| Mortality and causes of death after first ischemic stroke: the Northern Manhattan Stroke Study. | |
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MedLine Citation:
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PMID: 11739816 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To analyze the early and long-term causes of death after first ischemic stroke in the multiethnic northern Manhattan community. METHODS: In the prospective, population-based Northern Manhattan Stroke Study, 980 patients with first ischemic stroke (mean age 70 years; 56% women; 49% Caribbean Hispanic, 31% black, 20% white) were followed for a mean of 3 years. Causes of death were classified as vascular (incident stroke, recurrent stroke, cardiac) or nonvascular. Life table analyses were used to assess mortality risks among different race-ethnic groups. Early (< or =1 month) vs long-term (> 1 month to 5 years) causes of death were compared. RESULTS: Among the 980 patients followed, 278 (28%) died; 47 (5%) died during the first month. Cumulative mortality risk was 5% at 1 month, 16% after 1 year, 29% after 3 years, and 41% after 5 years. The proportion of vascular deaths among all deaths was 75% at 1 month and 43% thereafter (p = 0.001). Stroke, either incident (53%) or recurrent (4%), caused early deaths in 57% and long-term deaths in 14% (p = 0.001). Overall mortality risks did not differ significantly among race-ethnic groups. However, the proportion of incident stroke-related early deaths was 85% in Caribbean Hispanic patients, 33% in white patients, and 25% in black patients (p = 0.002). CONCLUSIONS: Among patients with first ischemic stroke, incident stroke is the leading cause of early deaths. A large proportion of long-term deaths are nonvascular in origin. Despite similar overall mortality rates in race-ethnic groups, our data suggest a higher incident stroke-related early mortality among Caribbean Hispanics. |
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Authors:
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A Hartmann; T Rundek; H Mast; M C Paik; B Boden-Albala; J P Mohr; R L Sacco |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Neurology Volume: 57 ISSN: 0028-3878 ISO Abbreviation: Neurology Publication Date: 2001 Dec |
Date Detail:
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Created Date: 2001-12-12 Completed Date: 2002-01-15 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0401060 Medline TA: Neurology Country: United States |
Other Details:
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Languages: eng Pagination: 2000-5 Citation Subset: AIM; IM |
Affiliation:
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Stroke Center, Department of Neurology, Columbia University College of Physicians and Surgeons and School of Public Health, New York, NY, USA. ahart@zedat.fu-berlin.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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African Continental Ancestry Group Aged Aged, 80 and over Cause of Death* Cerebral Infarction / ethnology, mortality* Cross-Sectional Studies European Continental Ancestry Group Female Hispanic Americans / statistics & numerical data Humans Incidence Male Middle Aged New York City / epidemiology Prospective Studies Survival Analysis Urban Population / statistics & numerical data* |
| Grant Support | |
ID/Acronym/Agency:
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2 M01 RR00645/RR/NCRR NIH HHS; R01 NS 27517/NS/NINDS NIH HHS; R01 NS 29992/NS/NINDS NIH HHS |
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