

Accidente Cerebrovascular - Factores de Riesgo - Cuidadores

Authors' Contributions

JMMR: conceptualization, data curation, formal analysis, funding acquisition, investigation, methodology, project administration, supervision, validation, writing of the original draft, and writing – review and editing; JRM: investigation, methodology, and writing – review and editing; BHC: formal analysis, investigation, methodology, and writing – review and editing; ARF: data curation, formal analysis, methodology, and writing – review and editing; RK: conceptualization, data curation, formal analysis, investigation, methodology, and writing – review and editing; and VF: conceptualization, data curation, formal analysis, investigation, methodology, supervision, validation, and writing – review and editing.




Publication History

Received: 26 August 2023

Accepted: 29 December 2023

Article published online:
11 March 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

Bibliographical Record
Juan Manuel Marquez-Romero, Jessica Romo-Martínez, Bernardo Hernández-Curiel, Angélica Ruiz-Franco, Rita Krishnamurthi, Valery Feigin. Assessing the individual risk of stroke in caregivers of patients with stroke. Arq Neuropsiquiatr 2024; 82: s00441779691.
DOI: 10.1055/s-0044-1779691