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Predictors of Survival Among Elders Suffering Strokes in Taiwan
- Source :
- Stroke. 31:2354-2360
- Publication Year :
- 2000
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2000.
-
Abstract
- Background and Purpose —Cerebrovascular disease was the leading cause of death in Taiwan from 1963 to 1982. Deaths due to stroke now rank second only to cancer, with more deaths resulting from strokes than from any other single pathology. It is important to understand stroke prognosis among elderly stroke survivors, with respect to survival and attendant predictive factors, because aged population in Taiwan is growing rapidly. The aim of the present study was to discern factors affecting survival in stroke patients from a nationally representative elderly sample. Methods —A total of 99 stroke survivors, from a representative national sample of elders aged ≥65 years on December 31, 1988, whose strokes occurred in the period 1989–1993, were followed for mortality until July 1, 1995. Personal data were gathered through home interviews conducted by well-trained community nurses, and mortality data were obtained from the national census office by using identification card numbers. Cox proportional hazards regression analysis and the stepwise technique were used to search for important prognostic factors of survival. Results —Women experienced a higher mortality rate (139.8 per 1000 person-years) than men (126.4 per 1000 person-years), as age-adjusted for World Health Organization world-population figures. Stroke patients who received continuous treatment for diabetes experienced mortality risks similar to those of patients without diabetes and much lower risks than those with discontinuous diabetes treatment. Cognitive impairment was also an independent predictor of survival (relative risk 2.69, P Conclusions —This first report on the various prognostic factors related to survival of elderly stroke patients in Taiwan’s Chinese population emphasized the benefit of continuous diabetes treatment in improving survival chances. These stroke patients should also be monitored for cognitive and mobility impairments and undergo rehabilitation.
- Subjects :
- Male
Gerontology
China
medicine.medical_specialty
Taiwan
Comorbidity
Risk Factors
Diabetes mellitus
Epidemiology
Diabetes Mellitus
medicine
Risk of mortality
Humans
Sex Distribution
Stroke
Aged
Proportional Hazards Models
Cause of death
Advanced and Specialized Nursing
Movement Disorders
business.industry
Mortality rate
Prognosis
medicine.disease
Survival Rate
Relative risk
Multivariate Analysis
Female
Neurology (clinical)
Cognition Disorders
Cardiology and Cardiovascular Medicine
business
Follow-Up Studies
Cohort study
Demography
Subjects
Details
- ISSN :
- 15244628 and 00392499
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- Stroke
- Accession number :
- edsair.doi.dedup.....b6a8052880506fdc54ebea2344f825e9