ArticleRevista da Escola de Enfermagem da U S P2023
Ischemic stroke mortality and time for hospital arrival: analysis of the first 90 days.
Article in Revista da Escola de Enfermagem da U S P, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Neuroprotective Mechanisms of Kaempferol in Experimental Ischemic Stroke: A Preclinical Systematic Review.Molecular neurobiology · 2025Pooled it
- Article
- miRNA in blood-brain barrier repair: role of extracellular vesicles in stroke recovery.Frontiers in cellular neuroscience · 2025Review
- Article
- Clinicopathological Observations in Acute Stroke Patients Treated with Intravenous Thrombolysis.Journal of clinical medicine · 2024Article
- In-hospital mortality and its associated factors among hospitalized stroke patients at public hospitals of Eastern Ethiopia.BMC cardiovascular disorders · 2024Article
- Factors influencing survival outcomes in patients with stroke in Zimbabwe: A 12-month longitudinal study.medRxiv : the preprint server for health sciences · 2024Article
- Factors influencing survival outcomes in patients with stroke at three tertiary hospitals in Zimbabwe: A 12-month longitudinal study.PloS one · 2024Article
- Predictors of Short-Term Mortality in Patients with Ischemic Stroke.Medicina (Kaunas, Lithuania) · 2023Observational
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyze the association between time of arrival at a reference hospital and mortality of people with ischemic stroke.
methodDescriptive and inferential statistics were used. Modifying and confounding variables between time of arrival and mortality were observed in the multivariate analysis. The Akaike Information Criterion was used to choose the model. Statistical significance of 5% and risk correction using the Poisson Model were adopted.
resultsMost participants arrived within 4.5 hours of symptom onset or wake up stroke to the referral hospital and 19.4% died. The score of the National Institute of Health Stroke Scale was a modifier. In the multivariate model stratified by scale score ≥14, arrival time >4.5h was associated with lower mortality; and age ≥60 years and having Atrial Fibrillation, to higher mortality. In the model stratified by score ≤13, previous Rankin ≥3, and presence of atrial fibrillation were predictors of mortality.
conclusionThe relationship between time of arrival and mortality up to 90 days was modified by the National Institute of Health Stroke Scale. Prior Rankin ≥3, atrial fibrillation, time to arrival ≤4.5h, and age ≥60 years contributed to higher mortality.
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