Wouldn't you think that the stroke associations for each country would have this specific information? Then they could use the causes of death and disability as starting points for RFPs to researchers to solve and prevent those problems. This is blindingly simple to understand and implement. But will never occur since two functioning neurons don't exist in our stroke associations.
A Longitudinal Observational Study From the Swedish Stroke Register
Abstract
Background and Purpose—
Longitudinal
long-term prognostic data after stroke based on large cohorts are
sparse. We report recent survival and functional outcome data on
ischemic stroke (IS) and intracerebral hemorrhage (ICH) for up to 5
years poststroke from the Swedish Stroke Register (Riksstroke).
Methods—
Beyond
Riksstroke’s regular follow-up surveys at 3 and 12 months, additional
surveys were conducted in 2016 on 2 one-year cohorts with stroke 3 and 5
years earlier. Functional dependency was defined as modified Rankin
Scale ≥3. Mortality data of the original cohorts were obtained from the
Swedish Causes of Death Register. Multiple imputation was used to
estimate functional status in nonresponders.
Results—
The
study included 22 929 patients, 87.5% with IS and 12.5% with ICH. Loss
to follow-up in the 4 surveys was 12.8% to 21.2%. Thirty-day mortality
was higher for ICH than for IS (30.7% versus 11.1%; P<0.01), whereas for 30-day survivors, 5-year mortality did not differ significantly (P=0.858).
Functional outcome was less favorable for ICH at all follow-up points.
At 5 years, poor outcome (death or dependency) was 79% in ICH and 70.6%
in IS (including imputed data; P<0.01). Favorable outcome was less common with increasing age and in patients with prestroke functional dependency.
Conclusions—
Despite
advances in stroke care, long-term prognosis remains a cause for
concern. At 5 years after stroke over 2 in 3 patients with IS, and over 3
in 4 patients with ICH, were dead or dependent. We present robust
long-term prognostic data to serve as a reference for further
development of healthcare and research in stroke.
Footnotes
Presented in part at the European Stroke Organisation Conference, Gothenburg, Sweden, May 16–18, 2018.
The online-only Data Supplement is available with this article at
https://www.ahajournals.org/doi/suppl/10.1161/STROKEAHA.118.022913.
Correspondence
to Stefan Sennfält, MD, Neurologimottagningen, Skånes
universitetssjukhus, Region Skåne, Getingevägen 4, 222 41 Lund. Email
Stefan.sennfalt@med.lu.se
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