Social deprivation and 1-year survival after stroke: a prospective cohort study

{Background Social deprivation may have a deleterious influence on post-stroke outcomes, but available data in the literature are mixed. Aim The aim of this cohort study was to evaluate the impact of social deprivation on 1-year survival in patients with first-ever stroke. Methods Social deprivation was assessed at individual level with the EPICES score, a validated multidimensional questionnaire, in 1312 patients with ischemic stroke and 228 patients with spontaneous intracerebral hemorrhage, who were prospectively enrolled in six French study centers. Baseline characteristics including stroke severity and pre-stroke functional status were collected. Multivariable Cox models were generated to evaluate the associations between social deprivation and survival at 12 months in ischemic stroke and intracerebral hemorrhage separately. Results A total of 819 patients (53.2%) were socially deprived (EPICES score >= 30.17). In ischemic stroke, mortality at 12 months was higher in deprived than in non-deprived patients (16% vs. 11%