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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Published on: January 18, 2018

Outcomes after first-ever stroke

C M Cheung1, T H Tsoi, Sonny F K Hon

  • 1Department of Medicine, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong. chun-ming@graduate.hku.hk

Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|April 5, 2007
PubMed

Insights

Outcomes after first-ever stroke are poor, with high mortality and recurrence rates within five years. Many stroke survivors experience long-term dependence, highlighting the need for improved stroke care and prevention strategies.

Area of Science:

  • Neurology
  • Epidemiology
  • Public Health

Background:

  • First-ever stroke outcomes significantly impact patient prognosis and healthcare systems.
  • Understanding long-term stroke sequelae is crucial for effective patient management and resource allocation.

Purpose of the Study:

  • To determine the long-term outcomes of first-ever stroke, focusing on mortality, recurrence, and functional dependence.
  • To provide data on stroke prognosis for a regional hospital cohort in Hong Kong.

Main Methods:

  • Retrospective analysis of a prospectively collected cohort of 755 patients with first-ever stroke (1996-1998).
  • Assessment of mortality, stroke recurrence, and dependence in activities of daily living at 30 days, 1 year, and 5 years post-stroke.

Main Results:

  • Five-year mortality rate was 39.7%.
  • Five-year stroke recurrence rate was 21.2%, with varied patterns for ischemic and hemorrhagic strokes.
  • 10.7% of patients were dependent in activities of daily living at 5 years.

Conclusions:

  • Long-term prognosis after a first-ever stroke is generally poor.
  • A significant proportion of stroke survivors face mortality, recurrence, and functional disability within five years.
  • Findings underscore the critical need for enhanced stroke prevention and rehabilitation strategies.
Abstract

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