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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