Evidence map›Paper›PMID 31291344›Full record

ArticlePloS one2019

Long-term survival after stroke in Lithuania: Data from Kaunas population-based stroke registry.

Ricardas Radisauskas, Abdonas Tamosiunas, Daina Kranciukaite-Butylkiniene, Egle Milinaviciene, Vilija Malinauskiene, Gailute Bernotiene, Dalia Luksiene, Dalia Virviciute, Daiva Rastenyte

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ricardas RadisauskasInstitute of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania.ORCID 0000-0002-1227-2674
Abdonas TamosiunasInstitute of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Daina Kranciukaite-ButylkinieneInstitute of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Egle MilinavicieneInstitute of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Vilija MalinauskieneInstitute of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Gailute BernotieneInstitute of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Dalia LuksieneInstitute of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Dalia VirviciuteInstitute of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Daiva RastenyteDepartment of Neurology, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a lack of reliable epidemiological data on long-term survival trends of first-ever stroke patients in Lithuanian population.

aimsTo evaluate trends in long-term survival after stroke and to determine the influence of some sociodemographic and lifestyle factors, time and subtype of stroke, and stroke care on survival.

methodsAll stroke events included in Kaunas stroke register database were ascertained and validated according to the standardized criteria outlined by the WHO MONICA Project. The study included all patients in Kaunas (Lithuania) city aged 25 to 64 years who experienced a stroke between 1986 and 2011. Death time was confirmed by the Office for National Death Statistics. Estimates of stroke long-term survival data and factors influencing survival changes were made by applying the Kaplan-Meier and Cox regression analysis.

resultsDuring the study period, 4,129 persons aged 25-64 years suffered from a first-ever stroke: 2,215 (53.6%) of them were men and 1,914 (46.4%)-women. Ischemic stroke was significantly more frequent in males than in females (80.6% and 78.6%, respectively, p<0.05) and subarachnoid hemorrhage was more common in women than in men (9.0% and 7.0% respectively, p <0.05). Of all first-ever stroke patients, 3,272 (79.2%) survived 1 year and 2,905 (70.4%) survived 5 years after stroke onset. The 1- and 5-years survival rate after a first-ever stroke in women was significantly higher as compared with that in men (Log-rank test p = 0.0001). The older (55-64 year) persons had poorer 1-year and 5-years survival rate as compared with persons in the younger (25-54 years) age group (Log-rank test p = 0.0001). Among persons with a first-ever stroke who had their stroke in 2007-2011, 1- and 5-year survival rate was higher compared with that in persons who had had a stroke in 1986-1990 and in 1997-2001 (Log-rank test p = 0.0001). The persons with a first-ever ischemic stroke had a better chance to survive first 1- and 5-years after stroke compared with persons who had intracerebral or subarachnoid haemorrhage. Only female gender was associated with higher 1- and 5-year survival rate after first-ever stroke. The older age, previous myocardial infarction and diabetes mellitus were associated with lower 1- and 5-year survival rate after first-ever stroke.

conclusionsThis population-based study of patients with first-ever stroke demonstrated that the long-term survival was better in women than men, and improved significantly in both men and women during the past decade. Long-term survival was better of those with first-ever ischemic stroke and of younger age- 25 to 54 years.

Indexed as

SurvivorsAdultAge FactorsFemaleHumansKaplan-Meier EstimateLithuaniaMaleMiddle AgedMyocardial InfarctionProportional Hazards ModelsRegistriesSex FactorsStroke

Identifiers

PMID31291344
PMCPMC6619798

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.