Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/47141
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dc.contributor.authorHardie, K.en
dc.contributor.authorHankey, G.en
dc.contributor.authorJamrozik, K.en
dc.contributor.authorBroadhurst, R.en
dc.contributor.authorAnderson, C.en
dc.date.issued2004en
dc.identifier.citationStroke, 2004; 35(3):731-735en
dc.identifier.issn0039-2499en
dc.identifier.issn1524-4628en
dc.identifier.urihttp://hdl.handle.net/2440/47141-
dc.description© 2004 American Heart Associationen
dc.description.abstractBackground and Purpose— Limited information exists on the long-term prognosis after first-ever stroke. We aimed to determine the absolute frequency of first recurrent stroke and disability and the relative frequency of recurrent stroke over 10 years after first-ever stroke in Perth, Western Australia. Methods— For a 12-month period beginning February 1989, all individuals with suspected acute stroke or transient ischemic attack who lived in a geographically defined and representative region of Perth were registered prospectively. Patients with a definite first-ever stroke were followed up 10 years after the index event. Results— Over 10 years of follow-up, the cumulative risk of a first recurrent stroke was 43% (95% confidence interval [CI], 34 to 51). After the first year after first-ever stroke, the average annual risk of recurrent stroke was approximately 4%. Case fatality at 30 days after first recurrent stroke was 41%, which was significantly greater than the case fatality at 30 days after first-ever stroke (22%) (P=0.003). For 30-day survivors of first-ever stroke, the 10-year cumulative risk of death or new institutionalization was 79% (95% CI, 73 to 85) and of death or new disability was 87% (95% CI, 81 to 92). Conclusions— Over 10 years of follow-up, the risk of first recurrent stroke is 6 times greater than the risk of first-ever stroke in the general population of the same age and sex, almost one half of survivors remain disabled, and one seventh require institutional care. Effective strategies for prevention of stroke need to be implemented early, monitored frequently, and maintained long term after first-ever stroke.en
dc.language.isoenen
dc.publisherLippincott Williams & Wilkinsen
dc.source.urihttp://stroke.ahajournals.org/cgi/content/abstract/35/3/731en
dc.subjectcerebrovascular accidenten
dc.titleTen-Year Risk of First Recurrent Stroke and Disability after First-Ever Stroke in the Perth Community Stroke Studyen
dc.typeJournal articleen
dc.identifier.rmid0020081336en
dc.identifier.doi10.1161/01.STR.0000116183.50167.D9en
dc.identifier.pubid42881-
pubs.library.collectionPublic Health publicationsen
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
Appears in Collections:Public Health publications

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