https://scholars.lib.ntu.edu.tw/handle/123456789/483632
標題: | Predictors of long-term survival after stroke in Taiwan | 作者: | DER-SHENG HAN SHIN-LIANG PAN SSU-YUAN CHEN Lie S.-K. Lien I.-N. TYNG-GUEY WANG |
公開日期: | 2008 | 卷: | 40 | 期: | 10 | 起(迄)頁: | 844-849 | 來源出版物: | Journal of Rehabilitation Medicine | 摘要: | Objective: To determine the risk factors of long-term survival after stroke. Design: A prospective, hospital-based cohort study. Subjects: A total of 449 consecutive patients after acute stroke from 2 medical centres, within a 1-year period, were included. Methods: Dysphagia was confirmed with the water-swallow test within the first week after stroke. Data on co-morbidities and clinical risk factors were collected through chart review. Survival curves and independent risk factors were evaluated with Kaplan-Meier analysis and multivariate Cox proportion hazards analysis, respectively. Results: A total of 424 patients were followed for 10 years, and the survival was 54.2%. In univariate analysis, history of diabetes mellitus and recurrent stroke, dysphagia, urinary incontinence, cognitive impairment, tube feeding, dysarthria, and drooling were associated with higher mortality. In multivariate analysis, old age, history of recurrent stroke, and diabetes mellitus were independent predictors of long-term survival. The leading causes of death were cerebrovascular diseases and malignancy during the 10-year post-stroke period. Conclusion: Dysphagia was not an independent determinant of post-stroke survival. History of recurrent stroke and diabetes mellitus were independent predictors of long-term survival. These results suggest that differential treatment strategies should be used in the different stages of stroke. ? 2008 The Authors. Journal Compilation ? 2008 Foundation of Rehabilation Information. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-56749102716&doi=10.2340%2f16501977-0275&partnerID=40&md5=77302766691ee018079d499dfa451e6a https://scholars.lib.ntu.edu.tw/handle/123456789/483632 |
ISSN: | 1650-1977 | DOI: | 10.2340/16501977-0275 | SDG/關鍵字: | adult; age; aged; article; cause of death; cerebrovascular disease; cognitive defect; cohort analysis; comorbidity; controlled study; diabetes mellitus; dysarthria; dysphagia; female; human; hypersalivation; major clinical study; male; malignant neoplastic disease; medical record review; mortality; prediction; prospective study; risk assessment; risk factor; stroke; survival rate; Taiwan; tube feeding; urine incontinence; Aged; Cause of Death; Cohort Studies; Deglutition Disorders; Female; Follow-Up Studies; Humans; Male; Middle Aged; Prognosis; Prospective Studies; Recurrence; Risk Factors; Stroke; Survival Rate; Taiwan |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。