Short- and long-term prognosis for very old stroke patients. The Copenhagen Stroke Study

Kammersgaard, Lars Peter; Jørgensen, Henrik; Reith, Jakob; Nakayama, Hirofumi; Pedersen, Palle; Olsen, Tom Skyhøj

doi:10.1093/ageing/afh052

Cited by 209 publications

(168 citation statements)

References 7 publications

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“…Servings defined as follows: whole grains, 1-oz equivalents; fruits and vegetables, 1/2-cup equivalents; legumes, 1/2 cup; fish/ shellfish, 3.5 oz or 100 g; nuts and seeds, 1 oz; unprocessed red or processed meat, 3.5 ; processed meats (bacon, hot dogs, sausage, processed deli meats), 2 or fewer 100-g (3.5-oz) servings/wk (1/4 of discretionary calories) 141 ; sugar-sweetened beverages (defined as ≥50 cal/8 oz, excluding 100% fruit juices), ≤36 oz/wk (≈1/4 of discretionary calories) 141,147 ; sweets and bakery desserts, 2.5 or fewer 50-g servings/wk (≈1/4 of discretionary calories) 141,147 ; EPA/DHA, ≥0. 250 Values for average consumption are mean±SD. Data are from the National Health and Nutrition Examination Survey 2011 to 2012, derived from two 24-hour dietary recalls per person, with population standard deviations adjusted for within-person vs between-person variation (analyses courtesy of Dr Colin Rehm, Tufts University).…”

Section: E98mentioning

confidence: 99%

Prevalence of Excess Sodium Intake in the United States — NHANES, 2009–2012

Jackson¹,

King²,

Zhao³

et al. 2016

MMWR Morb. Mortal. Wkly. Rep.

122

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Section: E98mentioning

confidence: 99%

Prevalence of Excess Sodium Intake in the United States — NHANES, 2009–2012

Jackson¹,

King²,

Zhao³

et al. 2016

MMWR Morb. Mortal. Wkly. Rep.

122

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“…They are stroke type, anatomical location (Oxford Community Stroke Project classification), age, pre-stroke disability (mRS) and stroke severity (NIHSS). [11][12][13][14][15][16][17][18][19] In addition to combining these elements, it has also been validated in both ischaemic and haemorrhagic strokes, unlike other current prognostic tools, thus making it easier to integrate into clinical practice.…”

Section: Discussionmentioning

confidence: 99%

mSOAR: an effective bedside stroke prognosis tool

Thaller

Mitchell

2017

Clinical Medicine

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The modifi ed-SOAR (mSOAR) score is composed of the stroke subtype, Oxfordshire Community Stroke Project classifi cation, age, pre-stroke modifi ed Rankin score (mRS) and the National Institutes of Health Stroke Scale score. It has previously been shown to be a reliable predictor of mortality and length of hospital stay. This study sought to identify whether the mSOAR can also be used to predict patient disability on discharge. A post-hoc calculation of mSOAR using Sentinel Stroke National Audit Programme (SSNAP) data and electronic discharge summaries was performed on all stroke admissions to Bridgend Hospital over an 11-month period. This study included 230 patients, of which 88% had suffered infarcts and 23% had experienced a previous cerebrovascular episode or transient ischaemic attack; 52% were female. The mortality rate was 13% and 57% had slight disability or less (mRS≤2) on discharge. Each increase in mSOAR score was associated with signifi cantly worse discharge disability (p<0.05). We conclude that the mSOAR score is an excellent tool for predicting both discharge disability and mortality. As such, it's useful for admission prognosis discussions with patients, their relatives and the multidisciplinary team and for early supported discharge decision making.

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“…Advanced age is a leading risk factor for stroke. Its incidence increases from 2% to 7% in patients aged 65 years (Kammersgaard et al., 2004) to 10% in patients aged 80 years. Stroke in octogenarians is the second cause of death and the first cause of permanent disability with a huge impact on healthcare costs and household expenses (Kammersgaard et al., 2004).…”

Section: Introductionmentioning

confidence: 96%

“…Its incidence increases from 2% to 7% in patients aged 65 years (Kammersgaard et al., 2004) to 10% in patients aged 80 years. Stroke in octogenarians is the second cause of death and the first cause of permanent disability with a huge impact on healthcare costs and household expenses (Kammersgaard et al., 2004). It is estimated that about 30% to 40% ischemic strokes in octogenarians are secondary to extracranial internal carotid artery stenosis (Gelabert & Moore, 1991).…”

Section: Introductionmentioning

confidence: 96%

Immediate and late outcomes of stenting for severe extracranial internal carotid artery stenosis in octogenarian patients

Duan

Dai

et al. 2017

Brain and Behavior

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BackgroundMultiple studies suggest that internal carotid artery stenting can be performed safely in octogenarians with low periprocedural complication rates. However, great concern still exists as to whether these patients will gain long‐term benefits from this procedure given their advanced age and uncertain life expectancy. We decided to conduct a retrospective study to determine short‐and long‐term clinical outcomes and to analyze survival duration in this population.Methods and ResultsSixty‐nine consecutive elderly patients with either symptomatic or asymptomatic stenosis ≥70% underwent 86 procedures. Immediate and late outcomes, as well as survival data, were analyzed retrospectively. Mean age was 83.1 ± 2.7 years. Mean survival was 49.3 ± 10.1 months. A complete neurological assessment was obtained at 1 and 2 years in 100% of patients, at 3 years in 90.7% of patients and at 5 years in 84.8% of patients. Two major and one minor ischemic strokes occurred during the periprocedural period. No death, myocardial infarction or intracranial hemorrhage was recorded. The mean follow‐up period was 55.4 ± 24.6 months. Four patients experienced a minimum of 1 year of follow‐up, and the longest is 8 years. Among the patients with the longest follow‐up time, 6 had ischemic strokes, of which 2 were fatal. In total, 17 deaths occurred. Four patients experienced dementia without stroke. Survival at 3 and 5 years was estimated to be 90% and 73%, respectively.ConclusionThis study demonstrated that stenting in octogenarians was safe and effective during the periprocedural period. Long‐term follow‐up showed a low rate of fatal and nonfatal stroke, and patients survived long enough to benefit from the procedure. However, it was associated with a relatively high rate of long‐term event. Though carotid artery stenting is a minimally invasive procedure, it should still be performed with great caution and only in carefully selected patients. The present study suggested that in this age population, carotid artery stenting might be considered as a revascularization option.

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Short- and long-term prognosis for very old stroke patients. The Copenhagen Stroke Study

Cited by 209 publications

References 7 publications

Prevalence of Excess Sodium Intake in the United States — NHANES, 2009–2012

Prevalence of Excess Sodium Intake in the United States — NHANES, 2009–2012

mSOAR: an effective bedside stroke prognosis tool

Immediate and late outcomes of stenting for severe extracranial internal carotid artery stenosis in octogenarian patients

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