Stroke in Lund-Orup, Sweden: improved long-term survival among elderly stroke patients.

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Hallström, BjörnLund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine (författare)

Stroke in Lund-Orup, Sweden: improved long-term survival among elderly stroke patients.

Artikel/kapitelEngelska2002

Förlag, utgivningsår, omfång ...

2002

Nummerbeteckningar

LIBRIS-ID:oai:lup.lub.lu.se:c6dff863-bc74-4bf3-b005-15be95309cc4
https://lup.lub.lu.se/record/108690URI
https://doi.org/10.1161/01.STR.0000017222.48968.6EDOI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:art swepub-publicationtype
Ämneskategori:ref swepub-contenttype

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BACKGROUND AND PURPOSE: Several studies report declining early stroke case fatality, but the findings are not consistent across geographic areas. Corresponding changes in long-term survival are less well documented. We recently reported increased stroke incidence among patients aged <75 years and stable incidence among older persons. We now report temporal trends for early and late case fatality among patients with stroke onset during 1983-1985 and 1993- 1995. METHODS: Patients living within the Lund-Orup, Sweden, hospital district and fulfilling the diagnostic criteria for first-ever stroke during 1983-1985 (n=998) and 1993-1995 (n=1318) were followed up concerning survival status at 28 days, 1 year, and 3 years. Age and sex adjustments were performed. The possible influence of Oxfordshire Community Stroke Project (OCSP) stroke subtypes on survival was also analyzed. RESULTS: Overall survival improved between the study periods (Cox proportional hazards regression: hazard ratio, 0.84; 95% confidence limits, 0.75 to 0.94; P=0.0019). The 28-day case fatality was 15% for stroke patients from both study periods. One-year case fatality was 31% for 1983-1985 patients and 27% for 1993-1995 patients. The corresponding figures at 3 years were 44% and 40%, respectively. In the group aged <75 years, there were no significant changes in overall survival, but survival improved significantly among patients aged > or = 75 years beyond 28 days after stroke onset. OCSP stroke subtype was an independent predictor of death (P<0.0001). CONCLUSIONS: The recently observed increase in stroke incidence among patients aged <75 years was not accompanied by changing survival in that age group. However, among patients aged > or =75 years, survival improved beyond 28 days after stroke. The causes of this change in survival are unknown but may be related to improved long-term care of elderly stroke patients.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
Proportional Hazards Models
Male
Middle Age
Human
Follow-Up Studies
Age Distribution
Aged
80 and over
Cerebrovascular Accident : mortality
Cerebrovascular Accident : classification
Survival Rate
Survivors : statistics & numerical data
Sweden : epidemiology
Female
Regression Analysis

Biuppslag (personer, institutioner, konferenser, titlar ...)

Norrving, BoLund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)neur-bno (författare)
Lindgren, ArneLund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)neur-ali (författare)
Neurologi, LundSektion IV (creator_code:org_t)

Sammanhörande titlar

Ingår i:Stroke: a journal of cerebral circulation33:6, s. 1624-16291524-4628

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Stroke: a journal of cerebral circulation (Sök värdpublikationen i LIBRIS)

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Av författaren/redakt...: Hallström, Björn; Norrving, Bo; Lindgren, Arne

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Neurologi

Artiklar i publikationen: Stroke: a journa ...

Av lärosätet: Lunds universitet

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