Publications by authors named "Emmanuelle Mimeau"
Background: Smoking influence on poststroke prognosis remains controversial. These conflicting results could be due to some residual confounding factors not fully considered in previous studies, including social deprivation. This study aimed to assess the joint impact of deprivation and smoking on functional outcomes after ischemic stroke.
View Article and Find Full Text PDFBackground: In French Guiana poverty is widespread and specialized care is lacking. We aimed to compare strokes between precarious and non-precarious patients within French Guiana and to compare the epidemiology of ischemic strokes and their outcomes between French Guiana and mainland France.
Methods: A multicenter prospective cohort examined the influence of social inequalities on stroke characteristics.
Article Synopsis
- Social deprivation negatively impacts the 1-year survival rates of patients with ischemic stroke, with higher mortality observed in deprived individuals compared to those who are not deprived.
- The study involved 1,540 patients, using the EPICES score to evaluate individual social deprivation and found no significant difference in mortality within the first 90 days but a marked excess in mortality from 90 days to 12 months for deprived patients.
- In patients with intracerebral hemorrhage, social deprivation did not influence 12-month mortality, indicating that specific post-stroke care may be necessary for those with ischemic strokes who are socially deprived.
Social deprivation among socio-economic contrasted french areas: Using item response theory analysis to assess differential item functioning of the EPICES questionnaire in stroke patients.
PLoS One
July 2020
Article Synopsis
- A study evaluated the EPICES questionnaire, which measures social deprivation (precariousness), in different regions of France, including mainland France, French West Indies, and French Guiana.
- Using data from the INDIA study, which examined how social inequalities affect stroke patients, researchers analyzed 1,553 participants with a focus on Differential Item Functioning (DIF) across regions.
- Five specific items showed significant DIF, indicating varying interpretations based on local contexts, but overall, the EPICES score remained a reliable indicator of social deprivation despite these differences.
Background: French Guiana has the highest incidence of ischemic and hemorrhagic stroke of all French territories. However, there is no further information on the epidemiology and management of stroke in French Guiana. Our goal was to describe the characteristics of patients in French Guiana in order to generate hypotheses regarding the determinants explaining the magnitude of this public health problem.
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