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Titolo:
Frequency and predictors of stroke death in 5,888 participants in the Cardiovascular Health Study
Autore:
Longstreth, WT; Bernick, C; Fitzpatrick, A; Cushman, M; Knepper, L; Lima, J; Furberg, CD;
Indirizzi:
Univ Washington, Harborview Med Ctr, Dept Neurol, Seattle, WA 98104 USA Univ Washington Seattle WA USA 98104 , Dept Neurol, Seattle, WA 98104 USA Univ Washington, Dept Epidemiol, Seattle, WA 98104 USA Univ Washington Seattle WA USA 98104 ept Epidemiol, Seattle, WA 98104 USA Univ Calif Davis, Dept Neurol, Davis, CA 95616 USA Univ Calif Davis DavisCA USA 95616 vis, Dept Neurol, Davis, CA 95616 USA Univ Washington, CHS Coordinating Ctr, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 rdinating Ctr, Seattle, WA 98195 USA Univ Vermont, Dept Med, Burlington, VT USA Univ Vermont Burlington VT USA niv Vermont, Dept Med, Burlington, VT USA Univ Pittsburgh, Dept Neurol, Pittsburgh, PA 15260 USA Univ Pittsburgh Pittsburgh PA USA 15260 Neurol, Pittsburgh, PA 15260 USA Johns Hopkins Univ, Dept Med, Div Cardiol, Baltimore, MD USA Johns HopkinsUniv Baltimore MD USA Med, Div Cardiol, Baltimore, MD USA Wake Forest Univ, Dept Publ Hlth Sci, Winston Salem, NC 27109 USA Wake Forest Univ Winston Salem NC USA 27109 , Winston Salem, NC 27109 USA
Titolo Testata:
NEUROLOGY
fascicolo: 3, volume: 56, anno: 2001,
pagine: 368 - 375
SICI:
0028-3878(20010213)56:3<368:FAPOSD>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
CASE-FATALITY RATES; MINI-MENTAL STATE; ATRIAL-FIBRILLATION; CEREBRAL INFARCTION; COMMUNITY-STROKE; OLDER ADULTS; MORTALITY; SURVIVAL; RECURRENCE; RISK;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
48
Recensione:
Indirizzi per estratti:
Indirizzo: Longstreth, WT Univ Washington, Harborview Med Ctr, Dept Neurol, Box 359775,325 9th Ave, Seattle, WA 98104 USA Univ Washington Box 359775,325 9th AveSeattle WA USA 98104
Citazione:
W.T. Longstreth et al., "Frequency and predictors of stroke death in 5,888 participants in the Cardiovascular Health Study", NEUROLOGY, 56(3), 2001, pp. 368-375

Abstract

Background: Few population-based studies have examined in detail issues ofstroke-related deaths in elderly people. Methods: Participants in the Cardiovascular Health Study (CHS) are 65 years of age or older, have had extensive baseline evaluations, and have been followed-up for fatal and nonfatal cardiovascular and cerebrovascular disease outcomes. Investigators adjudicated these outcomes and classified strokes by types and subtypes. Results: Over 7 years, 1,310 (22.2%) of 5,888 participants died, and 455 (7.7%) experienced incident stroke. For the 5,888, stroke mortality was 3.2 per 1,000 person-years. For the 455, it was 36.1 per 1,000 person-years, with the mostlethal type being hemorrhagic and the ischemic subtype being cardioembolic. After controlling for age and stroke type, the only other independent predictor of death after any stroke was poor performance on a timed walk measured before the incident stroke. Considering only ischemic stroke, the independent predictors of death were African American race and poor performance on timed walk. Conclusion: In CHS, death attributable to stroke is common. As in other studies, the most lethal stroke type was hemorrhagic, and ischemic stroke subtype, cardioembolic. Slow walking, possibly a measure of frailty, was associated with an increased risk of death of stroke. Finally, African Americans faced a greater risk of death than others after an ischemic stroke.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 16:22:58