Infectious disease is the most common cause of death among stroke patients: two-years of follow-up

Arquivos de Neuro-Psiquiatria - Tập 71 Số 6 - Trang 371-375 - 2013
Michel Ferreira Machado1, Sônia Maria Dozzi Brucki1, Catarina Falleiros Nogueira1, Maria Sheila Guimarães Rocha1
1Neurologist at Santa Marcelina Hospital, Brazil

Tóm tắt

Stroke represents the second common cause of death in adults. Objective It was to evaluate the incidence and causes of mortality after 30 days in a group of patients with an atherothrombotic ischemic stroke who were followed-up for a period of up to two years. Methods We analyzed retrospectively the medical records of patients with ischemic stroke, who did not undergo thrombolysis, of the Santa Marcelina Hospital. We applied a research protocol to obtain information about risk factors and the etiology of death. Results They were followed 337: mean age was 66.6 years (SD 9.05) and 43.9% were females. The mortality rate was 11.9% with most deaths (37.5%) occurring due to infectious causes. The age was correlated with the risk of death, which was five times higher in patients older than 80. Conclusion The most important cause of death after 30 days was infectious disease, and advanced age was predictor of mortality among patients with an atherothrombotic stroke etiology.

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Tài liệu tham khảo

Chang KC, 2010, Three-year survival after first-ever ischemic stroke is predicted by initial stroke severity: a hospital-based study, Clin Neurol Neurosurg, 112, 296, 10.1016/j.clineuro.2009.12.016

Lavados PM, 2007, Stroke epidemiology, prevention, and management strategies at a regional level: Latin America and the Caribbean, Lancet Neurol, 6, 362, 10.1016/S1474-4422(07)70003-0

André C, 2006, Progressive decline in stroke mortality in Brazil from 1980 to 1982, 1990 to 1992, and 2000 to 2002, Stroke, 37, 2784, 10.1161/01.STR.0000244768.46566.73

Minelli C, 2007, Stroke incidence, prognosis, 30-day, and 1-year case fatality rates in Matão, Brazil, Stroke, 38, 2906, 10.1161/STROKEAHA.107.484139

Rothwell PM, 2001, The high cost of not funding stroke research: a comparison with heart disease and cancer, Lancet, 357, 1612, 10.1016/S0140-6736(00)04730-9

Kimura K, 2005, Mortality and cause of death after hospital discharge in 10,981 Patients with isquemic stroke and transient isquemic attack, Cerebrovasc Dis, 19, 171, 10.1159/000083252

2010, VI Brazilian guidelines on hypertension, Arq Bras Cardiol, 95, S1

2007, IV Brazilian Guidelines on Dyslipidemia and Atherosclerosis Prevention Department of Atherosclerosis of Brazilian Society of Cardiology, Arq Bras Cardiol, 88, S1

Abe IM, 2011, Stroke prevalence in a poor neighborhood of São Paulo, Brazil: applying a stroke symptom questionnaire, Internat J Stroke World Stroke Organization, 6, 33, 10.1111/j.1747-4949.2010.00538.x

Cabral NL, 2009, Trends in stroke incidence, mortality and case fatality rates in Joinville, Brazil: 1995-2006, J Neurol Neurosurg Psychiatry, 80, 749, 10.1136/jnnp.2008.164475

Bamford J, 1990, The frequency, causes and tining of death within 30 days of first stroke: the Oxfordshire Community Stroke Project, J Neurol Neurosurg Psychiatry, 53, 825, 10.1136/jnnp.53.10.824

Mirzaei M, 2012, Cerebrovascular disease in 48 countries: secular trends in mortality 1950-2005, J Neurol Neurosurg Psychiatry, 83, 138, 10.1136/jnnp-2011-300408

Schout D, 2004, Stroke in São Paulo (2002) interaction between group socioeconomic status hypertension and stroke incidence in city small section, Arq Neuropsiquiatr, 62, 4

Carvalho EMF, 1996, Mortality from cardiovascular disease in the metropolitan area of Recife, according to the Information System (SIM), Inf Epidemiol SUS, 5, 61

31249

Davenport RJ, 1996, Complications after acute stroke, Stroke, 27, 415, 10.1161/01.STR.27.3.415

Hamidon BB, 2003, The Predictors of Early Infection After An Acute Ischaemic Stroke, Singapore Med J, 44, 344

Nogueira MC, 2009, Social inequalities in early cardiovascular mortality in a midsize city in Brazil, Cad Saúde Pública, 25, 2321

Furukawa TS, 2011, Mortality from cerebrovascular disease by residence and place of occurrence of death: Paraná, Brazil, 2007, Cad Saúde Pública, Rio de Janeiro, 27, 327

Goulart AC, 2012, Early and One-Year Stroke Case Fatality in Sao Paulo, Brazil: Applying the World Health Organization's Stroke STEPS, J Stroke Cerebrovasc Dis, 21, 832, 10.1016/j.jstrokecerebrovasdis.2011.04.017

de Oliveira FF, 2011, Global aphasia as a predictor of mortality in the acute phase of a first stroke, Arq Neuropsiquiatr, 69, 277, 10.1590/S0004-282X2011000300002

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Arquivos de Neuro-Psiquiatria

Tập 71 Số 6

371-375

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