Predicting survival after stroke: a three-year follow-up.

Bonita, Ruth; Ford, Michael A.; Stewart, Alistair

doi:10.1161/01.str.19.6.669

Cited by 69 publications

(55 citation statements)

References 22 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…40,43 One of the key findings of our study was that, out of the factors such as male sex, past history of TIA, abnormal respiratory pattern, abnormal pupillary size and reaction, abnormal serum urea level, hemorrhagic stroke, aspiration pneumonitis, and worsening GCS that were found to be significantly related to mortality only aspiration pneumonitis and worsening GCS independently predicted stroke mortality for diabetic patients with stroke. This finding, which was consistent with reports from studies conducted on stroke from all causes, 42,45 has significant implication for treatment as, in resource poor setting, identification of predictors of death is of paramount importance for clinicians, so that specific therapies and management strategies can be applied to patients at high risk of dying.…”

supporting

confidence: 88%

Stroke in patients with diabetes mellitus: a study from North Western Nigeria

Owolabi¹,

Nagode²,

Aliyu³

et al. 2016

Afr H. Sci.

View full text Add to dashboard Cite

Background: Stroke is one of the major causes of morbidity and mortality worldwide and apart from being exceedingly harmful in diabetics, stroke is a disabling disorder. The study was undertaken to describe the clinical characteristics, outcome pattern and predictors of mortality in a cohort of diabetic patients presenting with stroke in two tertiary health facilities in North Western Nigeria. Method: Out of all stroke patients seen from June 2007 to February 2011, persons with diabetes mellitus presenting with stroke in the emergency unit of the two tertiary hospitals in Kano were consecutively recruited for the study. Classification of stroke into hemorrhagic and infarctive subtypes was based on brain computerized tomography (CT), brain magnetic resonance imaging (MRI) and World Health Organization (WHO) criteria. Follow-up period was for thirty days. Result: Out of the five hundred and thirty six stroke patients seen during the study period, 85 (15.9%) patients, comprising 48 (56.5%) males, had diabetes. Thirty eight (44.7%) of the identified diabetics were previously undiagnosed. Sixty four (75.3%) had infarctive stroke. One-month case fatality rate was 30.6%. Factors associated with death included male sex, past history of TIA, abnormal respiratory pattern, hemorrhagic stroke, aspiration pneumonitis, and worsening GCS. Aspiration pneumonitis and worsening GCS were independent predictors of one month mortality of stroke in the patients. Conclusion: In DM patients studied, infarctive stroke was more common, case fatality was 30.6%. Male gender, past history of TIA, abnormal respiratory pattern, hemorrhagic stroke, aspiration pneumonitis, and worsening Glasgow Coma Score (GCS) were associated with mortality. Aspiration pneumonitis and worsening GCS were independent predictors of one month mortality of stroke in diabetic patients.

show abstract

supporting

confidence: 88%

Stroke in patients with diabetes mellitus: a study from North Western Nigeria

Owolabi¹,

Nagode²,

Aliyu³

et al. 2016

Afr H. Sci.

View full text Add to dashboard Cite

show abstract

“…, and other available in studies, 21 we were able to ill of our cases into one of subtypes of stroke. Some previous studies used a clinical scoring system that appears more accurate than an unstructured clinical ADL indicates activities of daily living.…”

mentioning

confidence: 71%

“…The trend of increasing case-fatality rate with increasing age was only present in those who were independent before stroke. In another study Bonita et al 21 used residence as a surrogate measure of disability and found that those patients who lived in institutions at the time of a stroke had a very poor prognosis independent of a number of other variables.…”

mentioning

confidence: 99%

Predicting survival for 1 year among different subtypes of stroke. Results from the Perth Community Stroke Study.

Anderson

Jamrozik

Broadhurst

et al. 1994

Stroke

215

170

View full text Add to dashboard Cite

, MBChB, FCP(SA), FRACPBackground and Purpose Few studies have evaluated the factors influencing or predicting long-term survival after stroke in an unselected series of patients in whom the underlying cerebrovascular pathology is clearly defined. Moreover, the relative importance of risk factors for stroke, including sociodemographic and premorbid variables, has not been described in detail.Methods The study cohort consisted of 492 patients with stroke who were registered with a population-based study of acute cerebrovascular disease undertaken in Perth, Western Australia, during an 18-month period in 1989 and 1990. Objective evidence of the pathological basis of the stroke was obtained in 86% of cases, and all deaths among patients during a follow-up of 1 year were reviewed.Results One hundred twenty patients (24%) died within 28 days of the onset of stroke. Among the different subtypes of stroke, the 1-year case fatality (mean, 38%) varied from 6% and 16% for boundary zone infarction and lacunar infarction, respectively, to 42% and 46% for subarachnoid hemorrhage and primary intracerebral hemorrhage, respectively. Using Cox proportional-hazards analysis, a predictive model was

show abstract

“…Woo et al 12 administered a mental status screen 3 months after stroke onset to 216 subjects and found that factors predicting mortality after 20 months included older age, history of ischemic heart disease, a low mental status test score, low serum cholesterol, low Glasgow Coma Scale score on admission, and left ventricular hypertrophy. In another study, 10 institutional care before stroke onset, whether an indicator of physical or cognitive disability or both, was an independent predictor of late mortality.…”

Section: Discussionmentioning

confidence: 92%

Dementia after stroke is a predictor of long-term survival.

Tatemichi

Paik

Bagiella

et al. 1994

Stroke

176

129

View full text Add to dashboard Cite

Background and Purpose The aim of this study was to determine whether dementia after stroke adversely influences long-term survival.Methods Subjects were 251 patients >60 years of age with ischemic stroke who were given neurological, neuropsychological, and functional examinations 3 months after hospitalization and were followed up prospectively. Using criteria modified from the Diagnostic and Statistical Manual of Mental Disorders-III-R, dementia was found in 66 (26.3%) patients at the 3-month baseline examination. Life-table methods were used to estimate mortality rates in the groups with and without dementia after 1 to 5 years of follow-up, Kaplan-Meier curves to estimate the cumulative proportion surviving with and without dementia, and Cox proportional-hazards analysis to compute the relative risk of mortality associated with dementia at baseline, after adjusting for other potential predictors of stroke mortality.Results The mortality rate was 19.8 deaths per 100 personyears with dementia compared with 6.9 deaths per 100 personyears without dementia. The cumulative proportion surviving

show abstract

Predicting survival after stroke: a three-year follow-up.

Cited by 69 publications

References 22 publications

Stroke in patients with diabetes mellitus: a study from North Western Nigeria

Stroke in patients with diabetes mellitus: a study from North Western Nigeria

Predicting survival for 1 year among different subtypes of stroke. Results from the Perth Community Stroke Study.

Dementia after stroke is a predictor of long-term survival.

Contact Info

Product

Resources

About