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- Title
Factors for short-term outcomes in patients with a minor stroke: results from China National Stroke Registry.
- Authors
Lingyun Wu; Anxin Wang; Xianwei Wang; Xingquan Zhao; Chunxue Wang; Liping Liu; Huaguang Zheng; Yongjun Wang; Yibin Cao; Yilong Wang; Wu, Lingyun; Wang, Anxin; Wang, Xianwei; Zhao, Xingquan; Wang, Chunxue; Liu, Liping; Zheng, Huaguang; Wang, Yongjun; Cao, Yibin; Wang, Yilong
- Abstract
<bold>Background: </bold>Stroke recurrence and disability in patients with a minor stroke is one of the most depressing medical situations. In this study, we aimed to identify which factors were associated with adverse outcomes of a minor stroke.<bold>Methods: </bold>The China National Stroke Registry (CNSR) is a nationwide prospective registry for patients presented to hospitals with acute cerebrovascular events between September 2007 and August 2008. The 3-month follow-up was completed in 4669 patients with a minor stroke defined as the initial neurological severity lower than 4 in the National Institutes of Health Stroke Scale (NIHSS). Multivariate model was used to determine the association between risk factors and clinical outcomes.<bold>Results: </bold>Of 4669 patients with a minor stroke during 3-month follow-up, 459 (9.8 %) patients experienced recurrent stroke, 679 (14.5 %) had stroke disability and 168 (3.6 %) died. Multivariate model identified hypertension, diabetes mellitus, atrial fibrillation, coronary heart disease and previous stroke as independent predictors for the recurrent stroke. Age, diabetes mellitus, atrial fibrillation, previous stroke and time from onset to admission < 24 h were independent predictors for stroke disability. The independent predictors for the all-caused death were age, atrial fibrillation, and coronary heart disease.<bold>Conclusions: </bold>The short-term risk of poor clinical outcome in Chinese patients with a minor stroke was substantial. Therefore, patients with a minor stroke should be given expeditious assessment and urgent aggressive intervention.
- Subjects
CHINA; STROKE treatment; STROKE risk factors; DISEASE relapse; HYPERTENSION; ATRIAL fibrillation; CORONARY disease; PUBLIC health; STROKE-related mortality; LONGITUDINAL method; HEALTH outcome assessment; STROKE; ACQUISITION of data; SEVERITY of illness index; NIH Stroke Scale
- Publication
BMC Neurology, 2015, Vol 15, Issue 1, p1
- ISSN
1471-2377
- Publication type
journal article
- DOI
10.1186/s12883-015-0505-z