on November 13, 2003
Published online before print November 13, 2003, doi: 10.1161/01.STR.0000101751.20118.C1
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Submitted on June 30, 2003
From the Institute of Community Medicine (T.E., E.A.) and Department of Geriatric Medicine (M.V.), University of Tromsø, Tromsø, Norway; and Department of Geriatric Medicine, University of Turku, Turku, Finland (M.V.). * To whom correspondence should be addressed. E-mail: Torgeir.Engstad{at}ism.uit.no.
Background and Purpose--We evaluated the risk factors for death among long-term stroke survivors compared with stroke-free subjects. Methods--In 1997 we investigated 221 stroke survivors (mean, 9.4 years after index stroke) and 243 stroke-free subjects; both groups were recruited from a population-based health study. During the subsequent 5 years, all deaths (51 and 21 in the stroke and stroke-free groups, respectively) were registered. Results--The age- and sex-adjusted total mortality rate for the 5-year follow-up was 21.0% in the stroke group and 7.9% in the stroke-free group (P<0.0001), depending on different rates of cardiovascular deaths (P<0.0001). Better physical and social functioning (P<0.0001) and moderate use of alcohol (P Conclusions--The long-term stroke survivors had significant excess risk of death compared with stroke-free subjects. Better physical and social functioning and moderate use of alcohol were associated with decreased risk, whereas a myocardial infarction risk score increased risk for death only in the stroke-free group.
Accepted on August 8, 2003
Predictors of Death Among Long-Term Stroke Survivors
Torgeir Engstad MD*;
0.004), the latter compared with no use, decreased risk of death, irrespective of stroke status. A myocardial infarction risk score had no impact on death in the stroke group, in contrast to the increased risk seen among the stroke-free group (P=0.0001).
Key words: mortality • risk factors • stroke
This article has been cited by other articles:
 |
|
 |
|
  N. U. Weir, A. Gunkel, M. McDowall, and M. S. Dennis Study of the Relationship Between Social Deprivation and Outcome After Stroke Stroke, April 1, 2005; 36(4): 815 - 819. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. S. Anderson, K. N. Carter, W. J. Brownlee, M. L. Hackett, J. B. Broad, and R. Bonita Very Long-Term Outcome After Stroke in Auckland, New Zealand Stroke, August 1, 2004; 35(8): 1920 - 1924. [Abstract] [Full Text] [PDF]
|
|