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- Title
The Prognostic Value of the Modified Rankin Scale Score for Long-Term Survival after First-Ever Stroke.
- Authors
Huybrechts, Krista F.; Caro, J. Jaime; Xenakis, James J.; Vemmos, Konstantinos N.
- Abstract
Background: The modified Rankin Scale (mRS) is gaining importance as a means to quantity disability following stroke, yet little is known about its usefulness as a determinant of the long-term outcome. Methods: The Athens Stroke Registry, which includes information on 1,816 first-ever stroke patients admitted to the Athens University Hospital from 1992 to 2004, was used to examine the crude and adjusted effect of the 3-month mRS score for long-term survival. The mean age was 70 years, 62% were males, and 84% had an ischemic stroke. Results: The mortality in the first 3 months exceeded 20%, but thereafter the survival declined much more slowly (∼4.5% per year). The patients with worse mRS scores had a significant excess risk of death; the effect persisted when controlling for coexistent cardiovascular problems (transient ischemic attack, claudication, heart failure and atrial fibrillation). Conclusions: These findings underscore the importance of interventions aimed at improving disability following stroke. Copyright © 2008 S. Karger AG, Basel
- Subjects
MORTALITY; CEREBROVASCULAR disease; PROGNOSIS; REHABILITATION; FUNCTIONAL assessment; THERAPEUTICS
- Publication
Cerebrovascular Diseases, 2008, Vol 26, Issue 4, p381
- ISSN
1015-9770
- Publication type
Article
- DOI
10.1159/000151678