Ten-year survival after first-ever stroke in the Perth Community Stroke Study
Very few studies have provided information regarding long-term prognosis after stroke. We aimed to determine the absolute and relative survival over 10 years among patients with first-ever stroke from a population-based study in Perth, Western Australia. For a 12-month period beginning February 1989...
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Veröffentlicht in: | Stroke (1970) 2003-08, Vol.34 (8), p.1842-1846 |
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creator | HARDIE, Kate HANKEY, Graeme J JAMROZIK, Konrad BROADHURST, Robyn J ANDERSON, Craig |
description | Very few studies have provided information regarding long-term prognosis after stroke. We aimed to determine the absolute and relative survival over 10 years among patients with first-ever stroke from a population-based study in Perth, Western Australia.
For a 12-month period beginning February 1989, all individuals with a suspected acute stroke or transient ischemic attack who were resident in a geographically defined and representative region of Perth, Western Australia, were registered prospectively and assessed according to standardized diagnostic criteria. Patients with a definite first-ever stroke were followed up prospectively at 4 months, 12 months, 5 years, and 10 years after the index event.
A total of 251 patients with first-ever stroke were registered, and 244 (97%) were followed up at 10 years, by which time 197 (79%; 95% confidence interval [CI], 74 to 84) had died. The major causes of death were the direct effects of the initial stroke (27%; 95% CI, 21 to 33) and cardiovascular disease (26%; 95% CI, 20 to 32). Among 1-year survivors of stroke, the average annual case fatality was 4.8%, which was 2.3 (95% CI, 1.9 to 2.7) times greater than for the general population of the same age and sex.
One in 5 patients with first-ever stroke survived to 10 years. The average annual case fatality was 4.8% between years 1 and 10 after stroke, which was twice that expected for the general population. Vascular disease is the major cause of death among long-term survivors of stroke. |
doi_str_mv | 10.1161/01.STR.0000082382.42061.EE |
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For a 12-month period beginning February 1989, all individuals with a suspected acute stroke or transient ischemic attack who were resident in a geographically defined and representative region of Perth, Western Australia, were registered prospectively and assessed according to standardized diagnostic criteria. Patients with a definite first-ever stroke were followed up prospectively at 4 months, 12 months, 5 years, and 10 years after the index event.
A total of 251 patients with first-ever stroke were registered, and 244 (97%) were followed up at 10 years, by which time 197 (79%; 95% confidence interval [CI], 74 to 84) had died. The major causes of death were the direct effects of the initial stroke (27%; 95% CI, 21 to 33) and cardiovascular disease (26%; 95% CI, 20 to 32). Among 1-year survivors of stroke, the average annual case fatality was 4.8%, which was 2.3 (95% CI, 1.9 to 2.7) times greater than for the general population of the same age and sex.
One in 5 patients with first-ever stroke survived to 10 years. The average annual case fatality was 4.8% between years 1 and 10 after stroke, which was twice that expected for the general population. Vascular disease is the major cause of death among long-term survivors of stroke.</description><identifier>ISSN: 0039-2499</identifier><identifier>EISSN: 1524-4628</identifier><identifier>DOI: 10.1161/01.STR.0000082382.42061.EE</identifier><identifier>PMID: 12843343</identifier><identifier>CODEN: SJCCA7</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cardiovascular Diseases - mortality ; Cause of Death ; Comorbidity ; Female ; Follow-Up Studies ; Humans ; Incidence ; Ischemic Attack, Transient - diagnosis ; Ischemic Attack, Transient - mortality ; Male ; Medical sciences ; Middle Aged ; Neurology ; Odds Ratio ; Prognosis ; Prospective Studies ; Recurrence ; Registries - statistics & numerical data ; Risk Assessment ; Risk Factors ; Stroke - classification ; Stroke - diagnosis ; Stroke - mortality ; Survival Analysis ; Survival Rate ; Tropical medicine ; Vascular diseases and vascular malformations of the nervous system ; Western Australia - epidemiology</subject><ispartof>Stroke (1970), 2003-08, Vol.34 (8), p.1842-1846</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-2364176b4ebd29177a9f5f283041265dcafb13382ef53e5fa98ecb3ea563e4143</citedby><cites>FETCH-LOGICAL-c499t-2364176b4ebd29177a9f5f283041265dcafb13382ef53e5fa98ecb3ea563e4143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3673,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15036847$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12843343$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HARDIE, Kate</creatorcontrib><creatorcontrib>HANKEY, Graeme J</creatorcontrib><creatorcontrib>JAMROZIK, Konrad</creatorcontrib><creatorcontrib>BROADHURST, Robyn J</creatorcontrib><creatorcontrib>ANDERSON, Craig</creatorcontrib><title>Ten-year survival after first-ever stroke in the Perth Community Stroke Study</title><title>Stroke (1970)</title><addtitle>Stroke</addtitle><description>Very few studies have provided information regarding long-term prognosis after stroke. We aimed to determine the absolute and relative survival over 10 years among patients with first-ever stroke from a population-based study in Perth, Western Australia.
For a 12-month period beginning February 1989, all individuals with a suspected acute stroke or transient ischemic attack who were resident in a geographically defined and representative region of Perth, Western Australia, were registered prospectively and assessed according to standardized diagnostic criteria. Patients with a definite first-ever stroke were followed up prospectively at 4 months, 12 months, 5 years, and 10 years after the index event.
A total of 251 patients with first-ever stroke were registered, and 244 (97%) were followed up at 10 years, by which time 197 (79%; 95% confidence interval [CI], 74 to 84) had died. The major causes of death were the direct effects of the initial stroke (27%; 95% CI, 21 to 33) and cardiovascular disease (26%; 95% CI, 20 to 32). Among 1-year survivors of stroke, the average annual case fatality was 4.8%, which was 2.3 (95% CI, 1.9 to 2.7) times greater than for the general population of the same age and sex.
One in 5 patients with first-ever stroke survived to 10 years. The average annual case fatality was 4.8% between years 1 and 10 after stroke, which was twice that expected for the general population. Vascular disease is the major cause of death among long-term survivors of stroke.</description><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular Diseases - mortality</subject><subject>Cause of Death</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Incidence</subject><subject>Ischemic Attack, Transient - diagnosis</subject><subject>Ischemic Attack, Transient - mortality</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Odds Ratio</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Recurrence</subject><subject>Registries - statistics & numerical data</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Stroke - classification</subject><subject>Stroke - diagnosis</subject><subject>Stroke - mortality</subject><subject>Survival Analysis</subject><subject>Survival Rate</subject><subject>Tropical medicine</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><subject>Western Australia - epidemiology</subject><issn>0039-2499</issn><issn>1524-4628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkNtKw0AQQBdRbK3-ggRB3xL3motvUuIFKoqtz8smmaXRXOruppC_d2sLnZcZmDOzOwehG4IjQmJyj0m0XH1GeBcpZSmNOMUxifL8BE2JoDzkMU1P0RRjloWUZ9kEXVj77XFPi3M0ITTljHE2RW8r6MIRlAnsYLb1VjWB0g5MoGtjXQhbX1pn-h8I6i5wawg-wLh1MO_bduhqNwbLfXfphmq8RGdaNRauDnmGvp7y1fwlXLw_v84fF2HpP-NCymJOkrjgUFQ0I0miMi00TRnmhMaiKpUuCPOHgRYMhFZZCmXBQImYASeczdDdfu_G9L8DWCfb2pbQNKqDfrAyYYJkwtMz9LAHS9Nba0DLjalbZUZJsNzJlJhIL1MeZcp_mTLP_fD14ZWhaKE6jh7seeD2AChbqkYb1ZW1PXICszjlCfsDTcp9dw</recordid><startdate>20030801</startdate><enddate>20030801</enddate><creator>HARDIE, Kate</creator><creator>HANKEY, Graeme J</creator><creator>JAMROZIK, Konrad</creator><creator>BROADHURST, Robyn J</creator><creator>ANDERSON, Craig</creator><general>Lippincott Williams & Wilkins</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>7X8</scope></search><sort><creationdate>20030801</creationdate><title>Ten-year survival after first-ever stroke in the Perth Community Stroke Study</title><author>HARDIE, Kate ; HANKEY, Graeme J ; JAMROZIK, Konrad ; BROADHURST, Robyn J ; ANDERSON, Craig</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-2364176b4ebd29177a9f5f283041265dcafb13382ef53e5fa98ecb3ea563e4143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular Diseases - mortality</topic><topic>Cause of Death</topic><topic>Comorbidity</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Incidence</topic><topic>Ischemic Attack, Transient - diagnosis</topic><topic>Ischemic Attack, Transient - mortality</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Odds Ratio</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Recurrence</topic><topic>Registries - statistics & numerical data</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Stroke - classification</topic><topic>Stroke - diagnosis</topic><topic>Stroke - mortality</topic><topic>Survival Analysis</topic><topic>Survival Rate</topic><topic>Tropical medicine</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Western Australia - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HARDIE, Kate</creatorcontrib><creatorcontrib>HANKEY, Graeme J</creatorcontrib><creatorcontrib>JAMROZIK, Konrad</creatorcontrib><creatorcontrib>BROADHURST, Robyn J</creatorcontrib><creatorcontrib>ANDERSON, Craig</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>MEDLINE - Academic</collection><jtitle>Stroke (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HARDIE, Kate</au><au>HANKEY, Graeme J</au><au>JAMROZIK, Konrad</au><au>BROADHURST, Robyn J</au><au>ANDERSON, Craig</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ten-year survival after first-ever stroke in the Perth Community Stroke Study</atitle><jtitle>Stroke (1970)</jtitle><addtitle>Stroke</addtitle><date>2003-08-01</date><risdate>2003</risdate><volume>34</volume><issue>8</issue><spage>1842</spage><epage>1846</epage><pages>1842-1846</pages><issn>0039-2499</issn><eissn>1524-4628</eissn><coden>SJCCA7</coden><abstract>Very few studies have provided information regarding long-term prognosis after stroke. We aimed to determine the absolute and relative survival over 10 years among patients with first-ever stroke from a population-based study in Perth, Western Australia.
For a 12-month period beginning February 1989, all individuals with a suspected acute stroke or transient ischemic attack who were resident in a geographically defined and representative region of Perth, Western Australia, were registered prospectively and assessed according to standardized diagnostic criteria. Patients with a definite first-ever stroke were followed up prospectively at 4 months, 12 months, 5 years, and 10 years after the index event.
A total of 251 patients with first-ever stroke were registered, and 244 (97%) were followed up at 10 years, by which time 197 (79%; 95% confidence interval [CI], 74 to 84) had died. The major causes of death were the direct effects of the initial stroke (27%; 95% CI, 21 to 33) and cardiovascular disease (26%; 95% CI, 20 to 32). Among 1-year survivors of stroke, the average annual case fatality was 4.8%, which was 2.3 (95% CI, 1.9 to 2.7) times greater than for the general population of the same age and sex.
One in 5 patients with first-ever stroke survived to 10 years. The average annual case fatality was 4.8% between years 1 and 10 after stroke, which was twice that expected for the general population. Vascular disease is the major cause of death among long-term survivors of stroke.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>12843343</pmid><doi>10.1161/01.STR.0000082382.42061.EE</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Age Distribution Aged Aged, 80 and over Biological and medical sciences Cardiovascular Diseases - mortality Cause of Death Comorbidity Female Follow-Up Studies Humans Incidence Ischemic Attack, Transient - diagnosis Ischemic Attack, Transient - mortality Male Medical sciences Middle Aged Neurology Odds Ratio Prognosis Prospective Studies Recurrence Registries - statistics & numerical data Risk Assessment Risk Factors Stroke - classification Stroke - diagnosis Stroke - mortality Survival Analysis Survival Rate Tropical medicine Vascular diseases and vascular malformations of the nervous system Western Australia - epidemiology |
title | Ten-year survival after first-ever stroke in the Perth Community Stroke Study |
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