Long-term outcomes of acute ischemic stroke in patients aged 80 years and older

Short life expectancy influences decision-making when treating very old patients with acute ischemic stroke (AIS). We investigated mortality and survival duration in very old AIS patients (>or= 80 years) who received hospital care. Mortality data were obtained from medical records, structured tel...

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Bibliographic Details
Published in:Yonsei medical journal 2008, 49(3), , pp.400-404
Main Authors: Minn, Yang-Ki, Cho, Soo-Jin, Kim, Seon-Gyeong, Kwon, Ki-Han, Kim, Jin-Hyuck, Oh, Mi-Sun, Chu, Min-Kyung, Lee, Ju-Hun, Hwang, Sung Hee, Lee, Byung-Chul
Format: Article
Language:English
Subjects:
Age Factors
Aged, 80 and over
Brain Ischemia - mortality
Brain Ischemia - pathology
Female
Humans
Kaplan-Meier Estimate
Male
Original
Prognosis
Stroke - mortality
Stroke - pathology
Survival Rate
Time Factors
의학일반
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Summary:Short life expectancy influences decision-making when treating very old patients with acute ischemic stroke (AIS). We investigated mortality and survival duration in very old AIS patients (>or= 80 years) who received hospital care. Mortality data were obtained from medical records, structured telephone inquiries, death certificates from the Korean National Statistical Office, and social security data 5+/-1.9 years after stroke onset. Age, gender, vascular risk factors, and functional outcomes from modified Rankin scales (MRS) at discharge were analyzed as predictors of mortality. Among 134 patients, 92 (68.7%) died. On Kaplan-Meier analysis, duration of survival of patients aged 80-84 years was longer than those aged 85-89 or 90-94 (24+/-6.4, 8+/-7.3, 7+/-2.0 months, respectively, p=0.002). Duration of survival of patients discharged in a state of MRS 0-1 was longer than the remaining groups at 47+/-4.8 months (p
ISSN:0513-5796
1976-2437
DOI:10.3349/ymj.2008.49.3.400