We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
One-year case fatality rate following stroke in the Mashhad Stroke Incidence Study: a population-based study of stroke in Iran.
- Authors
Shoeibi, Ali; Salehi, Maryam; Thrift, Amanda G.; Kapral, Moira K.; Farzadfard, Mohammad Taghi; Azarpazhooh, Amir; Layegh, Parvaneh; Hashemi, Peyman; Amiri, Amin; Mokhber, Naghmeh; Hassankhani, Bahare; Azarpazhooh, Mahmoud Reza
- Abstract
Background In developing countries, there are few comprehensive studies of mortality following stroke. Aims and/or hypothesis We aimed to determine the one-year case fatality rate following stroke and to identify factors associated with death in a population-based stroke incidence study in Iran. Methods Six hundred eighty-four patients who had suffered a stroke between November 21, 2006, and November 20, 2007, and were recruited to the Mashhad Stroke Incidence Study were followed up at one-year. Most patients were seen in an outpatient visit. When patients had died, a verbal autopsy was conducted by telephone with the next of kin. Results A total of 226 (34·3%) patients died during the first year following stroke. The cumulative one-year case fatality rate was 30·6% following ischemic stroke and 53·0% following hemorrhagic stroke (55·8% after intracerebral hemorrhage and 35·7% after subarachnoid hemorrhage). The majority of these deaths occurred in the first 28 days after stroke (17·7% with ischemic and 43·0% with hemorrhagic stroke). Factors associated with greater mortality at one-year (excluding those who died during the first week) were hemorrhagic stroke [hazard ratio ( HR) 3·99; 95% confidence interval 1·90-8·37], age ( HR 1·05; 95% confidence interval 1·03-1·08), previous transient ischemic attack ( HR 2·45; 95% confidence interval 1·00-5·99), and National Institutes of Health Stroke Scale on admission ( HR 1·14; 95% confidence interval 1·10-1·17). Conclusion Despite the younger age of stroke occurrence in Iran, the one-year case fatality rate following stroke is similar to that reported in developed countries.
- Subjects
STROKE-related mortality; EPIDEMIOLOGICAL research; CEREBRAL ischemia; INTRACEREBRAL hematoma; SUBARACHNOID hemorrhage; TRANSIENT ischemic attack
- Publication
International Journal of Stroke, 2015, Vol 10, p96
- ISSN
1747-4930
- Publication type
Article
- DOI
10.1111/ijs.12611