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Cerebrovascular disease and the elderly.

K Ostermann1, B Sprung-Ostermann

  • 1Arbeitsgruppe für Angewandte Soziale Gerontologie ASG, Gesamthochschule Kassel, Federal Republic of Germany.

Ciba Foundation Symposium
|January 1, 1988
PubMed
Summary

Stroke incidence increases with age and is higher in men. Three years post-stroke, survival is 37%, with survivors showing better functional status and younger age at discharge. Few survivors accessed residential rehabilitation.

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Area of Science:

  • Neurology
  • Epidemiology
  • Public Health

Background:

  • Stroke is a leading cause of death and disability worldwide.
  • Understanding stroke incidence, survival rates, and post-stroke outcomes is crucial for public health planning.

Purpose of the Study:

  • To investigate the incidence, survival rates, and predictors of long-term outcomes following stroke.
  • To assess the utilization of residential rehabilitation services among stroke survivors.

Main Methods:

  • A three-year follow-up study was conducted in Kassel, Federal Republic of Germany.
  • Data collected included patient demographics, stroke incidence, survival status, Barthel index scores at discharge, and rehabilitation service utilization.
  • Statistical analysis, including the chi-square test, was employed to identify significant differences.

Main Results:

  • Stroke incidence demonstrated a positive correlation with increasing age and was higher in males compared to females.
  • The three-year survival rate following a stroke was found to be 37%.
  • Survivors exhibited significantly higher Barthel index scores at hospital discharge and were younger than non-survivors.

Conclusions:

  • Age and sex are significant factors influencing stroke incidence.
  • Functional status at discharge and age are critical determinants of long-term stroke survival.
  • Access to residential rehabilitation services in the year following hospital discharge is limited for stroke survivors, with only 15% receiving such care.

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