Literature DB >> 9550513

Survival and functional status 20 or more years after first stroke: the Framingham Study.

G E Gresham1, M Kelly-Hayes, P A Wolf, A S Beiser, C S Kase, R B D'Agostino.   

Abstract

BACKGROUND AND
PURPOSE: We examined the 20-or-more-year survival and functional levels of 148 stroke survivors and 148 age- and sex-matched control subjects from the Framingham Study Cohort, whom we originally studied in 1972-1974 to ascertain the survival and disability status of stroke survivors compared with that of controls.
METHODS: This long-term evaluation was done with use of data from the 1993-1995 Framingham Study Cohort Examination 23 on the 10 stroke survivors and 20 control subjects still living to identify and compare the host characteristics and functional status of each group. The survival curves for both stroke survivors and controls were derived from the ongoing Framingham Study database.
RESULTS: Twenty-plus-year stroke survivors experienced a greater mortality than age- and sex-matched controls (92.5% and 81%, respectively). The slopes of the two survival curves were essentially the same. Functional status (eg, walking and independence in activities of daily living) of stroke survivors, however, compared very favorably with that of the control subjects. Stroke survivors were more likely to be female and to have a number of comorbidities, including elevated blood pressures, greater use of medications, less use of alcohol, and less depressive symptomology.
CONCLUSIONS: In the Framingham cohort, 20-plus-year stroke survivors showed greater mortality than age- and sex-matched control subjects; functionally, however, the groups were very similar and in general quite independent.

Entities:  

Mesh:

Year:  1998        PMID: 9550513     DOI: 10.1161/01.str.29.4.793

Source DB:  PubMed          Journal:  Stroke        ISSN: 0039-2499            Impact factor:   7.914


  9 in total

1.  Gender differences in stroke incidence and poststroke disability in the Framingham heart study.

Authors:  Rodica E Petrea; Alexa S Beiser; Sudha Seshadri; Margaret Kelly-Hayes; Carlos S Kase; Philip A Wolf
Journal:  Stroke       Date:  2009-02-10       Impact factor: 7.914

2.  Functional status and use of healthcare facilities in long-term survivors of transient ischaemic attack or minor ischaemic stroke.

Authors:  I van Wijk; E Lindeman; L J Kappelle; J van Gijn; P J Koudstaal; J W Gorter; A Algra
Journal:  J Neurol Neurosurg Psychiatry       Date:  2006-05-30       Impact factor: 10.154

3.  Costs and cost-effectiveness of carotid stenting versus endarterectomy for patients at standard surgical risk: results from the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST).

Authors:  Katherine R Vilain; Elizabeth A Magnuson; Haiyan Li; Wayne M Clark; Richard J Begg; Albert D Sam; W Charles Sternbergh; Fred A Weaver; William A Gray; Jenifer H Voeks; Thomas G Brott; David J Cohen
Journal:  Stroke       Date:  2012-07-19       Impact factor: 7.914

4.  Risk factors associated with injury attributable to falling among elderly population with history of stroke.

Authors:  Afshin A Divani; Gabriela Vazquez; Anna M Barrett; Marjan Asadollahi; Andreas R Luft
Journal:  Stroke       Date:  2009-07-23       Impact factor: 7.914

5.  Sex-related time-dependent variations in post-stroke survival--evidence of a female stroke survival advantage.

Authors:  Tom Skyhøj Olsen; Christian Dehlendorff; Klaus Kaae Andersen
Journal:  Neuroepidemiology       Date:  2007-12-13       Impact factor: 3.282

6.  Serum brain-derived neurotrophic factor and vascular endothelial growth factor levels are associated with risk of stroke and vascular brain injury: Framingham Study.

Authors:  Aleksandra Pikula; Alexa S Beiser; Tai C Chen; Sarah R Preis; Demetrios Vorgias; Charles DeCarli; Rhoda Au; Margaret Kelly-Hayes; Carlos S Kase; Philip A Wolf; Ramachandran S Vasan; Sudha Seshadri
Journal:  Stroke       Date:  2013-08-08       Impact factor: 7.914

7.  Lipid profiles and ischemic stroke risk: variations by sex within racial/ethnic groups.

Authors:  Tefera Gezmu; Dona Schneider; Kitaw Demissie; Yong Lin; Christine Giordano; Martin S Gizzi
Journal:  Int J Womens Health       Date:  2014-05-30

8.  Sex Differences in Stroke Incidence, Prevalence, Mortality and Disability-Adjusted Life Years: Results from the Global Burden of Disease Study 2013.

Authors:  Suzanne Barker-Collo; Derrick A Bennett; Rita V Krishnamurthi; Priya Parmar; Valery L Feigin; Mohsen Naghavi; Mohammed H Forouzanfar; Catherine O Johnson; Grant Nguyen; George A Mensah; Theo Vos; Christopher J L Murray; Gregory A Roth
Journal:  Neuroepidemiology       Date:  2015-10-28       Impact factor: 3.282

Review 9.  Finding an optimal rehabilitation paradigm after stroke: enhancing fiber growth and training of the brain at the right moment.

Authors:  Anna-Sophia Wahl; Martin E Schwab
Journal:  Front Hum Neurosci       Date:  2014-06-27       Impact factor: 3.169

  9 in total

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