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New research · Pulmonology & Critical Care
Frontiers in stroke · 16h
Cohort studyFrontiers in stroke · 2026

Association between educational attainment and discharge disposition following incident stroke hospitalization: the Atherosclerosis Risk in Communities study.

Ning Li, Erin L Abner, Silvia Koton … Anna M Kucharska-Newton
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Pulmonology & Critical CareCohort study

Educational attainment not associated with going home after first stroke

Association between educational attainment and discharge disposition following incident stroke hospitalization: the Atherosclerosis Risk in Communities study.

Ning Li et al. · Frontiers in stroke · 2026
Background

The relationship between educational attainment and discharge disposition after stroke hospitalization remains unclear.

Purpose

This study examined whether educational attainment is associated with discharge disposition after incident stroke and whether stroke severity modifies this association.

Methods

The study included Atherosclerosis Risk in Communities (ARIC) participants with an incident stroke hospitalization from 1991 to 2020 who were enrolled in fee-for-service (FFS) Medicare at discharge.

Results

less-educated stroke survivors were about as likely to be sent home

AOR 0.95 (95% CI 0.70 to 1.28)
null 1
0.70
1.28
CI crosses the null - not significant
More results

Among 976 stroke survivors (mean age 75.5 years; 56.6% women; 31.8% Black), the mean hospital stay was 9.3 days, and 30.1% had an intensive care unit (ICU) stay.

Overall, 58.9% were discharged home.

The median Elixhauser Comorbidity Index was 3, and 55.5% had a SASI score of zero.

More results

Stroke severity did not significantly modify the association.

“
Conclusion

Educational attainment was not significantly associated with discharge disposition after incident stroke hospitalization in this cohort, although sample size limits the ability to rule out associations.

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