In-hospital stroke recurrence and stroke after transient ischemic attack: frequency and risk factors

Stroke; a Journal of Cerebral Circulation
Hebun ErdurC H Nolte

Abstract

We aimed to assess the risk of recurrent ischemic events during hospitalization for stroke or transient ischemic attack (TIA) with optimal current management and to identify associated risk factors. We performed a retrospective analysis of all patients treated for acute ischemic stroke or TIA in 3 stroke units between 2010 and 2013. Recurrent stroke was defined as new persisting (≥24 hours) neurological deficit occurring >24 hours after the index event and not attributable to other causes of neurological deterioration. Cox proportional hazard regression identified risk factors associated with recurrent stroke. The study included 5106 patients. During a median length of stay of 5 days (interquartile range, 4-8), stroke recurrence (or stroke after TIA) occurred in 40 patients (0.8%) and was independently associated with history of TIA, symptomatic carotid stenosis (≥70%), or other determined etiology. Patients with recurrent stroke and other determined etiology had cervical arterial dissection (n=2), primary angiitis of the central nervous system (n=1), giant cell arteritis (n=1), and lung cancer with nonbacterial thrombotic endocarditis (n=1). In patients with initial TIA or minor stroke (National Institutes of Health Stroke Sca...Continue Reading

References

Jan 9, 2001·JAMA : the Journal of the American Medical Association·S C JohnstonS Sidney
Oct 10, 2002·European Neurology·Christian WeimarUNKNOWN German Stroke Date Bank Collaborators
Jul 12, 2003·Stroke; a Journal of Cerebral Circulation·J K LovettP M Rothwell
Jun 12, 2004·Stroke; a Journal of Cerebral Circulation·Andrew J Coull, Peter M Rothwell
Dec 17, 2004·The New England Journal of Medicine·Liam SmeethPatrick Vallance
Apr 23, 2005·Arteriosclerosis, Thrombosis, and Vascular Biology·J A ZellerG Deuschl
Oct 12, 2007·Lancet·Peter M RothwellUNKNOWN Early use of Existing Preventive Strategies for Stroke (EXPRESS) study
Dec 22, 2007·Stroke; a Journal of Cerebral Circulation·Bent IndredavikStian Lydersen
Mar 20, 2009·The New England Journal of Medicine·R Michael Scott, Edward R Smith
Jan 20, 2010·Lancet Neurology·Sandeep KumarLouis R Caplan
Apr 2, 2011·Stroke; a Journal of Cerebral Circulation·Keerthi M MohanAndrew P Grieve
May 7, 2011·Stroke; a Journal of Cerebral Circulation·Mitchell S V ElkindW T Longstreth
Jun 18, 2011·Stroke; a Journal of Cerebral Circulation·E Murat ArsavaHakan Ay
Aug 13, 2011·Stroke; a Journal of Cerebral Circulation·Iacopo CancelliMariarosaria Valente
Aug 26, 2011·Neurology·Hans-Christian KoenneckeUNKNOWN Berlin Stroke Register Investigators
Aug 27, 2011·Stroke; a Journal of Cerebral Circulation·Annette IngemanSøren P Johnsen
Jan 21, 2012·Cerebrovascular Diseases·Christian H NolteJochen B Fiebach
Jul 17, 2012·Stroke; a Journal of Cerebral Circulation·Sarah HoffmannUNKNOWN Berlin Stroke Register and the Stroke Register of Northwest Germany
Dec 21, 2012·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·I L MaierT Buettner
Jan 25, 2013·Journal of Neurology, Neurosurgery, and Psychiatry·Francisco PurroyUNKNOWN Stroke Project of the Spanish Cerebrovascular Diseases Study Group
Apr 30, 2013·Seminars in Thrombosis and Hemostasis·Marcel LeviTom van der Poll
Jun 15, 2013·Stroke; a Journal of Cerebral Circulation·Tim Bastian BraemswigChristian H Nolte
Jun 28, 2013·The New England Journal of Medicine·Yongjun WangUNKNOWN CHANCE Investigators
May 3, 2014·Stroke; a Journal of Cerebral Circulation·Walter N KernanUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and

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Citations

Aug 28, 2015·The International Journal of Neuroscience·Mohamed Al-Khaled, Björn Scheef
Jan 24, 2016·Annals of Vascular Surgery·Paola De RangoFabio Verzini
Jun 30, 2016·International Journal of Environmental Research and Public Health·He-Hong GengPei-Xi Wang
Dec 19, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Runhua ZhangYongjun Wang
Oct 20, 2019·Scientific Reports·Fan YuDongsheng Fan
Jun 27, 2020·Stroke; a Journal of Cerebral Circulation·Jie XuYongjun Wang
Oct 17, 2019·World Journal of Clinical Cases·Qiu-Yun LiuYong-Lin Wan
May 17, 2019·International Journal of Stroke : Official Journal of the International Stroke Society·Liying XingShuang Liu
Jul 9, 2020·Journal of Stroke·Joonsang YooJi Hoe Heo
Sep 26, 2020·Stroke and Vascular Neurology·Ivo BachAdham Kamel
May 7, 2020·Journal of the Chinese Medical Association : JCMA·Chih-Hsiang LiaoPo-Lin Chen
May 28, 2021·Journal of Speech, Language, and Hearing Research : JSLHR·Emily B GoldbergArgye E Hillis
Oct 20, 2019·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Yuan XuYingping Yi
Sep 25, 2021·Nature Immunology·Panagiotis MastorakosDorian B McGavern

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