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Type: Journal article
Title: Ten-year survival after first-ever stroke in the Perth community stroke study
Author: Hardie, K.
Hankey, G.
Jamrozik, K.
Broadhurst, R.
Anderson, C.
Citation: Stroke, 2003; 34(8):1842-1846
Publisher: Lippincott Williams & Wilkins
Issue Date: 2003
ISSN: 0039-2499
Statement of
Kate Hardie, Graeme J. Hankey, Konrad Jamrozik, Robyn J. Broadhurst and Craig Anderson
Abstract: Background and Purpose— Very few studies have provided information regarding long-term prognosis after stroke. We aimed to determine the absolute and relative survival over 10 years among patients with first-ever stroke from a population-based study in Perth, Western Australia. Methods— For a 12-month period beginning February 1989, all individuals with a suspected acute stroke or transient ischemic attack who were resident in a geographically defined and representative region of Perth, Western Australia, were registered prospectively and assessed according to standardized diagnostic criteria. Patients with a definite first-ever stroke were followed up prospectively at 4 months, 12 months, 5 years, and 10 years after the index event. Results— A total of 251 patients with first-ever stroke were registered, and 244 (97%) were followed up at 10 years, by which time 197 (79%; 95% confidence interval [CI], 74 to 84) had died. The major causes of death were the direct effects of the initial stroke (27%; 95% CI, 21 to 33) and cardiovascular disease (26%; 95% CI, 20 to 32). Among 1-year survivors of stroke, the average annual case fatality was 4.8%, which was 2.3 (95% CI, 1.9 to 2.7) times greater than for the general population of the same age and sex. Conclusions— One in 5 patients with first-ever stroke survived to 10 years. The average annual case fatality was 4.8% between years 1 and 10 after stroke, which was twice that expected for the general population. Vascular disease is the major cause of death among long-term survivors of stroke.
Keywords: Australia; stroke; survival
Description: © 2003 American Heart Association
RMID: 0020081416
DOI: 10.1161/01.STR.0000082382.42061.EE
Appears in Collections:Public Health publications

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