Literature DB >> 36071265

Real-time data on the prognosis of acute ischemic stroke patients in the Tochigi Clinical ObservatioNal registry for 1-year mortality of aCute ischEmic stRoke patieNt (T-CONCERN) study.

Kosuke Matsuzono1, Takafumi Mashiko2, Tadashi Ozawa2, Kumiko Miura2, Masayuki Suzuki2, Yuhei Anan2, Reiji Koide2, Ryota Tanaka2, Tomoaki Kameda3, Shigeru Fujimoto2.   

Abstract

BACKGROUND: It is important to gauge mortality in real time following an ischemic stroke. However, there is limited in-hospital and post-discharge clinical data that focuses on the real-time prognosis of acute ischemic strokes.
PURPOSE: To comprehensively analyze ischemic stroke mortality during a hospital stay and 1 year after the onset of a stroke.
MATERIALS AND METHODS: Initially, 1514 consecutive acute ischemic stroke patients were admitted to our facility within 7 days after the onset of a stroke. Of these, 1116 patients who were successfully surveyed 1 year after onset were finally analyzed. Baseline, physical, laboratory, and stroke clinical data were recorded and analyzed.
RESULTS: The proportion of deaths within 1 year was 14.5%, 4.9% without discharge was and 9.6% after discharge within 1 year. Cardioembolic ischemic strokes were responsible for nearly 50% of the deaths within 1 year while the remaining deaths were due to non-cardioembolic ischemic strokes. After 1 year, survival rate in the hospital decreased significantly, depending on whether the stroke was recurrent or if there was bleeding without a stroke.
CONCLUSIONS: Our study reveals the real-time survival data 1 year after the onset of a stroke, in-hospital and post-discharge mortality rates, and several issues associated with the treatment of acute ischemic strokes.
© 2022. Fondazione Società Italiana di Neurologia.

Entities:  

Keywords:  Acute ischemic stroke; Cardioembolism; Prognosis; Stroke mortality; Stroke treatment

Year:  2022        PMID: 36071265     DOI: 10.1007/s10072-022-06377-1

Source DB:  PubMed          Journal:  Neurol Sci        ISSN: 1590-1874            Impact factor:   3.830


  2 in total

1.  Treatment and rehabilitation on a stroke unit improves 5-year survival. A community-based study.

Authors:  H S Jørgensen; L P Kammersgaard; H Nakayama; H O Raaschou; K Larsen; P Hübbe; T S Olsen
Journal:  Stroke       Date:  1999-05       Impact factor: 7.914

2.  Lacunar infarction, mortality over time and mortality relative to other ischemic strokes.

Authors:  Robert W Lund
Journal:  J Insur Med       Date:  2014
  2 in total

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