دورية أكاديمية

Outcomes after first-ever stroke.

التفاصيل البيبلوغرافية
العنوان: Outcomes after first-ever stroke.
المؤلفون: Cheung CM; Department of Medicine, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong. chun-ming@graduate.hku.hk, Tsoi TH, Hon SF, Au-Yeung M, Shiu KL, Lee CN, Huang CY
المصدر: Hong Kong medical journal = Xianggang yi xue za zhi [Hong Kong Med J] 2007 Apr; Vol. 13 (2), pp. 95-9.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Hong Kong Academy of Medicine Press Country of Publication: China NLM ID: 9512509 Publication Model: Print Cited Medium: Print ISSN: 1024-2708 (Print) Linking ISSN: 10242708 NLM ISO Abbreviation: Hong Kong Med J Subsets: MEDLINE
أسماء مطبوعة: Publication: Hong Kong : Hong Kong Academy of Medicine Press
Original Publication: Hong Kong : Churchill Livingstone, c1995-
مواضيع طبية MeSH: Outcome Assessment, Health Care*, Stroke/*mortality, Activities of Daily Living ; Adult ; Aged ; Aged, 80 and over ; Female ; Hong Kong/epidemiology ; Humans ; Male ; Middle Aged ; Prognosis ; Prospective Studies ; Recurrence ; Retrospective Studies
مستخلص: Objectives: To determine the outcomes after first-ever stroke, including mortality, dependence, and recurrence.
Design: Retrospective study on a prospectively collected cohort.
Setting: Regional hospital, Hong Kong.
Patients: A cohort of 755 patients presented to our hospital from 1996 to 1998 with their first-ever stroke.
Main Outcome Measures: Mortality and stroke recurrence rate at 30 days, 1 year, and 5 years from the onset of the stroke. Dependence in activity of daily living at 5 years from the onset of stroke.
Results: The mortality rate was 15.1% at 30 days, 22.5% at 1 year, and 39.7% at 5 years from the onset of the first-ever stroke. The rate of stroke recurrence was 0.9% at 30 days, 7.0% at 1 year, and 21.2% at 5 years from the onset of first-ever stroke. Among patients presenting with ischaemic strokes, 109 (20.6%) had a recurrence, of which 92 (84%) were ischaemic strokes and 17 (16%) were haemorrhagic. Among patients presenting with intracerebral haemorrhage, 25 (23.1%) had a recurrence, of which 12 (48%) were haemorrhagic strokes and 13 (52%) patients were ischaemic. After 5 years, 11% of the patients were dependent in terms of activity of daily living.
Conclusions: The long-term prognosis after first-ever stroke is poor--5 years after their stroke, 39.7% of patients had died and 10.7% were dependent in terms of activity of daily living; 136 (21%) who survived at least 30 days after the initial stroke, had a recurrence within 5 years.
التعليقات: Comment in: Hong Kong Med J. 2007 Apr;13(2):92-4. (PMID: 17406034)
تواريخ الأحداث: Date Created: 20070405 Date Completed: 20070731 Latest Revision: 20191210
رمز التحديث: 20221213
PMID: 17406035
قاعدة البيانات: MEDLINE