Microalbuminuria and hyperthermia independently predict long-term mortality in acute ischemic stroke patients

2003 ◽  
Vol 107 (2) ◽  
pp. 96-101 ◽  
Author(s):  
A. Szczudlik ◽  
W. Turaj ◽  
A. Słowik ◽  
J. Strojny
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Stroke Patients ◽  
Long Term Mortality

Abstract 176: Long Term Mortality in Acute Ischemic Stroke Patients with Nonvalvular Atrial Fibrillation According to Location and Burden of Cerebral Microbleeds

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Tae-Jin Song ◽  
Jinkwon Kim ◽  
Dongbeom Song ◽  
Yong-Jae Kim ◽  
Hyo Suk Nam ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Hemorrhagic Stroke ◽  
Independent Predictor ◽  
Stroke Patients ◽  
Risk Of Death ◽  
Long Term Mortality

Background: Cerebral microbleeds (CMBs) were predictive of mortality in elderly and considered as a putative marker for risk of intracranial hemorrhage. Stroke patients with non valvular atrial fibrillation (NVAF) require anticoagulation, which increases the risk of hemorrhages. We investigated association of CMBs with the long term mortality in acute ischemic stroke patients with NVAF. Methods: During 6 years , consecutive ischemic stroke patients who had NVAF and who had undergone brain MRI with a gradient-recalled echo sequence were enrolled. Long-term mortality and causes of death were identified using data from Korean National Statistical Office. Survival analysis was performed whether the presence, number and location of CMBs were related with all causes, cardiovascular, and cerebrovascular mortality during follow-up. Results: Total 506 patients were enrolled during the study period and were followed up for median 2.5 years. CMBs were found in 30.8% of patients (156/506). Oral anticoagulation with warfarin was prescribed at discharge in 477 (82.7%) patients. During follow up, 177 (35%) patients died and cerebrovascular death was noted in 93 patients (81 ischemic stroke and 12 hemorrhagic stroke). After adjusting age, sex and significant variables in univariate analysis (p<0.1), multiple CMBs (≥5) were the independent predictor for all-cause, cardiovascular and ischemic stroke mortalities. The strictly lobar CMBs were associated with hemorrhagic stroke mortality in multivariate Cox regression analysis (HR 4.776, p=0.032) (Figure 1). Conclusions: Multiple CMBs were the independent predictor for the long term mortality in stroke patients with NVAF. Among them, patients with strictly lobar CMBs had a high risk of death due to hemorrhagic stroke. Our findings suggest that detection of CMBs in stroke patients with NVAF are of clinical relevance for predicting long term outcome and that particular concern is necessary in those with strictly lobar CMBs for their increased risk of death due to hemorrhagic stroke. Figure 1.

scholarly journals Pneumonia in acute ischemic stroke patients requiring invasive ventilation: Impact on short and long-term outcomes

2019 ◽  
Vol 79 (3) ◽  
pp. 220-227 ◽  
Author(s):  
Etienne de Montmollin ◽  
Stephane Ruckly ◽  
Carole Schwebel ◽  
Francois Philippart ◽  
Christophe Adrie ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Invasive Ventilation ◽  
Stroke Patients ◽  
Long Term Outcomes ◽  
Short And Long Term

O-001 Thrombectomy for acute ischemic stroke patients aged 80 years or older: long-term outcomes in 233 patients

2011 ◽  
Vol 3 (Suppl_1) ◽  
pp. A1-A1
Author(s):  
R. Nogueira ◽  
W. Smith ◽  
T. Jovin ◽  
D. Liebeskind ◽  
R. Budzik ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Stroke Patients ◽  
Long Term Outcomes

Long-term mortality among young ischemic stroke patients in western Norway

2007 ◽  
Vol 116 (3) ◽  
pp. 150-156 ◽  
Author(s):  
U. Waje-Andreassen ◽  
H. Naess ◽  
L. Thomassen ◽  
G. E. Eide ◽  
C. A. Vedeler
Keyword(s):  
Ischemic Stroke ◽  
Stroke Patients ◽  
Western Norway ◽  
Young Ischemic Stroke ◽  
Long Term Mortality

scholarly journals Elevated Serum Fibrin-Monomer Levels are Associated With High Long-Term Cerebrovascular Event Rates in Acute Ischemic Stroke Patients

2007 ◽  
Vol 71 (10) ◽  
pp. 1573-1579 ◽  
Author(s):  
Harutoshi Tamura ◽  
Osamu Hirono ◽  
Hidenobu Okuyama ◽  
Ling Liu ◽  
Satoshi Nishiyama ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Elevated Serum ◽  
Cerebrovascular Event ◽  
Stroke Patients ◽  
Fibrin Monomer ◽  
Event Rates

scholarly journals Elevated Calcium after Acute Ischemic Stroke: Association with a Poor Short-Term Outcome and Long-Term Mortality

2015 ◽  
Vol 17 (1) ◽  
pp. 54 ◽  
Author(s):  
Jong-Won Chung ◽  
Wi-Sun Ryu ◽  
Beom Joon Kim ◽  
Byung-Woo Yoon
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome ◽  
Long Term Mortality

Abstract WP94: Higher Mortality in Slow Blood Pressure Droppers: Blood Pressure Trajectory Groups of 1-Year After Acute Ischemic Stroke

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Keon-Joo Lee ◽  
Beom Joon Kim ◽  
Moon-Ku Han ◽  
Joon-Tae Kim ◽  
Kang Ho Choi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Symptom Onset ◽  
Time Course ◽  
Information Criterion ◽  
Stroke Recurrence ◽  
Stroke Patients ◽  
Composite Events

Introduction: Although the effect of blood pressure in post-stroke outcome is well recognized, the long-term time course of BP following acute ischemic stroke and it’s influence to outcomes have not been well elucidated. Method: From a multicenter prospective registry of acute ischemic stroke patients, a total of 5,514 patients with measurement of systolic blood pressure (SBP) in more than 2 of 7 prespecified time points up to 1 year after symptom onset were analyzed. The patients were grouped according to longitudinal SBPs of each patient using a group-based trajectory model, and number of groups were determined by the optimal delta-Bayesian Information Criterion. Outcome measures, which were stroke recurrence, mortality and composite of each events along with myocardial infarction were prospectively collected up to 1 year after symptom onset. Results: Patients were categorized into four groups according to their SBP trajectories: low (27.0%), moderate (59.5%), persistently high (1.2%), and slowly dropping (12.4%). After adjustment for pre-determined covariates, there were higher risk of stroke recurrence in persistently high SBP group (hazard ratio (HR), 2.28 [95% confidence interval (CI), 1.01-5.12]). Mortality was higher only in the slowly dropping SBP group (HR, 1.50 [95% CI, 1.09-2.05]). Composite events were higher in both persistently high (HR, 1.96 [95% CI, 1.02-3.75]) and slowing dropping (HR, 1.54 [95% CI, 1.18-2.00]) SBP groups. Conclusion: There were a group of patterns in long-term longitudinal SBP changes after acute ischemic stroke. Especially, slow BP droppers might have a distinct nature with higher mortality and would be a target for future investigations.

Abstract 2510: Hemodialysis Is A Risk Factor For Short Or Long Term Mortality In Ischemic Stroke Patints.

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Takashi Shiromoto ◽  
Kensaku Shibazaki ◽  
Yasuyuki Iguchi ◽  
Junya Aoki ◽  
Jyunichi Uemura ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Risk Factor ◽  
Ischemic Stroke ◽  
Mortality Rate ◽  
Stroke Onset ◽  
Basilar Artery Occlusion ◽  
Stroke Patients ◽  
Factors Associated ◽  
Long Term Mortality

Background and purpose Hemodialysis(HD) is reported to be a risk factor for cerebrovascular events and poor prognosis. However, it is unclear whether HD is a risk factor for short or long term mortality in ischemic stroke patients. The aim of the present study was to investigate whether a short or long term mortality of stroke patient s receiving HD is higher than those without HD. Methods From April 2007 to May 2010, we retrospectively enrolled ischemic stroke patients within 24h of stroke onset who admitted to our hospital. We divided patients into two groups according to presence and absence of receiving HD(HD group and non-HD group) . We compared clinical characteristics and the mortality rate at discharge and 1year after stroke onset between the two groups. The factors associated with death were investigated by multivariate logistic regression analysis. Results 687 patients (417 males; (61.4%), mean age 72.4 ± 11 years) were enrolled. 29 patients (4.0%) had HD. HD group was younger(69.8±14.2 vs. 73.0±11.9 year,P<0.001), and hypertension(97%vs. 68%, P<0.001) and basilar artery occlusion(10% vs. 2%, P=0.01) were more frequently observed than non-HD group . In-hospital mortality was 6.7% (46/687 patients). HD group was high mortality rate compared with non HD group(21%vs. 6%, P=0.002). Multivariate logistic regression analysis demonstrated that higher NIHSS score on admission, (OR 1.2, 95% CI 1.109-1.207, P <0.001), basilar artery occlusion (OR 3.6, 95% CI 1.031-12.36, P = 0.05), and HD(OR 7.8, 95%CI 2.259-26.79, P = 0.001) were independent factors associated with in-hospital death. Next, after hospital discharge, 14.5% of patients died within 1 year. HD group was high mortality rate compared with non HD group(50%vs. 13%, P<0.001). On multivariate regression analysis, age per 1year increase(OR 1.0, 95%CI 1.015-1.078, P = 0.03), poor functional outcome (modified Ranking Scale (3-5)) at discharge (OR 2.0, 95%CI 1.635-2.599, P <0.001), and HD(OR 26.4, 95%CI 7.532-92.503, P <0.001) were independent factors associated with death within 1year of stroke onset. Therefore, HD was independently associated with short or long term mortality. Conclusions; HD is a risk factor for short or long term mortality in ischemic stroke patients.

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