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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

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Published on: January 18, 2018

[Long-term survival of ischemic stroke]

L Mérida-Rodrigo1, F Poveda-Gómez, M Camafort-Babkowski

  • 1Servicio de Medicina Interna, Hospital Costa del Sol, Marbella, Málaga, España. LUISMERO@terra.es

Revista Clinica Espanola
|March 20, 2012
PubMed

Insights

Long-term survival after ischemic stroke is over 40%, with atherothrombotic stroke having a better prognosis than cardioembolic stroke. Key predictors of mortality include age and atrial fibrillation.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Epidemiology

Context:

  • Ischemic stroke is a significant cause of long-term disability and mortality.
  • The long-term prognosis of ischemic stroke, particularly differentiating between atherothrombotic and cardioembolic subtypes, requires further investigation.

Purpose:

  • To investigate the long-term survival rates and identify predictors of mortality after a first-ever ischemic stroke.
  • To compare the prognosis of atherothrombotic versus cardioembolic ischemic stroke over a 10-year period.

Summary:

  • A retrospective cohort study followed 415 patients for 10 years post-first ischemic stroke.
  • Overall 10-year survival was 55.4%, with atherothrombotic stroke (57.7%) showing better survival than cardioembolic stroke (43.7%).
  • Predictors of mortality included age, renal failure, dyslipidemia, heart failure, atrial fibrillation, hemiplegia, acute ischemia signs, and edema; statin use and right middle cerebral artery territory involvement predicted better outcomes.

Impact:

  • Provides crucial data on the long-term outcomes of ischemic stroke, informing clinical management and patient counseling.
  • Highlights the differential prognosis between stroke subtypes, emphasizing the need for tailored treatment strategies.
  • Identifies key modifiable and non-modifiable risk factors influencing long-term survival after ischemic stroke.
Abstract

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