STROKE IN THE ELDERLY - OBSERVATIONS IN A POPULATION-BASED SAMPLE OF HOSPITALIZED-PATIENTS

被引:32
作者
ASPLUND, K
CARLBERG, B
SUNDSTROM, G
机构
[1] Department of Medicine, University Hospital, Umeå
关键词
CEREBROVASCULAR DISEASES; GERIATRICS; OLD AGE; MORTALITY; PROGNOSIS;
D O I
10.1159/000109007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Clinical decision making is often difficult in very old stroke patients, partly because there is little systematic information on clinical course and outcome available. In a population-based sample of 953 consecutive patients admitted to hospital for acute stroke, 79 (8.3%) were greater-than-or-equal-to 85 years of age. Patients over 85 years more often had a history of cardiac failure (p < 0.001) or atrial fibrillation (p < 0.001) than those less than 85, but the two age groups did not differ in the occurrence of previous stroke, myocardial infarction or diabetes. The frequency of hemorrhagic stroke was similar in the two groups, but a diagnosis of cerebral embolism was more common in patients greater-than-or-equal-to 85 years (49 vs. 29%; p < 0.001). On admission, the very old patients more often presented with lowered consciousness, impaired motor function, aphasia and urinary incontinence, and they had significantly lower diastolic blood pressure levels throughout the acute phase. The 30-day case fatality rate was 25% in patients greater-than-or-equal-to 85 years and 12 % in patients < 85 years (p < 0.01). Of the survivors, 51 and 71 %, respectively, were discharged home (nonsignificant). In a multiple regression model, age greater-than-or-equal-to 85 years was a very weak predictor of early case fatality rate after adjustment for other, more significant predictors.
引用
收藏
页码:152 / 157
页数:6
相关论文
共 14 条
[1]  
ALTER M, 1986, Neuroepidemiology, V5, P148, DOI 10.1159/000110824
[2]  
ASPLUND K, 1990, THROMBOLYTIC THERAPY, P46
[3]   PREDICTING SURVIVAL AFTER STROKE - A 3-YEAR FOLLOW-UP [J].
BONITA, R ;
FORD, MA ;
STEWART, AW .
STROKE, 1988, 19 (06) :669-673
[4]  
Dawber T. R., 1980, FRAMINGHAM STUDY EPI
[5]   CLINICAL PROFILES OF CEREBROVASCULAR DISORDERS IN A POPULATION-BASED PATIENT SAMPLE [J].
ERIKSSON, S ;
ASPLUND, K ;
HAGG, E ;
LITHNER, F ;
STRAND, T ;
WESTER, PO .
JOURNAL OF CHRONIC DISEASES, 1987, 40 (11) :1025-1032
[6]  
FERRAZZINI M, 1988, SCHWEIZ MED WSCHR, V118, P462
[7]  
GENNETT PH, 1990, DIABETES MELLITUS TH, P357
[8]  
KURTZKE JF, 1986, STROKE, P3
[9]   STROKE UNIT CARE - WHO BENEFITS - COMPARISONS WITH GENERAL MEDICAL-CARE IN RELATION TO PROGNOSTIC INDICATORS ON ADMISSION [J].
STRAND, T ;
ASPLUND, K ;
ERIKSSON, S ;
HAGG, E ;
LITHNER, F ;
WESTER, PO .
STROKE, 1986, 17 (03) :377-381
[10]   A NON-INTENSIVE STROKE UNIT REDUCES FUNCTIONAL DISABILITY AND THE NEED FOR LONG-TERM HOSPITALIZATION [J].
STRAND, T ;
ASPLUND, K ;
ERIKSSON, S ;
HAGG, E ;
LITHNER, F ;
WESTER, PO .
STROKE, 1985, 16 (01) :29-34