ArticleBrain and behavior2019
Changes in survival and characteristics among older stroke unit patients-1994 versus 2012.
Article in Brain and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- The effects of the healthcare line in a stroke unit: three years' experience of a center in the Northeast of Brazil.Arquivos de neuro-psiquiatria · 2023Article
- Severity as a moral qualifier of malady.BMC medical ethics · 2023Article
- Life satisfaction and its influencing factors of middle-aged and elderly stroke patients in China: a national cross-sectional survey.BMJ open · 2022Article
- Stroke unit demand in Norway - present and future estimates.BMC health services research · 2022Article
- Article
- Changes in survival and characteristics among older stroke unit patients-1994 versus 2012.Brain and behavior · 2019Article
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4 authors.
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Abstract
objectivesTreatment on organized stroke units (SUs) improves survival after stroke, and stroke mortality has decreased worldwide in recent decades; however, little is known of survival trends among SU patients specifically. This study investigates changes in survival and characteristics of older stroke patients receiving SU treatment. MATERIALS &
methodsWe compared 3-year all-cause mortality and baseline characteristics in two cohorts of stroke patients aged ≥60 consecutively admitted to the same comprehensive SU in 1994 (n = 271) and 2012 (n = 546).
resultsThree-year survival was 53.9% in 1994 and 56.0% in 2012, and adjusted hazard ratio (HR) was 0.99 (95% CI: 0.77-1.28). Adjusted 30-day case fatality was slightly higher in 2012, 18.9% versus 16.2%, HR 1.68 (95% CI: 1.14-2.47). There were no significant between-cohort differences in survival beyond 30 days. Patients in 2012 were older (mean age: 78.8 vs. 76.7 years) and more often admitted from nursing homes. There were higher rates of atrial fibrillation (33.7% vs. 21.4%) and malignancy (19.2% vs. 8.9%), and prescription of antiplatelets (46.9% vs. 26.2%) and warfarin (16.3% vs. 5.5%) at admission. Stroke severity was significantly milder in 2012, proportion with mild stroke 66.1% versus 44.3%.
conclusionsThree-year survival in older Norwegian stroke patients treated on an SU remained stable despite improved treatment in the last decades. Differences in background characteristics may explain this lack of difference; patients in 2012 were older, more often living in supported care, and had higher prestroke comorbidity; however, their strokes were milder and risk factors more often treated.
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