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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Five-year survival-after first-ever stroke
Dzevdet Smajlović1, Biljana Kojić, Osman Sinanović
1Department of Neurology, University Clinical Centre, Faculty of Medicine, University of Tuzla, Trnovac bb, 75 000 Tuzla, Bosnia and Herzegovina.
Bosnian Journal of Basic Medical Sciences
|September 26, 2006
Summary
Five-year survival rates for ischemic stroke and intracerebral hemorrhage are similar overall. However, patients surviving the first 30 days after intracerebral hemorrhage show better long-term outcomes.
Area of Science:
- Neurology
- Cardiovascular Medicine
- Public Health
Background:
- Stroke, encompassing ischemic stroke and intracerebral hemorrhage, remains a leading cause of mortality and long-term disability worldwide.
- Understanding long-term survival patterns is crucial for effective patient management and public health strategies.
- Previous studies have often focused on short-term outcomes or specific stroke subtypes, necessitating comprehensive analysis of 5-year survival for both major stroke types.
Purpose of the Study:
- To analyze and compare the 5-year survival rates following first-ever ischemic stroke and intracerebral hemorrhage.
- To identify factors influencing long-term mortality in stroke survivors.
- To evaluate survival differences based on initial stroke type and early survival status.
Main Methods:
- A retrospective analysis of 836 patients admitted with a first-ever stroke (ischemic or intracerebral hemorrhage) between 1997 and 1998.
- Exclusion of subarachnoid hemorrhages.
- Periodic follow-up examinations for surviving patients, with a final assessment at 5 years post-stroke.
Main Results:
- Overall 30-day case-fatality was 36%, significantly higher for intracerebral hemorrhage (58.3%) than ischemic stroke (27.9%).
- After 5 years, cumulative survival was 29%, with 31% of ischemic stroke patients and 24% of intracerebral hemorrhage patients alive.
- Among 30-day survivors, 5-year survival was better for intracerebral hemorrhage (57%) compared to ischemic stroke (42.5%). Older age and hypertension were predictors of mortality for both stroke types.
Conclusions:
- Long-term survival after first-ever ischemic stroke and intracerebral hemorrhage is comparable.
- Intracerebral hemorrhage patients who survive the initial 30-day period demonstrate a better 5-year survival rate compared to their ischemic stroke counterparts.
- Age and comorbidities like hypertension, heart disease, and diabetes significantly impact long-term stroke survival.
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