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Risk factors and prognosis of young stroke. The FUTURE study: a prospective cohort study. Study rationale and
Loes C A Rutten-Jacobs1, Noortje A M Maaijwee, Renate M Arntz
1Donders Institute for Brain, Cognition and Behaviour, Centre for Neuroscience, Department of Neurology, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, The Netherlands.
Insights
The FUTURE study investigates risk factors and long-term outcomes for young stroke patients, offering crucial insights into prognosis and mortality for individuals with decades of life expectancy.
Area of Science:
- Neurology
- Epidemiology
- Vascular Medicine
Background:
- Young stroke significantly impacts quality of life, work, and social participation.
- Limited data exists on risk factors and long-term prognosis for young stroke survivors.
- Understanding long-term outcomes is vital given the extended life expectancy of this demographic.
Purpose of the Study:
- To identify risk factors and determine the long-term prognosis of young ischemic and hemorrhagic stroke.
- To assess the risk of mortality and recurrent vascular events in young stroke patients.
- To enhance knowledge for physicians and patients regarding young stroke outcomes.
Main Methods:
- Prospective cohort study (FUTURE study) of 1006 patients aged 18-50 years.
- Data collected between 1980-2010, with follow-up visits from 2009-2011.
- Includes ischemic and hemorrhagic stroke, healthy controls, questionnaires, and extensive MRI sub-studies.
Main Results:
- Data on mortality and incident vascular events collected via questionnaires.
- Extensive sub-study including MRI performed during follow-up visits.
- Comparison with healthy controls for enhanced risk factor analysis.
Conclusions:
- The FUTURE study offers a unique, long-term perspective (up to 30 years) on young stroke.
- Inclusion of diverse stroke types (ischemic, hemorrhagic, TIA) and healthy controls strengthens findings.
- Expected to provide valuable information for managing young stroke patients and improving their prognosis.
Background:
Young stroke can have devastating consequences with respect to quality of life, the ability to work, plan or run a family, and participate in social life. Better insight into risk factors and the long-term prognosis is extremely important, especially in young stroke patients with a life expectancy of decades. To date, detailed information on risk factors and the long-term prognosis in young stroke patients, and more specific risk of mortality or recurrent vascular events, remains scarce.
Methods/Design:
The FUTURE study is a prospective cohort study on risk factors and prognosis of young ischemic and hemorrhagic stroke among 1006 patients, aged 18-50 years, included in our study database between 1-1-1980 and 1-11-2010. Follow-up visits at our research centre take place from the end of 2009 until the end of 2011. Control subjects will be recruited among the patients' spouses, relatives or social environment. Information on mortality and incident vascular events will be retrieved via structured questionnaires. In addition, participants are invited to the research centre to undergo an extensive sub study including MRI.
Discussion:
The FUTURE study has the potential to make an important contribution to increase the knowledge on risk factors and long-term prognosis in young stroke patients. Our study differs from previous studies by having a maximal follow-up of more than 30 years, including not only TIA and ischemic stroke but also hemorrhagic stroke, the addition of healthy controls and prospectively collect data during an extensive follow-up visit. Completion of the FUTURE study may provide better information for treating physicians and patients with respect to the prognosis of young stroke.
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