ArticleThe Pan African medical journal2025
Case fatality rate and associated factors of mortality among first-ever stroke patients: a prospective cohort study in Erbil City, Iraq.
Article in The Pan African medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: stroke is the second most common cause of death worldwide, with ischemic heart disease exceeding it. This study aimed to identify the hospital-based case-fatality rate and its associated factors in Erbil city. Methods: a hospital-based prospective cohort study was conducted on 118 first-ever stroke patients who were diagnosed by a consultant internist or neurologist and confirmed by brain Computed Tomography (CT) or Magnetic Resonance Imaging (MRI), admitted at Erbil teaching hospitals from 20 Results: these results showed that out of 118 patients with stroke, the one-month hospitalized stroke case fatality rate was 26.3% (95% confidence interval: 18.6% -35.2%). Univariate Cox regression analysis showed that patients older than 65 years had a significantly higher risk of death (HR = 4.349; 95% CI: 1.782-10.610, p = 0.001). Furthermore, stroke patients who had a history of hypertension, diabetes mellitus, heart disease, and dyslipidaemia tended to have a higher risk of death (HR: 3.052, 2.172, 3.477, and 2.295, respectively). Conclusion: the hospital-based case-fatality rate was relatively high in the first weeks after a first-ever stroke. The early mortality was affected by several factors, including older age, hypertension, diabetes mellitus, heart disease, dyslipidemia, and hemorrhage subtype. It is advisable to strengthen follow-up procedures and maximize guidance for patients' families after their discharge from the hospital.
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