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26. Long-Term Relative Survival after Stroke: The Dijon Stroke Registry.

Author

Romain, Gaëlle, Mariet, Anne-Sophie, Jooste, Valérie, Duloquin, Gauthier, Thomas, Quentin, Durier, Jérôme, Giroud, Maurice, Quantin, Catherine, and Béjot, Yannick

Subjects
STROKE, CEREBRAL hemorrhage, STROKE patients
Abstract

Objective: The aim of this study was to assess long-term survival after stroke and to compare survival profiles of patients according to stroke subtypes, age, and sex, using relative survival (RS) method. Methods: All patients with a first-ever stroke were prospectively recorded in the population-based Dijon Stroke Registry from 1987 to 2016. RS is the survival that would be observed if stroke was the only cause of death. Ten-year RS was estimated using a flexible parametric model of the cumulative excess mortality rate, which was obtained by matching the observed all-cause mortality in the stroke cohort to the expected mortality in the general population. A separate model was fitted for each stroke subtypes, first fitted for each age and sex separately, and then adjusted for age and sex. Results: In total, 5,259 patients (mean age 74.9 ± 14.3 years, 53% women) were recorded including 4,469 ischemic strokes (IS), 655 intracerebral hemorrhages (ICH), and 135 undetermined strokes. In IS patients, unadjusted RS was 82% at 1 year and decreased to 62% at 10 years. Adjusted RS showed a lower survival in older age groups (p < 0.001), but no difference between men and women (p = 0.119). In ICH patients, unadjusted RS was 56 and 42% at 1 and 10 years, respectively, with a lower adjusted survival in older age groups (p < 0.001), but no sex differences (p = 0.184). Conclusion: This study showed that RS after stroke is lower in older than in younger patients but without significant sex differences, and survival profiles differ according to stroke subtypes. Since RS allows a better estimation of stroke-related death than observed survival does, especially in old patients, such a method is adapted to provide reliable information when considering long-term outcome. [ABSTRACT FROM AUTHOR]

Published
2020
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27. Increasing Burden of Stroke: The Dijon Stroke Registry (1987–2012)

Author

Guéniat, Julien, primary, Brenière, Céline, additional, Graber, Mathilde, additional, Garnier, Lucie, additional, Mohr, Sophie, additional, Giroud, Marie, additional, Delpont, Benoit, additional, Blanc-Labarre, Christelle, additional, Durier, Jérôme, additional, Giroud, Maurice, additional, and Béjot, Yannick, additional

Published
2018
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30. Evaluation of the Possible Impact of Care Network for Stroke and Transient Ischemic Attack on Rates of Recurrence

Author

Raffe , Florie, Jacquin , Agnès, Milleret , Olivier, Durier , Jérôme, SAUZE , Damien, Peyron , Christine, Osseby , Guy-Victor, Menassa , Mickael, Hervieu , Marie, Pelissier , Fanny, Routhier , Pierre, Giroud , Maurice, Bejot , Yannick, Centre d'épidémiologie des populations ( CEP ), Université de Bourgogne ( UB ) -Centre Régional de Lutte contre le cancer - Centre Georges-François Leclerc ( CRLCC - CGFL ), Laboratoire d'Economie et de Gestion ( LEG ), Université de Bourgogne ( UB ) -Centre National de la Recherche Scientifique ( CNRS ), Cognition, Action, et Plasticité Sensorimotrice [Dijon - U1093] ( CAPS ), Université de Bourgogne ( UB ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ), Comité français d'histoire de la géologie ( COFRHIGEO ), Neurology, Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand ( CHU Dijon ), Service de Neurologie générale, vasculaire et dégénérative (CHU de Dijon), Centre d'épidémiologie des populations (CEP), Université de Bourgogne (UB)-Centre Régional de Lutte contre le cancer Georges-François Leclerc [Dijon] (UNICANCER/CRLCC-CGFL), UNICANCER-UNICANCER, Laboratoire d'Economie et de Gestion (LEG), Université de Bourgogne (UB)-Centre National de la Recherche Scientifique (CNRS), Cognition, Action, et Plasticité Sensorimotrice [Dijon - U1093] (CAPS), Université de Bourgogne (UB)-Institut National de la Santé et de la Recherche Médicale (INSERM), Comité français d'histoire de la géologie (COFRHIGEO), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), and PRZEDWOJ, VALERIE

Subjects
Stroke, Ischemic Attack, [ SHS.ECO ] Humanities and Social Sciences/Economies and finances, Impact of care network, [SHS.ECO] Humanities and Social Sciences/Economics and Finance, [SHS.ECO]Humanities and Social Sciences/Economics and Finance, ComputingMilieux_MISCELLANEOUS
Abstract

International audience

Published
2011

40. Evaluation of the Possible Impact of a Care Network for Stroke and Transient Ischemic Attack on Rates of Recurrence

Author

Raffe, Florie, primary, Jacquin, Agnès, additional, Milleret, Olivier, additional, Durier, Jérôme, additional, Sauze, Damien, additional, Peyron, Christine, additional, Osseby, Guy Victor, additional, Menassa, Michaël, additional, Hervieu, Marie, additional, Pelissier, Fanny, additional, Routhier, Pierre, additional, Beis, Jean-Noel, additional, Giroud, Maurice, additional, and Béjot, Yannick, additional

Published
2011
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41. Trends in Case-Fatality Rates in Hospitalized Nontraumatic Subarachnoid Hemorrhage

Author

Biotti, Damien, primary, Jacquin, Agnès, additional, Boutarbouch, Mahjouba, additional, Bousquet, Olivier, additional, Durier, Jérôme, additional, Salem, Douraïeb Ben, additional, Ricolfi, Frederic, additional, Beaurain, Jacques, additional, Osseby, Guy-Victor, additional, Moreau, Thibault, additional, Giroud, Maurice, additional, and Béjot, Yannick, additional

Published
2010
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44. Trends in the Incidence of Transient Ischemic Attacks, Premorbid Risk Factors and the Use of Preventive Treatments in the Population of Dijon, France from 1985 to 2004

Author

Bejot, Yannick, primary, Rouaud, Olivier, additional, Benatru, Isabelle, additional, Durier, Jérôme, additional, Caillier, Marie, additional, Couvreur, Grégory, additional, Fromont, Agnès, additional, Falvo, Nicolas, additional, Osseby, Guy-Victor, additional, Cottin, Yves, additional, Zeller, Marianne, additional, Millerot, Emilie, additional, Marie, Christine, additional, Moreau, Thibault, additional, and Giroud, Maurice, additional

Published
2006
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45. Smoking Status and Severity of Ischemic Stroke. A Population-Based Study.

Author

Béjot, Yannick, Jacquin, Agnès, Daubail, Benoit, Lainay, Claire, Janoura, Samer, Aboa-Eboulé, Corine, Durier, Jérôme, and Giroud, Maurice

Subjects
SMOKING, PHYSIOLOGICAL effects of tobacco, CIGARETTE smokers, LOGISTIC regression analysis
Abstract

We aimed to investigate the impact of smoking status on clinical severity in patients with ischemic stroke event (IS). Patients were prospectively identified among residents of the city of Dijon, France (ca. 151,000 inhabitants), using a population-based registry, between 2006 and 2011. Demographic and clinical data were recorded. The initial clinical severity was quantified by the means of the National Institutes of Health Stroke Scale (NIHSS). Multivariable ordinal logistic regression was used to assess the effect of smoking status on severity. Among the 1,056 recorded patients with IS, data about smoking status were available for 973 (92.1%), of whom 658 (67.3%) were non-smokers, 187 (19.2%) were current smokers, and 128 (13.2%) were former smokers. Compared with non-smoking, former smoking was associated with less severe IS (OR 0.55; 95% CI 0.38-0.82, p = 0.003), whereas this association was not found for current smokers (OR 0.97; 95% CI 0.69-1.36, p = 0.856). Further work is needed to understand the underlying mechanisms of this finding. © 2013 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

Published
2014
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