Publications by authors named "J Joux"
Background: Although carotid web (CaW) is increasingly diagnosed as a cause of cryptogenic stroke, data are still limited to monocentric small sample cohort. To broaden knowledge on symptomatic CaW, CAROWEB registry has been recently implemented.
Aims: In a large cohort of symptomatic CaW patients, we described epidemiologic characteristics, admission clinical and imaging features, and the current management including the secondary preventive strategy choice made in comprehensive French Stroke Units.
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 And Purpose: Carotid web (CaW) is an intimal variant of fibromuscular dysplasia responsible for ipsilateral cerebral ischemic events (CIE). Symptomatic CaW likely has a high risk of recurrent CIE, but no salient prospective data are available. We aimed to assess recurrence rate and its predictors after a first-ever CIE.
View Article and Find Full Text PDFArticle 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.