Factors Associated With In-Hospital Mortality in Very Elderly Patients With Ischemic Stroke: A Cohort Study

Oliveira, Americo Danúzio Pereira; Andrade-Valença, Luciana P. A.; Valênça, Marcelo Moraes

doi:10.1016/j.jstrokecerebrovasdis.2019.06.039

Cited by 9 publications

(8 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this study, stroke patients over the age of 65 had 6.3 times the risk of dying (AHR=6.3, 95% CI: 1.74–22.74) as those under the age of 45. This is similar to two studies conducted in Iran, 18 , 45 in United States, 52 , 53 UK, 40 Kenya, 43 older age was the predictors of mortality. The survival difference between young and older stroke patients arises from different attributes of survival such as difference in treatment modalities, the unfavorable effects of medication and intoxication, comorbidity in older patients, and low progression of disease in older patients.…”

Section: Discussionsupporting

confidence: 89%

“…33 In this study, stroke patients over the age of 65 had 6.3 times the risk of dying (AHR=6.3, 95% CI: 1.74-22.74) as those under the age of 45. This is similar to two studies conducted in Iran, 18,45 in United States, 52,53 UK, 40 Kenya, 43 older age was the predictors of mortality. The survival difference between young and older stroke Whereas study in Ethiopia 50,54 shows age has no association with mortality.…”

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

The Survival Status and Predictors of Mortality Among Stroke Patients at North West Ethiopia

Walelgn¹,

Abyu²,

Seyoum³

et al. 2021

RMHP

View full text Add to dashboard Cite

Introduction: Stroke is one of the commonest non-communicable disease types that has a great public health impact both in developed and developing countries. However, in Ethiopia, the long-term survival status of stroke patients is not very understood. This study aimed at assessing survival status and predictors of mortality among stroke patients at Felege Hiwot comprehensive specialized hospital from September 1, 2014, to August 31, 2019, Bahirdar, North West Ethiopia. Methods: An institutional-based retrospective cohort study was conducted using 368 registered stroke patients between September 1, 2014, and August 31, 2019. We used Kaplan-Meier together with a Log-rank test to compare the survival rate of the study participants using categorical variables and to compare covariate and both bi-variable and multivariable Cox proportional hazards regression analysis model was conducted to identify predictors of mortality among stroke patients. The association between outcome and independent variables was expressed using an adjusted hazard ratio (AHR) with a 95% confidence interval and statistical significances were declared at P-value of <0.05. Results: Fifty-six (15.2%) of the 368 stroke patients included in the study died, and 312 (84.8%) were correctly censored. The overall survival rate was 72.2% at 51 months of follow-up with a median survival time of 0.26 months. Age greater than 65 (AHR 6.31, 95% CI 1.75-22.74), body temperature >7.1 degree centigrade (AHR = 7.14, 95% CI: 2.76-18.5), potassium level below <2 mmol/l (AHR = 2, 95% CI: 1.9-23.53) and creatinine level >1.2 mg/dl (AHR = 7.85, 95% CI: 2.7-22.6) were predictive predictors of mortality. Conclusions: In the follow-up of 51 months, significant mortality occurred. Important predictive predictors of survival status were identified. Interventions should be focused on health education and awareness creation of the community for the early management of stroke.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 89%

The Survival Status and Predictors of Mortality Among Stroke Patients at North West Ethiopia

Walelgn¹,

Abyu²,

Seyoum³

et al. 2021

RMHP

View full text Add to dashboard Cite

show abstract

“…In the Faisal et al study in Qatar, by reducing the DTN time between 2008 and 2015, the complication rate decreased from 15.7% to 8.8% (39). In line with the results of our study, in the study of Oliveira et al in Brazil, there was a signi cant correlation between older age and the mortality rate in patients with stroke (40).…”

Section: Discussionsupporting

confidence: 89%

Factors affecting pre-hospital and in-hospital delays at time-to-treatment and complications in stroke: A prospective cohort study

Ghadimi¹,

Hanifi²,

Dinmohammadi³

2020

Preprint

View full text Add to dashboard Cite

Background: Time-to-treatment affects the outcomes of acute ischemic stroke (AIS). The aim of this study was to determine the factors affecting pre-hospital and in-hospital delays in the time-to-treatment and complication in AIS. Methods: This prospective study was performed on 204 AIS patients referred to the stroke care unit in Iran (Zanjan) in 2019. Data were completed by interviewing the patients, their families, records, and observations. The mortality and complication rates were recorded for 30 post-stroke days through call follow-up. Results: The results showed that the highest delay was related to the onset-to-arrival time (288.19 ±339.02 minutes). Results of logistic regression showed that treatment delay declined significantly by consulting followed by symptoms onset, patient transfer through emergency medical service to the hospital, and patients’ understanding of AIS symptoms. The results also showed that increasing the onset-to-treatment time (P< .001) and high National Institutes of Health Stroke Scale (NIHSS) score (P< .000) were the most important factors associated with post-stroke complications. High age (P< .044) and high NIHSS scores (P< .001) were significantly associated with mortality in patients with AIS. Conclusion: Informing people about AIS symptoms and referring to AIS treatment units are essential in reducing the treatment time.

show abstract

“…Diante desse contexto, idosos com dor lombar já são vulneráveis a apresentar a depressão e possivelmente a presença da dor ciática pode tornar o quadro mais grave em pacientes idosos. É observado que sintomas depressivos em pacientes com dor lombar crônica estão associados a incapacidade, intensidade da dor ao longo do tempo e ao pior enfrentamento da dor (OLIVEIRA et al, 2019), logo devemos pensar que essa mesma população fragilizada pela depressão e a dor lombar, caminhará para piores desfechos em saúde ao ter a dor ciática presente em seu quadro clínico. Therapeutic options in cases of congenital scoliosis caused by hemivertebra include conservative approaches, such as regular follow-up with imaging and use of orthoses, or surgical for correction and fusion or stabilization of severe or progressive deformity.…”

Section: Discussionunclassified

Sistematização Da Assistência De Enfermagem Aplicado a Um Paciente Com Glomerulonefrite Aguda Em Um Setor Hospitalar: Relato De Experiência

Pantoja¹,

Mercês²,

Santos³

et al. 2019

Avanços Na Neurologia E Na Sua Prática Clínica 2

View full text Add to dashboard Cite

Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição 4.0 Internacional (CC BY 4.0).O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.

show abstract

Factors Associated With In-Hospital Mortality in Very Elderly Patients With Ischemic Stroke: A Cohort Study

Cited by 9 publications

References 27 publications

The Survival Status and Predictors of Mortality Among Stroke Patients at North West Ethiopia

The Survival Status and Predictors of Mortality Among Stroke Patients at North West Ethiopia

Factors affecting pre-hospital and in-hospital delays at time-to-treatment and complications in stroke: A prospective cohort study

Sistematização Da Assistência De Enfermagem Aplicado a Um Paciente Com Glomerulonefrite Aguda Em Um Setor Hospitalar: Relato De Experiência

Contact Info

Product

Resources

About