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Table 5 Association of caregiver and patient characteristics with outpatient medical follow-up (specialist outpatient 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 SOC visits (4 - 12 months)
IRR (95% CI) P-value aIRRa (95% CI) P-value
Caregiver factors
Age (in years)   0.997 (0.993, 1.001) 0.176   
Gender Male 0.986 (0.863, 1.127) 0.834   
Ethnicity Non-Chinese 1.355 (1.202, 1.527) 0.000   
Marital status Single 1.007 (0.876, 1.157) 0.927   
Caregiver relationship Spouse   <0.001   
Adult-child   1.257 (1.110, 1.423)   
Sibling   1.282 (0.974, 1.688)   
Others   0.823 (0.632, 1.071)   
Comorbid conditions None   0.966   
  1   0.983 (0.853, 1.133)   
  2   1.006 (0.824, 1.227)   
  ≥3   0.950 (0.768, 1.175)   
Co-residing with patient No 1.254 (1.030, 1.527) 0.024 1.576 (1.040, 2.389) 0.032
Caring for multiple care recipients No 0.996 (0.887, 1.118) 0.944   
Revised memory and behavior checklist
Memory problems   1.011 (1.002, 1.021) 0.016   
Depressive behavior problems   1.013 (1.002, 1.025) 0.018   
Disruptive behavior problems   1.017 (1.002, 1.032) 0.024   
Caregiver burden
Oberst caregiving burden scale   1.017 (1.013, 1.022) <0.001   
Zarit burden interview   1.016 (1.010, 1.023) <0.001   
Family conflict
Attitude towards patient   0.983 (0.971, 0.995) 0.007   
Attitude towards caregiver   0.984 (0.971, 0.996) 0.012   
Social support (instrumental)
FDW for general help No 0.755 (0.660, 0.864) <0.001   
FDW for stroke patient No 1.414 (1.216, 1.644) <0.001   
Social support (perceived)   0.984 (0.973, 0.995) 0.005   
Care management strategies
Positive strategies   1.006 (1.001, 1.011) 0.027   
Negative strategies   1.035 (1.024, 1.046) <0.001 1.033 (1.005, 1.061) 0.021
Patient factors
Age (in years)   0.995 (0.990, 1.001) 0.101   
Gender Male 1.083 (0.963, 1.219) 0.183   
Ethnicity Non-Chinese 1.357 (1.204, 1.530) <0.001   
Marital status Single 0.862 (0.751, 0.990) 0.035   
Ward class Unsubsidized 0.975 (0.794, 1.198) 0.808   
CCI 1 - 3   <0.001   
4 - 6   1.175 (1.004, 1.375)   
>= 7   1.601 (1.330, 1.927)   
Stroke type Non-ischemic 0.904 (0.760, 1.075) 0.253   
Recurrent stroke No 1.175 (1.015, 1.361) 0.030   
National Institute of Health Scale Mild (0-4)   <0.001   
Moderately severe (5-14)   1.237 (1.098, 1.392)   
Severe (15-24)   1.359 (1.075, 1.718)   
Modified rankin scale No or slight disability (0-2)     
Moderate or severe disability (3-5)   1.520 (1.344, 1.719) <0.001 1.564 (1.197, 2.043) 0.001
Mini-mental state examination No cognitive impairment (24-30)   0.007   
Mild cognitive impairment (18-23)   1.078 (0.939, 1.237)   
Severe cognitive impairment (1-17)   1.266 (1.092, 1.466)   
Discharge to community hospital No 1.475 (1.307, 1.665) <0.001 1.362 (1.015, 1.826) 0.039
Centre for epidemiological studies depression scale   0.996 (0.985, 1.007) 0.445   
  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