Survival and recurrence after first cerebral infarction: a population-based study in Rochester, Minnesota, 1975 through 1989

Neurology
G W PettyD O Wiebers

Abstract

We used the Kaplan-Meier product limit method to estimate rates and Cox proportional hazards regression analysis with bootstrap validation to model significant independent predictors of and temporal trends in survival and recurrent stroke among 1,111 residents of Rochester, MN, who had a first cerebral infarction from 1975 through 1989. The risk of death after first cerebral infarction was 7% +/- 0.7% at 7 days, 14% +/- 1.0% at 30 days, 27% +/- 1.3% at 1 year, and 53% +/- 1.5% at 5 years. Independent risk factors for death after first cerebral infarction were age (p < 0.0001), congestive heart failure (p < 0.0001), persistent atrial fibrillation (p < 0.0001), recurrent stroke (p < 0.0001), and ischemic heart disease (p < 0.0001 for age < or =70, p > 0.05 for age >70). The risk of recurrent stroke after first cerebral infarction was 2% +/- 0.4% at 7 days, 4% +/- 0.6% at 30 days, 12% +/- 1.1% at 1 year, and 29% +/- 1.7% at 5 years. Age (p = 0.0002) and diabetes mellitus (p = 0.0004) were the only significant independent predictors of recurrent stroke. Neither the year nor the quinquennium of the first cerebral infarction was a significant determinant of survival or recurrence. The temporal trend toward improving survival after fi...Continue Reading

References

Mar 1, 1992·Journal of Neurology, Neurosurgery, and Psychiatry·R Langton Hewer, V A Wood
Jul 4, 1992·BMJ : British Medical Journal·P Lachmann
Jan 1, 1989·Neurology·N M Bornstein, J W Norris
Jan 1, 1988·Stroke; a Journal of Cerebral Circulation·R F Gillum
Jan 1, 1995·Stroke; a Journal of Cerebral Circulation·E ShaharH Blackburn
Jan 1, 1994·Stroke; a Journal of Cerebral Circulation·R H Ackerman, M R Candia

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Citations

Feb 4, 2010·Journal of Thrombosis and Thrombolysis·Anandi KrishnanLarry B Goldstein
Apr 12, 2012·Current Diabetes Reports·Michael S PhippsWalter N Kernan
Jan 29, 2005·Current Neurology and Neuroscience Reports·Mai N Nguyen-Huynh, S Claiborne Johnston
Mar 15, 2003·The American Journal of Medicine·Susana PenadoJosé A Riancho
Dec 14, 2002·Journal of the Neurological Sciences·Joong-Seok KimJong-Won Kim
Apr 27, 2001·Lancet·S AlamowitchUNKNOWN North American Symptomatic Carotid Endarterectomy Trial (NASCET) Group
May 3, 2003·Journal of Clinical Epidemiology·Gosse de JongJan Lodder
Feb 12, 2002·European Journal of Internal Medicine·A M. WagnerA Perez-Perez
Oct 31, 2001·The American Journal of Geriatric Cardiology·J W Weinsaft, J M Edelberg
Oct 9, 2002·The Journal of Clinical Hypertension·Geza Simon
Feb 18, 2005·Journal of Neurology, Neurosurgery, and Psychiatry·J HataM Iida
Oct 1, 2010·Cerebrovascular Diseases·Norrina B AllenJudith H Lichtman
Jun 18, 2011·Stroke; a Journal of Cerebral Circulation·E Murat ArsavaHakan Ay
Mar 28, 2006·Circulation Journal : Official Journal of the Japanese Circulation Society·Hon-Kan YipChia-Wei Liou
Sep 12, 2012·Annals of Family Medicine·Jennifer H WhiteMichael Pollack
Oct 8, 1999·American Journal of Public Health·G OsterG A Colditz
Jan 5, 2011·Journal of Multidisciplinary Healthcare·Takehisa HirayamaKen Ikeda
Feb 24, 2006·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·Deepak ThataiPatrick M Pullicino
Jun 20, 2006·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·James J Ferguson
Jul 10, 2003·Lancet Neurology·Bo Norrving
Apr 3, 2010·AJNR. American Journal of Neuroradiology·A D FurtadoMax Wintermark
May 11, 2011·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Halvor NæssLars Thomassen
Jun 12, 2009·Journal of Hypertension. Supplement : Official Journal of the International Society of Hypertension·Walter Van Mieghem
Mar 6, 2016·Journal of the Neurological Sciences·Aristeidis H KatsanosGeorgios Tsivgoulis
Oct 10, 2009·Expert Review of Cardiovascular Therapy·Shun Kohsaka, Shunichi Homma
Mar 24, 2004·Current Medical Research and Opinion·Dejana R JovanovićUNKNOWN Dutch TIA Trial Study Group
Oct 16, 2015·Journal of Stroke·Eun-Jae LeeSteven Warach
Jan 9, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Po-Sheng ChenYi-Heng Li
Mar 1, 2012·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Norihiro SuzukiYasushi Okada
Dec 7, 2011·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Patrick M PullicinoElsayed Z Soliman
Dec 21, 2012·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·I L MaierT Buettner
Jun 7, 2011·Neuroimaging Clinics of North America·A Gregory Sorensen, Hakan Ay
Mar 8, 2011·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Takahiro KuwashiroMitsuo Iida
Sep 8, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Kate C YoungCurtis G Benesch
Jul 14, 2010·Journal of Diabetes and Its Complications·Andrea IcksFalk Hoffmann

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