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[Risk factors for death after a first-ever stroke]

D Rastenyte, D Sopagiene, G Goriniene

    Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
    |May 12, 2009
    PubMed

    Insights

    First-ever stroke patients aged older, with impaired consciousness or incontinence, face higher death risks within one year. Age, consciousness, and incontinence are key predictors of stroke mortality.

    Area of Science:

    • Neurology
    • Epidemiology
    • Public Health

    Context:

    • Stroke is a leading cause of death and disability worldwide.
    • Understanding risk factors for post-stroke mortality is crucial for improving patient outcomes.
    • This study focuses on a specific European population (Kaunas) to identify key predictors of one-year mortality after a first-ever stroke.

    Purpose:

    • To identify independent risk factors for death within one year following a first-ever stroke.
    • To quantify the association between identified risk factors and mortality.
    • To provide data for targeted interventions and improved stroke care strategies.

    Summary:

    • A cohort of 331 first-ever stroke patients in Kaunas (1997-1998) were followed for one year.
    • Cox regression analysis revealed age at onset, impaired consciousness, and incontinence as independent predictors of one-year mortality.
    • Each year of increased age elevated death risk by 4%; impaired consciousness (RR=2.76) and incontinence (RR=3.56) significantly increased mortality risk.

    Impact:

    • Identifies critical factors (age, consciousness, incontinence) influencing survival post-stroke.
    • Highlights the need for early assessment and management of these factors in stroke patients.
    • Informs public health initiatives and clinical practice guidelines for stroke care, potentially reducing preventable deaths.

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