Risk factor burden predicts long‐term mortality after cerebral infarction. (27th June 2013)

• Record Type: Journal Article
• Authors: Gjerde, G.; Naess, H.
• Is Part Of: Acta neurologica Scandinavica. Volume 129:Number 3(2014:Mar.)
• Page Start: 173
• Page End: 177
• Publication Date: 2013-06-27
• Subjects: Neurology -- Periodicals; 616.8
• DOI: 10.1111/ane.12159
• Languages: English
• ISSNs: 0001-6314

Abstract

<abstract abstract-type="main" id="ane12159-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="ane12159-sec-0001" sec-type="section"> <title>Objective</title> <p>Previous studies have shown significant association between the number of traditional risk factors and long‐term mortality of cerebral infarction in young stroke patients. The aim was to investigate risk factors separately and in sum in relation to long‐term mortality after cerebral infarction, irrespective of age.</p> </sec> <sec id="ane12159-sec-0002" sec-type="section"> <title>Materials and methods</title> <p>Long‐term mortality in relation to number of traditional risk factors (angina pectoris, myocardial infarction, intermittent claudication, hypertension, diabetes mellitus, and smoking at the time of the index stroke) and etiology was studied in patients with acute cerebral infarction admitted to the Stroke Unit, Department of Neurology, Haukeland University Hospital, between February 2006 and February 2011. Only patients alive 30 days after stroke onset were included. Cox regression analyses were performed.</p> </sec> <sec id="ane12159-sec-0003" sec-type="section"> <title>Results</title> <p>After a mean follow–up time of 2.4 years, 14% with no risk factors had died, while the corresponding frequencies in patients with 1–3 or more risk factors were 13%, 19%, and 26%, respectively (<italic>P </italic>< 0.001). The number of risk factors was associated with mortality on Cox regression analysis (HR = 1.3, <italic>P </italic>< 0.001).</p> </sec> <sec id="ane12159-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Increasing number of traditional risk factors is associated with long‐term mortality in patients with cerebral infarction, irrespective of age. Careful long‐term follow‐up is important, especially among patients with several risk factors.</p> </sec> </abstract>