Stroke, Vol 19, 942-949, Copyright © 1988 by American Heart Association
EV Scmidt, VE Smirnov and VS Ryabova
Using the registry method, 1,538 stroke patients were detected in one
district of Moscow between January 1, 1972, and December 31, 1974. Of the
965 patients who survived the acute stage of stroke (the first 3 weeks
after onset), 941 (505 women and 436 men) were followed for the next 7
years. We analyzed incidence and types of recurrent strokes. During this
7-year follow-up, we recorded 32.1% of the patients as having recurrent
strokes, most of which developed in the first 3 years and especially during
the first year after the index stroke. The majority of recurrent strokes
were of the same type as the index stroke and were localized in the same
area of the brain. The cumulative mortality rates for the initial 1,538
patients were 37.3% dead by 3 weeks, 63.6% dead by 3 years, 72.1% dead by 5
years, and 76.5% dead by 7 years. In the first 3 months (excluding the
first 3 weeks), most patients who died died of pulmonary thromboembolism.
The mortality rate from recurrent strokes and pneumonia was higher than
that from cardiovascular mortality. Transient ischemic attacks occurred in
49.5% of all patients and myocardial infarction in 16.4%. Functional
prognosis was determined mainly by age, motor function, and concomitant
diseases. After 1 year, 68.2% of the surviving patients were fully
independent, while 81% of those surviving 7 years had reached this level. A
significant number of patients were capable of returning to their previous
work.
ARTICLES
Results of the seven-year prospective study of stroke patients
Institute of Neurology, USSR Academy of Medical Science, Moscow, Soviet Union.
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