Prognosis and Quality of Survival in a Hospitalized Stroke Population From the South
Prognosis and Quality of Survival in a Hospitalized Stroke Population From the South
复制标题
南方住院中风患者的预后和生存质量
作者：
A. Haerer;P. C. Woosley
对连续住进南方一家教学医院卒中单元的患者(79%黑人)的生存可能性和质量进行了评估。对260例8大类脑血管疾病患者在出院时及3年后进行功能测定。计算了400名患者的五年累计生存概率，并与一般人群进行了比较。155例前循环梗死患者的临床变量与预后有关。住院期间死亡率从8%到52%不等。在大多数诊断组中，超过一半的患者在中风后三年内死亡。三年后，前循环梗死患者中只有22%能完全活动。随着年龄和已知的既往高血压，预后显著恶化，黑人和男性的存活率下降。所有中风患者活着出院的总体五年存活概率为49%。在有或没有辅助的情况下出院的患者的存活率相似，但出院时不能出院的患者的存活率较低。与普通人群相比，前循环梗死组存活五年的人数不到一半。与整个黑人人口相比，黑人的预后甚至更差。
Likelihood and quality of survival were assessed for patients (79% blacks) consecutively admitted to a southern teaching hospital stroke unit. The functional condition of 260 patients in eight categories of cerebrovascular disease was determined at discharge and three years later. Cumulative probability of five-year survival was calculated for 400 patients and compared to the population at large. Clinical variables were related to the prognosis in 155 patients with anterior circulation infarction. Mortality during hospitalization varied from 8% to 52%. More than half of the patients in most diagnostic groups died within three years of their stroke. Only 22% of patients with anterior circulation infarcts were fully ambulatory three years later. Prognosis worsened markedly with age and known pre-existing hypertension, and survival was decreased in blacks and in men. Overall five-year survival probability for all stroke patients discharged alive was 49%. Survival was similar in patients discharged ambulatory with or without aid, but poor in patients not ambulatory at discharge. Less than half as many individuals in the anterior circulation infarct group survived five years than did in the general population. The prognosis for blacks was even somewhat worse when compared to the black population at large.