I just miss qualifying as a young adult, had my stroke at age 50 thirteen years ago. I'm going to live for a good long time yet, drinking wine and beer and doing stuff that any doctor would tell me was not ok.
Association of stroke among adults aged 18 to 49 years with long-term mortality
JAMA — Ekker MS, et al. | May 28, 2019
Researchers performed this Dutch
register-based cohort study to determine the age- and sex-specific case
fatality and long-term mortality associated with stroke among young
adults. This study included 15,527 patients who had the first stroke
between the ages 18 of 49 years in 1998-2010; they were followed up
until January 1, 2017. Observations revealed that young adults who were
30-day survivors, continuously have elevated mortality risk up to 15
years after stroke.
Methods
- The investigators identified patients and outcomes via linking the national Hospital Discharge Registry, national Cause of Death Registry, and the Dutch Population Register.
- Exposures included first stroke occurring between the ages of 18 to 49 years, which were documented using International Classification of Diseases, Ninth Revision, and International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, codes for ischemic stroke, intracerebral hemorrhage, and stroke not otherwise specified.
- As the primary outcome, 30-day survivors at end of follow-up were assessed for all-cause cumulative mortality stratified by age, sex, and stroke subtype.
- Comparison to all-cause cumulative mortality in the general population was also done.
Results
- At end of follow-up, over 3,500 cumulative deaths were reported, including 1,776 deaths within 30 days post-stroke and 1,764 deaths during a median duration of follow-up of 9.3 years
- The 15-year mortality in 30-day survivors was 17.0% (95% CI: 16.2% to 17.9%).
- Compared with the general population, the standardized mortality rate was 5.1 for ischemic stroke, and the standardized mortality rate for intracerebral hemorrhage was 8.4.(Whatever the hell this means, obviously not meant for lay persons.)
Read the full article on JAMA
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