Unemployment: A Social Risk Factor Associated with Early Ischemic Stroke Mortality? Results from the Argentinean National Stroke Registry (ReNACer)

2012 ◽  
Vol 21 (8) ◽  
pp. 679-683 ◽  
Author(s):  
Luciano A. Sposato ◽  
Pablo Ioli ◽  
Guillermo Povedano ◽  
María Martha Esnaola y Rojas ◽  
Gustavo Saposnik
Keyword(s):  
Risk Factor ◽  
Ischemic Stroke ◽  
Social Risk ◽  
Stroke Mortality ◽  
Stroke Registry ◽  
Social Risk Factor

Different vascular risk factor profiles in ischemic stroke subtypes: a study fromthe "Sagrat Cor Hospital of Barcelona Stroke Registry"

2000 ◽  
Vol 102 (4) ◽  
pp. 264-270 ◽  
Author(s):  
A. Arboix ◽  
C. Morcillo ◽  
L. Garcia-Eroles ◽  
M. Oliveres ◽  
J. Massons ◽  
...  
Keyword(s):  
Risk Factor ◽  
Ischemic Stroke ◽  
Vascular Risk Factor ◽  
Vascular Risk ◽  
Stroke Registry ◽  
Stroke Subtypes

scholarly journals Anemia Is a Risk Factor for the Development of Ischemic Stroke and Post-Stroke Mortality

2021 ◽  
Vol 10 (12) ◽  
pp. 2556
Author(s):  
Jayoon Heo ◽  
Tae-Mi Youk ◽  
Kwon-Duk Seo
Keyword(s):  
Risk Factor ◽  
Ischemic Stroke ◽  
Health Insurance ◽  
Control Group ◽  
Stroke Mortality ◽  
Health Insurance Data ◽  
Post Stroke ◽  
Risk Of Death ◽  
Anemia Group

Background: anemia is known to be a risk factor for developing ischemic stroke in long-term follow-up studies, and it is also known to increase the risk of death in ischemic stroke patients. We aimed to determine the association of anemia with the risk of ischemic stroke and the risk of death after ischemic stroke. Methods: The study included patients from National Health Insurance Service cohort, from January 2005 to December 2015. Anemia patients were defined as those with confirmed diagnostic codes and related medications in the sample cohort, and patients under the age of 18 were excluded. To perform a comparative analysis with the control group, twice as many patients were extracted by propensity score matching. The effects of anemia on the development of ischemic stroke were analyzed. Results: A total of 58,699 patients were newly diagnosed with anemia during the study period. In anemia group, the rate of ischemic stroke occurring within 1 year was 0.550%, and the rate was 0.272% in the control group. The odds ratio of anemia related to ischemic stroke was 1.602 (95% confidence intervals (CI) 1.363–1.883). During the follow-up period, 175 out of 309 (56.6%) died in anemia group, and 130 out of 314 (41.4%) died in control group. The anemia group showed a higher risk of death than the control group (Hazard ratio 1.509, 95% CI 1.197–1.902). Conclusion: Analysis of the nationwide health insurance data revealed that anemia is one of the risk factors for the development of ischemic stroke, and also an independent prognostic factor affecting post-stroke mortality.

Abstract P552: The Role of Traditional Risk Factors in Mediating the Influence of Cumulative Social Risk Exposure on Cardiovascular Death

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Wei Zhang ◽  
Muhammad Imtiaz Ahmad ◽  
Elsayed Z SOLIMAN
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Risk Score ◽  
Risk Exposure ◽  
Social Risk ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Obesity And Diabetes ◽  
Social Risk Factor

Introduction: Cumulative social risk exposure, defined as experiencing more than one social risk factor and captured through an index of cumulative social risk, is associated with a significant increase in cardiovascular disease (CVD) mortality. However, the role of CVD risk factors in explaining this association is unclear. Methods: This analysis included 15,906 participants (45.6±19.5 years, 53.4% women, 57.7% minority race) from the Third National Health and Nutrition Examination Survey (NHANES-III) who were CVD-free at enrollment. Baseline social risk factors (minority race, poverty-income ratio<1, education<12 grade, and living single) were used to create a cumulative social risk score (0 to ≥3). The mediation by each CVD risk factor was assessed by estimating the magnitude of attenuation in the hazard ratio for the association between social risk score and CVD death adjusted by demographics and risk factors. Results: During a median follow up of 14 years, 1,309 CVD deaths occurred. Participants with more than one social risk factor were at increased risk of CVD death (Table) . The risk of CVD death in demographic adjusted models was attenuated by 31%, 21% and 36% in people with social risk score 1, 2, and ≥3 versus 0, respectively, after further adjustment for traditional CVD risk factors. Among all CVD risk factors included in the analysis, current smoking was the most powerful mediating effect, accounting for approximately one half of the combined risk factor effect, followed by obesity and diabetes ( Table ). Conclusions: Traditional CVD risk factors explain about one third of the association between cumulative social risk exposure and CVD death. While these findings underscore the importance of management of traditional CVD risk factors, particularly smoking, in socially disadvantaged population, they call for further studies to identify other pathways that explain the link between social risk exposure and CVD.

Abstract WP355: Recurrent Stroke is an Independent Risk Factor for Ischemic Stroke Prognosis

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Haiqiang Qin ◽  
Gaifeng Liu ◽  
Penglian Wang ◽  
Runhua Zhang ◽  
Miaoxin Yu ◽  
...  
Keyword(s):  
Risk Factor ◽  
Ischemic Stroke ◽  
Poor Prognosis ◽  
Independent Risk Factor ◽  
Recurrent Stroke ◽  
Multivariable Analysis ◽  
Stroke Registry ◽  
Risk Of Death ◽  
Composite Events ◽  
Worse Prognosis

Introduction: Recurrent ischemic stroke is more likely to have a worse prognosis. However, it is little known whether recurrent stroke is an independent risk factor for poor prognosis. We aim to investigate the difference of mortality and recurrent rate of first ever and recurrent ischemic strokes, as well as to explore the potential reasons. Method: We analyzed patients with ischemic stroke enrolled in the China National Stroke Registry which was a nationwide, multicenter, and prospective registry of consecutive patients with acute cerebrovascular events from 2007 to 2008. Date including hypertension, diabetes mellitus, hyperlipidemia, heart disease, etc. were obtained from paper-based registry forms. Multivariable analysis using logistic regression was performed to assess the risk of worse prognosis of recurrent ischemic stroke compared to first-ever stroke. Result: A total of 8 181 patients with first-ever stroke and 4 234 patients with recurrent stroke were enrolled in the study. For patients with first-ever stroke, the mortality, recurrence, composite Events(modified Rankin Scale=3-6, which means death or disability) rate is 7.2%, 10.3%, 22.6%, respectively at 3-month; and 9.0%, 13.0%, 29.0% at 6-month; as well as 11.4%, 14.7%, 28.5% at 1 year, respectively. For patients with recurrent stroke, the mortality, recurrence, composite events rate is 10.5%, 16.1%, 30.8% respectively at 3-month, and 13.9%, 20.3%, 41.7% at 6-month, as well as 17.3%, 23.6%, 42.1% at 1 year, respectively. Multivariable analysis showed that patients with recurrent stroke had a higher risk of death, recurrence and disability at 3-month, 6 month and 1 year (table 1). Conclusion: After adjusting for multiple risk factors, recurrent stroke is still an independent risk factor for poor prognosis of ischemic stroke, which further emphasizes the importance of secondary prevention of ischemic stroke, and the specific causes need to be furtherly investigated.

scholarly journals Stroke History is an Independent Risk Factor for Poor Prognosis in Ischemic Stroke Patients: Results from a Large Nationwide Stroke Registry

2020 ◽  
Vol 17 (4) ◽  
pp. 487-494
Author(s):  
Haiqiang Qin ◽  
Penglian Wang ◽  
Runhua Zhang ◽  
Miaoxin Yu ◽  
Guitao Zhang ◽  
...  
Keyword(s):  
Risk Factor ◽  
Ischemic Stroke ◽  
Poor Prognosis ◽  
Independent Risk Factor ◽  
Multivariable Analysis ◽  
Stroke Patients ◽  
Stroke Registry ◽  
Risk Of Death ◽  
History Of ◽  
The Difference

Background: There is some controversy whether stroke history is an independent risk factor for poor prognosis of stroke or not. This study aimed to investigate the difference of mortality, disability and recurrent rate of ischemic stroke patients without and with stroke history, as well as to explore the effect of stroke history on stroke prognosis. Methods: We analyzed patients with ischemic stroke enrolled in the China National Stroke Registry which was a nationwide, multicenter, and prospective registry of consecutive patients with acute cerebrovascular events from 2007 to 2008. Multivariable logistic regression was performed to assess the risk of worse prognosis of stroke history in patients with ischemic stroke. Results: A total of 8181(65.9%) patients without stroke history and 4234(34.1%) patients with stroke history were enrolled in the study. The mortality, recurrence, modified Rankin Scale (mRS) 3-6 rate was 11.4%, 14.7% and 28.5% respectively at 1 year for patients without stroke history, which was significantly lower than that of 17.3%, 23.6%, 42.1% in patients with stroke history, respectively. Multivariable analysis showed that patients with stroke history had higher risk of death [odds ratio (OR) 1.34,95% confidence interval (CI) 1.17-1.54], recurrence (OR 1.47, 95 % CI 1.31-1.65) and mRS 3-6 (OR 1.49,95% CI 1.34-1.66) at 1 year. Conclusion: After adjusting for the potential confounders, stroke history was still an independent risk factor for poor prognosis of ischemic stroke, which further emphasizes the importance of secondary prevention of ischemic stroke. The specific causes of poor prognosis in patients with history of stroke need to be furtherly investigated.

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