Survival After Ischemic and Hemorrhagic Stroke: A 4-Year Follow-Up at a Mexican Hospital

Cruz-Cruz, Copytzy; Moreno-Macías, Hortensia; Parra-Cabrera, María del Socorro; Hernández–Girón, Carlos; Calleja-Castillo, Juan Manuel

doi:10.1016/j.jstrokecerebrovasdis.2019.04.002

Cited by 10 publications

(11 citation statements)

References 23 publications

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“…Eleven patients (6.1%) experienced recurrent stroke. In a study of long-term prognosis and mortality of all stroke patients at a Mexican hospital, 14.5% subjects died during the 4-year follow-up and the recurrence rate was 20.2% (14). The mortality and recurrence rates were higher than that in our series of medullary patients.…”

Section: Discussioncontrasting

confidence: 64%

“…In a study of recurrent ischemic stroke in a hospital-based population in Western Norway, age was independently associated with stroke recurrence and the recurrence significantly increased the all-cause mortality (24). In a study of all types of stroke involving the use of adjusted models, the prognostic factors for early and late survival after stroke were age and in-hospital medical complications (14). High comorbidity and recurrence increased the risk of late death but not the risk of early death (14).…”

Section: Discussionmentioning

confidence: 99%

“…In a study of all types of stroke involving the use of adjusted models, the prognostic factors for early and late survival after stroke were age and in-hospital medical complications (14). High comorbidity and recurrence increased the risk of late death but not the risk of early death (14).…”

Section: Discussionmentioning

confidence: 99%

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Risk Factors for Long-Term Death After Medullary Infarction: A Multicenter Follow-Up Study

et al. 2021

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Background and Purpose: We investigated the risk factors for death in patients with medullary infarction (MI) during a long-term follow-up.Methods: We retrospectively examined 179 consecutive patients (130 men and 49 women) who had clinical and MRI findings consistent with MI between February 2012 and January 2017 at three university hospitals. Long-term outcomes were assessed by telephonic interview. The clinical and radiological features and risk factors for poor outcomes (modified Rankin scale score ≥ 3, all-cause death) were analyzed.Results: Mean age of patients was 58.3 ± 12.8 years (range, 25–87); mean follow-up period after stroke onset was 42.7 ± 13.2 months (range, 24–78). Basilar artery (BA) stenosis >50% was more closely related to medial medullary infarction (MMI) than other types. There was greater frequency of ipsilateral vertebral artery hypoplasia (VAH) or V4AH and V4 occlusion in lateral MI than in other types. On rostro-caudal classification, middle (M)+dorsal (D) was most frequent, followed by the ventral (V)+M+D types. 21.2% patients showed poor long-term prognosis. Age ≥ 65 years, recurrent stroke, dysphagia, >50% BA stenosis, and ventral MI were risk factors for poor long-term prognosis. All-cause mortality rate was 10.6%; age ≥ 65 years, recurrent stroke, and dysphagia were risk factors for death in the long-term. Ventral MI and MMI+cerebellar infarction, as well as stroke mechanism of artery-to-artery embolism, were potential risk factors for death in the long-term. Pneumonia and recurrent stroke were major causes of death.Conclusions: Long-term poor outcomes of MI and all-cause mortality were not infrequent. Older age, recurrent stroke, and dysphagia were common risk factors for poor prognosis and death.

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Section: Discussioncontrasting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

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Risk Factors for Long-Term Death After Medullary Infarction: A Multicenter Follow-Up Study

et al. 2021

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“…11,23,36 As shown in previous studies, sex does not contribute significantly to survival. 2,38 An older age (>65 years) was associated with decreased survival, with this result similar to Cruz-Cruz et al 38 who demonstrated a greater risk of dying for cases >65 years when compared with those <65 years post haemorrhagic stroke. Nieuwkamp et al 2 also presented similar results for aSAH cases.…”

Section: Discussionsupporting

confidence: 67%

Associations between socioeconomic status and place of residence with survival after aneurysmal subarachnoid haemorrhage

Nichols

Gall

Stankovich

et al. 2021

Internal Medicine Journal

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Background/Aim: This study aims to understand early (<24 h post ictus) and late (up to 12 months) survival post aneurysmal subarachnoid haemorrhage (aSAH), with a focus on rurality and socioeconomic status. Methods: A statewide population-based cohort of aSAH cases in Tasmania, Australia, was established from 2010 to 2014 using multiple overlapping sources. Clinical data were collected from medical records and the Tasmanian Death Registry, with area-level rurality and socioeconomic status geocoded to participants' residential address.Results: From a cohort of 237 (70% women, 36% disadvantaged, 38% rural) individuals over a 5-year period, 12-month mortality was 52.3% with 54.0% of these deaths occurring within 24 h post ictus. In univariable analysis of 12-month survival, outcome was not influenced by socioeconomic status, but rural geographical location was associated with a non-significant increase in death (hazard ratio (HR) 1.22; 95% confidence interval (CI) 0.85-1.75) along with hypertension (HR 1.78; 95% CI 1.07-2.98) and hypercholesterolaemia (HR 1.70; 95% CI 0.99-2.91). Multivariable analysis demonstrated a statistically significant increase in death to 12 months after aSAH for both hypertension (HR 1.81; 95% CI 1.08-3.03) and hypercholesterolaemia (HR 1.71; 95% CI 1.00-2.94) but not socioeconomic status or geographic location. Conclusion:We found high early death in this population-based aSAH Australian population. Survival to 12 months after aSAH was not related to either geographical location or socioeconomic status but modifiable risk factors increased the risk of death.

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“…Long term mortality after stroke and related prognostic factors have been studied in various countries. The cumulative mortality rate is 13.6% to 34.2% in one year and 29.1% to 41.7% in five years [12]. Several major prognostic factors known to be associated with long-term mortality after stroke are stroke age, gender, type of comorbidities, and characteristics of medical care in hospitals.…”

Section: Discussionmentioning

confidence: 99%

Application Study of Continuous Nursing Intervention among Ischemic Stroke Patients

Sheng¹,

Liu²,

Jia³

et al. 2020

IJCEMR

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Objective: To analyze the effect of continuous nursing on the prognosis of patients with Ischemic stroke. Methods: A total of 100 patients with Ischemic stroke diagnosed and discharged in Shaanxi Provincial Hospital of Traditional Chinese Medicine from December 2018 to May 2019 were divided into control group and observation group, 50 cases each. The control group received routine nursing, and the observation group received continuous nursing. Treatment compliance, quality of life scores, self-Rating depression scale (SDS), self-rating depression scale (SAS) and National Institutes of Health Stroke Scale (NIHSS) scores, as well as half-year and one-year mortality rates were analyzed and compared between the two groups. Results: Compared with the control group, the treatment compliance, quality of life scores, SDS, SAS and NIHSS scores of the observation group showed statistically significant differences (P < 0.05). Compared with the control group, the mortality rate of the observation group was always lower than that of the control group, but the difference was not statistically significant. Conclusion: The application of continuous nursing in patients with Ischemic stroke can significantly improve the patient's treatment compliance and improve the quality of life of patients. At the same time, the SDS, SAS and NIHSS scores are also greatly improved, which has a positive effect on the patient's prognosis.

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Survival After Ischemic and Hemorrhagic Stroke: A 4-Year Follow-Up at a Mexican Hospital

Cited by 10 publications

References 23 publications

Risk Factors for Long-Term Death After Medullary Infarction: A Multicenter Follow-Up Study

Risk Factors for Long-Term Death After Medullary Infarction: A Multicenter Follow-Up Study

Associations between socioeconomic status and place of residence with survival after aneurysmal subarachnoid haemorrhage

Application Study of Continuous Nursing Intervention among Ischemic Stroke Patients

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