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Abstract Details

Disease-related Stigma After Hemorrhagic Stroke is Related to Functional Outcome and Female Sex
Cerebrovascular Disease and Interventional Neurology
P1 - Poster Session 1 (8:00 AM-9:00 AM)
5-015

The objective of this study was to determine factors associated with disease-related stigma after hemorrhagic stroke.

Stroke survivors may experience disease-related stigma. This can impede physical and social recovery. Improved understanding of disease-related stigma after hemorrhagic stroke may allow for interventions to reduce stigma and promote positive self-perception to ultimately improve care.
Patients with non-traumatic intracerebral or subarachnoid hemorrhage (ICH or SAH) admitted between January 2015 and February 2021 were assessed by telephone 3-months after discharge using the Quality of Life in Neurological Disorders (Neuro-QoL) inventory and modified Rankin Scale (mRS). We evaluated the relationship between disease-related stigma (Neuro-QoL Negative Disease-Related Stigma Short Form T-score > 50) and pre-stroke demographics, admission data, and poor functional outcome (3-month mRS score 3-5).

We included 89 patients in this study (56 ICH and 33 SAH). The median age was 63 (IQR 50-69), 43% were women, and 58% graduated from college. Admission median GCS score was 15 (IQR 13-15) and APACHE II score was 12 (IQR 9-17). 64% of patients had poor functional outcome and 31% had disease-related stigma. On univariate analysis, disease-related stigma was associated with female sex, college graduation, GCS score on admission, APACHE II score on admission, and 3-month mRS score (all p<0.05). On multivariate analysis, disease-related stigma was associated with female sex (OR = 3.75, 95% CI = 1.21-11.58, p = 0.02) and 3-month mRS score 3-5 (OR = 4.23, 95% CI = 1.21-14.75, p = 0.02).

Poor functional outcome and female sex are associated with disease-related stigma 3-months after hemorrhagic stroke. Because disease-related stigma may negatively affect recovery, there is a need to improve understanding of the relationship between these factors and identify ways to prevent and address stigma.
Authors/Disclosures
Ariane Lewis, MD, FÂ鶹´«Ã½Ó³»­ (NYU Langone Medical Center)
PRESENTER 		Dr. Lewis has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Seminars in Neurology. Dr. Lewis has received personal compensation in the range of $10,000-$49,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Journal of Clinical Neuroscience.
Alyssa Pullano, MD Ms. Pullano has nothing to disclose.
Kara R. Melmed, MD (NYU Langone Neurology Associates) Dr. Melmed has nothing to disclose.
Aaron Lord, MD (NYU Langone-Brooklyn) Dr. Lord has nothing to disclose.
Anlys Olivera, MD, PhD (NYU Langone Medical Center) Dr. Olivera has nothing to disclose.
Jennifer A. Frontera, MD (NYU Langone Health) Dr. Frontera has received personal compensation in the range of $500-$4,999 for serving as a Consultant for FirstKindMedical. Dr. Frontera has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Physician Â鶹´«Ã½Ó³»­ Resource. The institution of Dr. Frontera has received research support from NIH. The institution of Dr. Frontera has received research support from Alexion. Dr. Frontera has received publishing royalties from a publication relating to health care.
Koto Ishida, MD, FÂ鶹´«Ã½Ó³»­ (NYU) Dr. Ishida has received publishing royalties from a publication relating to health care.
Jose L. Torres, MD (NYU) Dr. Torres has nothing to disclose.
Benjamin Brush, MD (NYU Langone Neurology) Dr. Brush has nothing to disclose.
Cen Zhang, MD Dr. Zhang has nothing to disclose.
Leah P. Dickstein, MD (Johns Hopkins Hospital) Dr. Dickstein has nothing to disclose.
David E. Kahn, MD (NYU School of Medicine) An immediate family member of Dr. Kahn has received personal compensation for serving as an employee of Essai.
Ting Zhou, MD (New York University Langone Health - Brooklyn) Dr. Zhou has nothing to disclose.