PMID: 15347270Sep 7, 2004Paper

Risk factors for ischaemic stroke recurrence after hospitalisation

The Medical Journal of Australia
Andy H LeeKelvin K W Yau

Abstract

To determine risk factors for ischaemic stroke recurrence among patients admitted to hospital for a first-ever occurrence of ischaemic stroke. Retrospective study involving linked hospitalisation and death records. The cohort comprised 7816 people who were hospitalised for first-ever ischaemic stroke between July 1995 and December 1999 in Western Australia. Cox's proportional hazards model was used to identify risk factors for stroke recurrence. Time to first recurrence; cumulative recurrence risk; risk factors for recurrence. The median time to first stroke recurrence was 255 days. The cumulative probability of first recurrence was 5.1% (95% CI, 4.6%-5.7%) at 6 months, 8.4% (95% CI, 7.6%-9.1%) at 1 year and 19.8% (95% CI, 18.1%-21.4%) at 4 years. The risk of first recurrence was increased by advancing age (hazard ratio [HR], 1.03; 95% CI, 1.02-1.04), Aboriginality (HR, 1.50; 95% CI, 1.02-2.22), diabetes (HR, 1.27; 95% CI, 1.07-1.51), a history of cardiac conditions (HR, 1.18; 95% CI, 1.01-1.38), post-stroke urinary incontinence (HR, 1.27; 95% CI, 1.03-1.57) and transfer to another hospital on index admission (HR, 1.26; 95% CI, 1.08-1.46). Admission at first stroke occurrence to a hospital maintaining a stroke unit reduced the ...Continue Reading

References

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Sep 8, 2000·Stroke; a Journal of Cerebral Circulation·G J HankeyE G Stewart-Wynne
May 19, 2001·Neuroepidemiology·K R EvensonD L Morris
Sep 11, 2003·The Medical Journal of Australia·Rosemary F Roberts, Ralph M Hanson
Sep 11, 2003·The Medical Journal of Australia·Andy H LeeKelvin K W Yau
Sep 13, 2003·Stroke; a Journal of Cerebral Circulation·Helen M DeweyGeoffrey A Donnan

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Citations

Jun 27, 2008·Australian and New Zealand Journal of Public Health·Ray LovettHassan Vally
Aug 24, 2006·Annals of Neurology·Lynda D LisabethLewis B Morgenstern
Sep 21, 2006·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·Jing Hao HanKa Sing Wong
Sep 10, 2015·International Journal of Stroke : Official Journal of the International Stroke Society·Vincent Yf HeJames N Burrow
Dec 10, 2014·Journal of the American Heart Association·Melina GattellariJohn Worthington

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