Long-term disability after first-ever stroke and related prognostic factors in the Perth Community Stroke Study, 1989-1990
Long-term disability after first-ever stroke and related prognostic factors in the Perth Community Stroke Study, 1989-1990
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DOI：
10.1161/01.str.0000012515.66889.24
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发表时间：
2002-04-01
期刊：
影响因子：
8.3
通讯作者：
Anderson, CS
中科院分区：
文献类型：
--
作者：
Hankey, GJ;Jamrozik, K;Anderson, CS
背景和目的：目前对卒中后长期功能结果的可靠评估很少。这项以人群为基础的研究旨在描述西澳大利亚州珀斯首次卒中患者5年后的残疾、依赖性和相关的独立预后因素。（人口138708）的珀斯，西澳大利亚，在1989年至1990年的18个月期间，根据标准化诊断标准进行前瞻性登记和评估。患者在4个月，12个月和5年后的索引events.Results-There是370例首次中风，277例患者存活到30天。在这些早期幸存者中，152人（55%）在5年内存活，在中风时既没有住院（n=146）也没有残疾（n=129）的人中，21人（14%）在疗养院住院，47人（36%）残疾。5年时死亡或残疾的最重要预测因素是年龄的增加，基线残疾由Barthel指数评分定义，
Background and Purpose-Few reliable estimates of the long-term functional outcome after stroke are available. This population-based study aimed to describe disability, dependency, and related independent prognostic factors at 5 years after,a first-ever stroke in patients in Perth, Western Australia.Methods-All individuals with a suspected acute stroke who were resident in a geographically defined region (population, 138 708) of Perth, Western Australia, were registered prospectively and assessed according to standardized diagnostic criteria over a period of 18 months in 1989 to 1990. Patients were followed up prospectively at 4 and 12 months and 5 years after the index event.Results-There were 370 cases of first-ever stroke, and 277 patients survived to 30 days. Of these early survivors, 152 (55%) were alive at 5 years, and among those who were neither institutionalized (n=146) nor disabled (n=129) at the time of their stroke, 21 (14%) were institutionalized in a nursing home, and 47 (36%) were disabled. The most important predictors of death or disability at 5 years were increasing age, baseline disability defined by a Barthel Index score of