Characterization of incident stroke signs and symptoms: Findings from the Atherosclerosis Risk in Communities Study
Although patterns of stroke occurrence and mortality have been well studied, few epidemiological data are available regarding the clinical characteristics of stroke events. We evaluated hospitalized stroke events reported in the Atherosclerosis Risk in Communities (ARIC) Study to describe the clinic...
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| creator | RATHORE, Saif S HINN, Albert R COOPER, Lawton S TYROLER, Herman A ROSAMOND, Wayne D |
| description | Although patterns of stroke occurrence and mortality have been well studied, few epidemiological data are available regarding the clinical characteristics of stroke events.
We evaluated hospitalized stroke events reported in the Atherosclerosis Risk in Communities (ARIC) Study to describe the clinical characteristics of incident stroke. Confirmed stroke cases (n=474) were evaluated for stroke symptoms (headache, vertigo, gait disturbance, convulsions) and stroke signs (hemianopia, diplopia, speech deficits, paresis, paresthesia/sensory deficits) and their univariate associations with race, sex, and stroke subtype.
Over 9.2 years of follow-up, 402 (85%) ischemic and 72 (15%) hemorrhagic strokes occurred. Frequency of stroke symptoms (95% CIs) were as follows: headache (27.4%; 23.4% to 31.4%), gait disturbance (10.8%; 7.9% to 13.6%), convulsions (4.4%; 2.6% to 6.3%), and vertigo (2.1%; 0.8% to 3.4%). Speech deficits occurred in 24.0% (20.2% to 27.9%), hemianopia in 14.6% (11.4% to 17.7%), and diplopia in 5.5% (3.4% to 7.5%) of cases. Most cases involved paresis (81.6%; 78.1% to 85.1%), while fewer cases experienced sensory deficits (44.5%; 40.0% to 49.0%). Blacks were more likely than whites to experience paresis (85.4% versus 78.2%; P=0.044). Men were more likely than women to experience a gait disturbance (14.4% versus 6.7%; P=0.007). Persons with hemorrhagic strokes had a higher proportion of headaches (55.6% versus 22.4%; P=0.001) and convulsions (11.1% versus 3.2%; P=0.003) than those with ischemic events, while speech and sensory deficits were more common in ischemic strokes (26.1% versus 12.5%, P=0.013, and 49.0% versus 19.4%, P=0.001, respectively).
We present epidemiological data concerning the clinical characteristics of incident stroke in a population-based cohort. Although minor differences by race, sex, and stroke subtype were observed, data from additional follow-up are required to confirm observed variations. |
| doi_str_mv | 10.1161/01.STR.0000035286.87503.31 |
| format | Article |
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We evaluated hospitalized stroke events reported in the Atherosclerosis Risk in Communities (ARIC) Study to describe the clinical characteristics of incident stroke. Confirmed stroke cases (n=474) were evaluated for stroke symptoms (headache, vertigo, gait disturbance, convulsions) and stroke signs (hemianopia, diplopia, speech deficits, paresis, paresthesia/sensory deficits) and their univariate associations with race, sex, and stroke subtype.
Over 9.2 years of follow-up, 402 (85%) ischemic and 72 (15%) hemorrhagic strokes occurred. Frequency of stroke symptoms (95% CIs) were as follows: headache (27.4%; 23.4% to 31.4%), gait disturbance (10.8%; 7.9% to 13.6%), convulsions (4.4%; 2.6% to 6.3%), and vertigo (2.1%; 0.8% to 3.4%). Speech deficits occurred in 24.0% (20.2% to 27.9%), hemianopia in 14.6% (11.4% to 17.7%), and diplopia in 5.5% (3.4% to 7.5%) of cases. Most cases involved paresis (81.6%; 78.1% to 85.1%), while fewer cases experienced sensory deficits (44.5%; 40.0% to 49.0%). Blacks were more likely than whites to experience paresis (85.4% versus 78.2%; P=0.044). Men were more likely than women to experience a gait disturbance (14.4% versus 6.7%; P=0.007). Persons with hemorrhagic strokes had a higher proportion of headaches (55.6% versus 22.4%; P=0.001) and convulsions (11.1% versus 3.2%; P=0.003) than those with ischemic events, while speech and sensory deficits were more common in ischemic strokes (26.1% versus 12.5%, P=0.013, and 49.0% versus 19.4%, P=0.001, respectively).
We present epidemiological data concerning the clinical characteristics of incident stroke in a population-based cohort. Although minor differences by race, sex, and stroke subtype were observed, data from additional follow-up are required to confirm observed variations.</description><identifier>ISSN: 0039-2499</identifier><identifier>ISSN: 1524-4628</identifier><identifier>EISSN: 1524-4628</identifier><identifier>DOI: 10.1161/01.STR.0000035286.87503.31</identifier><identifier>PMID: 12411667</identifier><identifier>CODEN: SJCCA7</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Arteriosclerosis - epidemiology ; Biological and medical sciences ; Black or African American ; Black People ; Brain Ischemia - diagnosis ; Brain Ischemia - epidemiology ; Causality ; Cerebral Hemorrhage - diagnosis ; Cerebral Hemorrhage - epidemiology ; Cohort Studies ; Comorbidity ; Female ; Follow-Up Studies ; Gait Disorders, Neurologic - epidemiology ; Headache - epidemiology ; Humans ; Incidence ; Male ; Medical sciences ; Middle Aged ; Neurology ; Paresis - epidemiology ; Risk ; Seizures - epidemiology ; Sex Factors ; Speech Disorders - epidemiology ; Stroke - classification ; Stroke - diagnosis ; Stroke - epidemiology ; United States - epidemiology ; Vascular diseases and vascular malformations of the nervous system ; Vertigo - epidemiology ; Vision Disorders - epidemiology ; White People</subject><ispartof>Stroke (1970), 2002-11, Vol.33 (11), p.2718-2721</ispartof><rights>2003 INIST-CNRS</rights><rights>Copyright American Heart Association, Inc. Nov 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-4523700e6bac11e06c10dc620c51349d90dbf82b4950049ba461be6e405ad5273</citedby><cites>FETCH-LOGICAL-c409t-4523700e6bac11e06c10dc620c51349d90dbf82b4950049ba461be6e405ad5273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,3674,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14015352$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12411667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>RATHORE, Saif S</creatorcontrib><creatorcontrib>HINN, Albert R</creatorcontrib><creatorcontrib>COOPER, Lawton S</creatorcontrib><creatorcontrib>TYROLER, Herman A</creatorcontrib><creatorcontrib>ROSAMOND, Wayne D</creatorcontrib><title>Characterization of incident stroke signs and symptoms: Findings from the Atherosclerosis Risk in Communities Study</title><title>Stroke (1970)</title><addtitle>Stroke</addtitle><description>Although patterns of stroke occurrence and mortality have been well studied, few epidemiological data are available regarding the clinical characteristics of stroke events.
We evaluated hospitalized stroke events reported in the Atherosclerosis Risk in Communities (ARIC) Study to describe the clinical characteristics of incident stroke. Confirmed stroke cases (n=474) were evaluated for stroke symptoms (headache, vertigo, gait disturbance, convulsions) and stroke signs (hemianopia, diplopia, speech deficits, paresis, paresthesia/sensory deficits) and their univariate associations with race, sex, and stroke subtype.
Over 9.2 years of follow-up, 402 (85%) ischemic and 72 (15%) hemorrhagic strokes occurred. Frequency of stroke symptoms (95% CIs) were as follows: headache (27.4%; 23.4% to 31.4%), gait disturbance (10.8%; 7.9% to 13.6%), convulsions (4.4%; 2.6% to 6.3%), and vertigo (2.1%; 0.8% to 3.4%). Speech deficits occurred in 24.0% (20.2% to 27.9%), hemianopia in 14.6% (11.4% to 17.7%), and diplopia in 5.5% (3.4% to 7.5%) of cases. Most cases involved paresis (81.6%; 78.1% to 85.1%), while fewer cases experienced sensory deficits (44.5%; 40.0% to 49.0%). Blacks were more likely than whites to experience paresis (85.4% versus 78.2%; P=0.044). Men were more likely than women to experience a gait disturbance (14.4% versus 6.7%; P=0.007). Persons with hemorrhagic strokes had a higher proportion of headaches (55.6% versus 22.4%; P=0.001) and convulsions (11.1% versus 3.2%; P=0.003) than those with ischemic events, while speech and sensory deficits were more common in ischemic strokes (26.1% versus 12.5%, P=0.013, and 49.0% versus 19.4%, P=0.001, respectively).
We present epidemiological data concerning the clinical characteristics of incident stroke in a population-based cohort. Although minor differences by race, sex, and stroke subtype were observed, data from additional follow-up are required to confirm observed variations.</description><subject>Arteriosclerosis - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Black or African American</subject><subject>Black People</subject><subject>Brain Ischemia - diagnosis</subject><subject>Brain Ischemia - epidemiology</subject><subject>Causality</subject><subject>Cerebral Hemorrhage - diagnosis</subject><subject>Cerebral Hemorrhage - epidemiology</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gait Disorders, Neurologic - epidemiology</subject><subject>Headache - epidemiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Paresis - epidemiology</subject><subject>Risk</subject><subject>Seizures - epidemiology</subject><subject>Sex Factors</subject><subject>Speech Disorders - epidemiology</subject><subject>Stroke - classification</subject><subject>Stroke - diagnosis</subject><subject>Stroke - epidemiology</subject><subject>United States - epidemiology</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><subject>Vertigo - epidemiology</subject><subject>Vision Disorders - epidemiology</subject><subject>White People</subject><issn>0039-2499</issn><issn>1524-4628</issn><issn>1524-4628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1v1DAQhi0EokvhLyCrEtwS_J2kt2pFAakSUlvOlmM7rdvEXjzOYfn1eOlKK-HD-OBn3hnrQeiCkpZSRb8Q2t7d37bkcLhkvWr7ThLecvoKbahkohGK9a_Rpj4PDRPDcIbeATxVnPFevkVnlImapLoNgu2jycYWn8MfU0KKOE04RBucjwVDyenZYwgPEbCJDsN-2ZW0wCW-DtGF-AB4ymnB5dHjq1pyAjsfagB8G-C5RuFtWpY1hhI84Luyuv179GYyM_gPx_sc_br-er_93tz8_PZje3XTWEGG0gjJeEeIV6OxlHqiLCXOKkaspFwMbiBunHo2ikESIobRCEVHr7wg0jjJOn6OPr_k7nL6vXooeglg_Tyb6NMKumNKUMllBS_-A5_SmmPdTdOh6xnpGa_Q5Qtk6_cg-0nvclhM3mtK9MGLJlRXL_rkRf_zojmtzR-PE9Zx8e7UehRRgU9HwIA185RNdQAnTpDDpoz_BQh1lvY</recordid><startdate>20021101</startdate><enddate>20021101</enddate><creator>RATHORE, Saif S</creator><creator>HINN, Albert R</creator><creator>COOPER, Lawton S</creator><creator>TYROLER, Herman A</creator><creator>ROSAMOND, Wayne D</creator><general>Lippincott Williams & Wilkins</general><general>American Heart Association, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20021101</creationdate><title>Characterization of incident stroke signs and symptoms: Findings from the Atherosclerosis Risk in Communities Study</title><author>RATHORE, Saif S ; HINN, Albert R ; COOPER, Lawton S ; TYROLER, Herman A ; ROSAMOND, Wayne D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-4523700e6bac11e06c10dc620c51349d90dbf82b4950049ba461be6e405ad5273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Arteriosclerosis - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Black or African American</topic><topic>Black People</topic><topic>Brain Ischemia - diagnosis</topic><topic>Brain Ischemia - epidemiology</topic><topic>Causality</topic><topic>Cerebral Hemorrhage - diagnosis</topic><topic>Cerebral Hemorrhage - epidemiology</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gait Disorders, Neurologic - epidemiology</topic><topic>Headache - epidemiology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Paresis - epidemiology</topic><topic>Risk</topic><topic>Seizures - epidemiology</topic><topic>Sex Factors</topic><topic>Speech Disorders - epidemiology</topic><topic>Stroke - classification</topic><topic>Stroke - diagnosis</topic><topic>Stroke - epidemiology</topic><topic>United States - epidemiology</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Vertigo - epidemiology</topic><topic>Vision Disorders - epidemiology</topic><topic>White People</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>RATHORE, Saif S</creatorcontrib><creatorcontrib>HINN, Albert R</creatorcontrib><creatorcontrib>COOPER, Lawton S</creatorcontrib><creatorcontrib>TYROLER, Herman A</creatorcontrib><creatorcontrib>ROSAMOND, Wayne D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Stroke (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>RATHORE, Saif S</au><au>HINN, Albert R</au><au>COOPER, Lawton S</au><au>TYROLER, Herman A</au><au>ROSAMOND, Wayne D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characterization of incident stroke signs and symptoms: Findings from the Atherosclerosis Risk in Communities Study</atitle><jtitle>Stroke (1970)</jtitle><addtitle>Stroke</addtitle><date>2002-11-01</date><risdate>2002</risdate><volume>33</volume><issue>11</issue><spage>2718</spage><epage>2721</epage><pages>2718-2721</pages><issn>0039-2499</issn><issn>1524-4628</issn><eissn>1524-4628</eissn><coden>SJCCA7</coden><abstract>Although patterns of stroke occurrence and mortality have been well studied, few epidemiological data are available regarding the clinical characteristics of stroke events.
We evaluated hospitalized stroke events reported in the Atherosclerosis Risk in Communities (ARIC) Study to describe the clinical characteristics of incident stroke. Confirmed stroke cases (n=474) were evaluated for stroke symptoms (headache, vertigo, gait disturbance, convulsions) and stroke signs (hemianopia, diplopia, speech deficits, paresis, paresthesia/sensory deficits) and their univariate associations with race, sex, and stroke subtype.
Over 9.2 years of follow-up, 402 (85%) ischemic and 72 (15%) hemorrhagic strokes occurred. Frequency of stroke symptoms (95% CIs) were as follows: headache (27.4%; 23.4% to 31.4%), gait disturbance (10.8%; 7.9% to 13.6%), convulsions (4.4%; 2.6% to 6.3%), and vertigo (2.1%; 0.8% to 3.4%). Speech deficits occurred in 24.0% (20.2% to 27.9%), hemianopia in 14.6% (11.4% to 17.7%), and diplopia in 5.5% (3.4% to 7.5%) of cases. Most cases involved paresis (81.6%; 78.1% to 85.1%), while fewer cases experienced sensory deficits (44.5%; 40.0% to 49.0%). Blacks were more likely than whites to experience paresis (85.4% versus 78.2%; P=0.044). Men were more likely than women to experience a gait disturbance (14.4% versus 6.7%; P=0.007). Persons with hemorrhagic strokes had a higher proportion of headaches (55.6% versus 22.4%; P=0.001) and convulsions (11.1% versus 3.2%; P=0.003) than those with ischemic events, while speech and sensory deficits were more common in ischemic strokes (26.1% versus 12.5%, P=0.013, and 49.0% versus 19.4%, P=0.001, respectively).
We present epidemiological data concerning the clinical characteristics of incident stroke in a population-based cohort. Although minor differences by race, sex, and stroke subtype were observed, data from additional follow-up are required to confirm observed variations.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>12411667</pmid><doi>10.1161/01.STR.0000035286.87503.31</doi><tpages>4</tpages></addata></record> |
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| subjects | Arteriosclerosis - epidemiology Biological and medical sciences Black or African American Black People Brain Ischemia - diagnosis Brain Ischemia - epidemiology Causality Cerebral Hemorrhage - diagnosis Cerebral Hemorrhage - epidemiology Cohort Studies Comorbidity Female Follow-Up Studies Gait Disorders, Neurologic - epidemiology Headache - epidemiology Humans Incidence Male Medical sciences Middle Aged Neurology Paresis - epidemiology Risk Seizures - epidemiology Sex Factors Speech Disorders - epidemiology Stroke - classification Stroke - diagnosis Stroke - epidemiology United States - epidemiology Vascular diseases and vascular malformations of the nervous system Vertigo - epidemiology Vision Disorders - epidemiology White People |
| title | Characterization of incident stroke signs and symptoms: Findings from the Atherosclerosis Risk in Communities Study |
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