Predictors of long-term survival among first-ever ischemic and hemorrhagic stroke in a Brazilian stroke cohort

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorGOULART, Alessandra C.
dc.contributor.authorFERNANDES, Tiotrefis G.
dc.contributor.authorSANTOS, Itamar S.
dc.contributor.authorALENCAR, Airlane P.
dc.contributor.authorBENSENOR, Isabela M.
dc.contributor.authorLOTUFO, Paulo A.
dc.date.accessioned2013-09-23T16:35:58Z
dc.date.available2013-09-23T16:35:58Z
dc.date.issued2013
dc.description.abstractBackground: Few studies have examined both ischemic and hemorrhagic stroke to identify prognostic factors associated to long-term stroke survival. We investigated long-term survival and predictors that could adversely influence ischemic and hemorrhagic first-ever stroke prognosis. Methods: We prospectively ascertained 665 consecutive first-ever ischemic and hemorrhagic stroke cases from ""The Study of Stroke Mortality and Morbidity"" (The EMMA Study) in a community hospital in Sao Paulo, Brazil. We evaluated cardiovascular risk factors and sociodemographic characteristics (age, gender, race and educational level). Results: We found a lower survival rate among hemorrhagic cases compared to ischemic stroke cases at the end of 4 years of follow-up (52% vs. 44%, p = 0.04). The risk of death was two times higher among people with ischemic stroke without formal education. Also, we found consistently higher risk of death for diabetics with ischemic stroke (HR = 1.45; 95% CI = 1.07-1.97) compared to no diabetics. As expected, age equally influenced on the high risk of poor survival, regardless of stroke subtype. Conclusions: For ischemic stroke, the lack of formal education and diabetes were significant independent predictors of poor long-term survival.
dc.description.indexMEDLINE
dc.description.sponsorshipBrazilian National Research Council (CNPq), Brasilia, Brazil
dc.description.sponsorshipFundacao de AMPARO A PESQUISA DO ESTADO DE SAO PAULO (FAPESP), SAO PAULO, SP, BRAZIL [2011/17568-4]
dc.identifier.citationBMC NEUROLOGY, v.13, article ID 51, 7p, 2013
dc.identifier.doi10.1186/1471-2377-13-51
dc.identifier.issn1471-2377
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/1714
dc.language.isoeng
dc.publisherBIOMED CENTRAL LTD
dc.relation.ispartofBMC Neurology
dc.rightsopenAccess
dc.rights.holderCopyright BIOMED CENTRAL LTD
dc.subjectStroke
dc.subjectRegistry
dc.subjectLong-term predictors
dc.subjectSurvival
dc.subject.otherrisk-factors
dc.subject.othermortality
dc.subject.otherfatality
dc.subject.othersubtypes
dc.subject.wosClinical Neurology
dc.titlePredictors of long-term survival among first-ever ischemic and hemorrhagic stroke in a Brazilian stroke cohort
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalFERNANDES, Tiotrefis G.:Univ Fed Amazonas, Coari, Amazonas, Brazil
hcfmusp.author.externalALENCAR, Airlane P.:Univ Sao Paulo, Inst Math & Stat, Sao Paulo, Brazil
hcfmusp.citation.scopus27
hcfmusp.contributor.author-fmusphcALESSANDRA CARVALHO GOULART
hcfmusp.contributor.author-fmusphcITAMAR DE SOUZA SANTOS
hcfmusp.contributor.author-fmusphcISABELA JUDITH MARTINS BENSEñOR
hcfmusp.contributor.author-fmusphcPAULO ANDRADE LOTUFO
hcfmusp.description.articlenumber51
hcfmusp.description.volume2013
hcfmusp.origemWOS
hcfmusp.origem.pubmed23706067
hcfmusp.origem.scopus2-s2.0-84878008185
hcfmusp.origem.wosWOS:000320054700001
hcfmusp.publisher.cityLONDON
hcfmusp.publisher.countryENGLAND
hcfmusp.relation.referenceAndersen KK, 2009, STROKE, V40, P2068, DOI 10.1161/STROKEAHA.108.540112
hcfmusp.relation.referenceAndersen KK, 2011, STROKE, V42, P2806, DOI 10.1161/STROKEAHA.111.619049
hcfmusp.relation.referenceANDERSON CS, 1994, STROKE, V25, P1935
hcfmusp.relation.referenceBronnum-Hansen H, 2001, STROKE, V32, P2131, DOI 10.1161/hs0901.094253
hcfmusp.relation.referenceFernandes TG, 2012, CAD SAUDE PUBLICA, V28, P1581, DOI 10.1590/S0102-311X2012000800016
hcfmusp.relation.referenceGoulart AC, 2010, INT J STROKE, V5, P284, DOI 10.1111/j.1747-4949.2010.00441.x
hcfmusp.relation.referenceGoulart AC, 2012, J STROKE CEREBROVASC, V21, P832, DOI 10.1016/j.jstrokecerebrovasdis.2011.04.017
hcfmusp.relation.referenceKojic Biljana, 2009, Med Arh, V63, P203
hcfmusp.relation.referenceLotufo PA, 2009, INT J STROKE, V4, P40, DOI 10.1111/j.1747-4949.2009.00240.x
hcfmusp.relation.referenceLotufo PA, 2013, INT J STROKE, V8, P155, DOI 10.1111/j.1747-4949.2011.00757.x
hcfmusp.relation.referenceMerida-Rodrigo L, 2012, REV CLIN ESP, V212, P223, DOI 10.1016/j.rce.2011.12.019
hcfmusp.relation.referenceO'Donnell MJ, 2010, LANCET, V376, P112, DOI 10.1016/S0140-6736(10)60834-3
hcfmusp.relation.referencePham TM, 2007, PREV MED, V44, P526, DOI 10.1016/j.ypmed.2007.02.016
hcfmusp.relation.referenceSaposnik G, 2008, STROKE, V39, P2318, DOI 10.1161/STROKEAHA.107.510362
hcfmusp.relation.referenceSlot KB, 2008, BRIT MED J, V336, P376, DOI 10.1136/bmj.39456.688333.BE
hcfmusp.relation.referenceWorld Health Organization, 2006, WHO STEPS STROK MAN
hcfmusp.remissive.sponsorshipCNPq
hcfmusp.remissive.sponsorshipFAPESP
hcfmusp.scopus.lastupdate2024-05-17
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