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Open Access 01-12-2013 | Research article

Predictors of long-term survival among first-ever ischemic and hemorrhagic stroke in a Brazilian stroke cohort

Authors: Alessandra C Goulart, Tiotrefis G Fernandes, Itamar S Santos, Airlane P Alencar, Isabela M Bensenor, Paulo A Lotufo

Published in: BMC Neurology | Issue 1/2013

Abstract

Background

Few studies have examined both ischemic and hemorrhagic stroke to identify prognostic factors associated to long-term stroke survival. We investigated long-term survival and predictors that could adversely influence ischemic and hemorrhagic first-ever stroke prognosis.

Methods

We prospectively ascertained 665 consecutive first-ever ischemic and hemorrhagic stroke cases from “The Study of Stroke Mortality and Morbidity” (The EMMA Study) in a community hospital in São Paulo, Brazil. We evaluated cardiovascular risk factors and sociodemographic characteristics (age, gender, race and educational level).

Results

We found a lower survival rate among hemorrhagic cases compared to ischemic stroke cases at the end of 4 years of follow-up (52% vs. 44%, p = 0.04). The risk of death was two times higher among people with ischemic stroke without formal education. Also, we found consistently higher risk of death for diabetics with ischemic stroke (HR = 1.45; 95% CI = 1.07-1.97) compared to no diabetics. As expected, age equally influenced on the high risk of poor survival, regardless of stroke subtype.

Conclusions

For ischemic stroke, the lack of formal education and diabetes were significant independent predictors of poor long-term survival.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2377/13/51/prepub

Title: Predictors of long-term survival among first-ever ischemic and hemorrhagic stroke in a Brazilian stroke cohort
Authors: Alessandra C Goulart
Tiotrefis G Fernandes
Itamar S Santos
Airlane P Alencar
Isabela M Bensenor
Paulo A Lotufo
Publication date: 01-12-2013
Publisher: BioMed Central
Published in: BMC Neurology / Issue 1/2013
Electronic ISSN: 1471-2377
DOI: https://doi.org/10.1186/1471-2377-13-51

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Predictors of long-term survival among first-ever ischemic and hemorrhagic stroke in a Brazilian stroke cohort

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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