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Cited by 438

The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.

Poor Outcome After First-Ever Stroke: Predictors for Death, Dependency, and Recurrent Stroke Within the First Year

Open access
Appelros, Peter, Nydevik, Ingegerd, Viitanen, Matti·2003·Stroke

Abstract

Background and Purpose— The purpose of this study was to define predictors of poor outcome after a first-ever stroke. We studied risk factors and stroke severity at baseline in relationship to death, dependency, and stroke recurrence within a year after the event. Methods— The study included a community-based cohort of first-ever stroke patients. Subarachnoid hemorrhage was not included. All patients (n=377) were subjected to investigations regarding risk factors. Stroke severity was evaluated with the National Institutes of Health Stroke Scale, and dependency was defined according to the modified Rankin Scale. Multivariate regression models were used to analyze predictors of survival, dependency, and stroke recurrence. The following independent variables were used: age, sex, cohabitation status, cigarette smoking, dementia, hypertension, ischemic heart disease, heart failure, atrial fibrillation, diabetes mellitus, transitory ischemic attack, peripheral atherosclerosis, and stroke severity. Results— The 1-year mortality was 33%. After 1 year, 37% of the survivors were dependent; 9% of survivors had a recurrent stroke within a year. Dementia, age, stroke severity, and atrial fibrillation were associated with death within a year. Dependency was associated with age, stroke severity, and heart failure. Stroke recurrence was predicted by age and dementia. Conclusions— In addition to age and stroke severity, heart diseases and dementia before the stroke seem to have an impact on mortality and recurrence after 1 year. Finding and, when possible, treating these prestroke conditions may affect stroke morbidity and mortality favorably.

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Metadata

Authors
Appelros, P., Nydevik, I., & Viitanen, M.
Venue
Stroke
Published
2003-01
Volume
34
Issue
1
Pages
122-126
ISSN
  • 0039-2499 (ISSN-L)
  • 1524-4628
OpenAlex
W2099837480
Cited by
438
References
35
FWCI
11.66
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Poor Outcome After First-Ever Stroke: Predictors for Death, Dependency, and Recurrent Stroke Within the First Year. https://app.cochat.ai/papers/10.1161/01.str.0000047852.05842.3c
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Appelros, P., Nydevik, I., & Viitanen, M. (2003). Poor Outcome After First-Ever Stroke: Predictors for Death, Dependency, and Recurrent Stroke Within the First Year. Stroke. https://doi.org/10.1161/01.str.0000047852.05842.3c

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