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Updated: Feb 8, 2026

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Stroke case-fatality and marital status.

K K Andersen1, T S Olsen2

  • 1Statistics and Pharmacoepidemiology, Danish Cancer Society Research Center, Copenhagen, Denmark.

Acta Neurologica Scandinavica
|June 20, 2018
PubMed
Summary
This summary is machine-generated.

Marriage may not improve survival for stroke patients. Unmarried, divorced, and widowed individuals experienced lower stroke case-fatality compared to married patients in a Danish study.

Keywords:
case-fatalitymarital statusmortalitystroke

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Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Marriage is generally associated with a survival advantage.
  • The impact of marital status on stroke patient survival remains unclear, with conflicting study results.

Purpose of the Study:

  • To investigate the association between marital status and short-term (1-week and 1-month) case-fatality in patients experiencing an incident stroke.
  • To clarify the survival advantage of marriage in the context of stroke care.

Main Methods:

  • A cohort study of 60,507 patients admitted for incident stroke in Denmark (2003-2012).
  • Utilized Danish registries to link stroke data with demographic, clinical, and socioeconomic information.
  • Employed multivariate Cox regression models to analyze stroke-related case-fatality by marital status (married, unmarried, divorced, widowed).

Main Results:

  • Married patients constituted 51.19% of the cohort; 3.5% died within 1 week and 5.7% within 1 month from stroke.
  • Compared to married patients, unmarried, divorced, and widowed men and women with stroke exhibited lower 1-week and 1-month case-fatality.
  • Hazard ratios for 1-week/1-month case-fatality were consistently lower across all non-married groups for both sexes.

Conclusions:

  • Stroke patients who were unmarried, divorced, or widowed had lower 1-week and 1-month case-fatality than married patients.
  • Findings may be explained by mortality displacement, where individuals with shorter life expectancies (e.g., divorced, widowed, singles) are overrepresented in non-married groups.