Outcomes in the Year After First‐Ever Ischemic Stroke in a Bi‐Ethnic Population

Objective To investigate stroke outcomes at 3, 6, and 12 months post‐stroke overall and by ethnicity in a population‐based, longitudinal study. Methods First‐ever ischemic strokes (2014–2019, n = 1,332) among Mexican American persons (n = 807) and non‐Hispanic white persons (n = 525) were identified...

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Veröffentlicht in:Annals of neurology 2023-02, Vol.93 (2), p.348-356
Hauptverfasser: Lisabeth, Lynda D., Brown, Devin L., Dong, Liming, Zahuranec, Darin B., Kwicklis, Madeline, Shi, Xu, Case, Erin, Smith, Melinda A., Campbell, Morgan, Carrera, Joseph F., Morgenstern, Lewis B.
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Sprache:eng
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Zusammenfassung:Objective To investigate stroke outcomes at 3, 6, and 12 months post‐stroke overall and by ethnicity in a population‐based, longitudinal study. Methods First‐ever ischemic strokes (2014–2019, n = 1,332) among Mexican American persons (n = 807) and non‐Hispanic white persons (n = 525) were identified from the Brain Attack Surveillance in Corpus Christi Project. Data were collected from patient or proxy interviews (baseline, 3, 6, and 12 months post‐stroke) and medical records, including functional (activities of daily living/instrumental activities of daily living score), neurological (National Institutes of Health Stroke Scale), cognitive (Modified Mini‐Mental State Examination), and quality of life (QOL) outcomes (12‐domain Stroke‐specific Quality of Life scale). Outcome trajectories were analyzed using multivariable adjusted linear models, with generalized estimating equations to account for within‐subject correlations; interactions between ethnicity and time were included to investigate ethnic differences in outcomes. Results The median age was 67 years (interquartile range 58,78), 48.5% were women, and 60.6% were Mexican American persons. For all outcomes, significant improvement was seen between 3 and 6 months (p 
ISSN:0364-5134
1531-8249
DOI:10.1002/ana.26513