on November 13, 2003
Published online before print November 13, 2003, doi: 10.1161/01.STR.0000101751.20118.C1
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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
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