Archives of Gerontology and Geriatrics
Volume 53, Issue 2 , Pages e81-e87 , September 2011

Outcome of first-ever acute ischemic stroke in the elderly

  • Isabel Soares

      Affiliations

    • Department of Medicine IA, Egas Moniz Hospital, Rua da Junqueira, n°. 126, 1340-019 Lisbon, Portugal
    • Faculty of Medical Sciences, New University of Lisbon, Campo Mártires da Pátria, n°. 130, 1169-056 Lisbon, Portugal
    • Corresponding Author InformationCorresponding author at: Department of Medicine IA, Egas Moniz Hospital, Rua da Junqueira, n°. 126, 1340-019 Lisbon, Portugal. Tel.: +35 1210 432 169; fax: +35 1210 432 175.
    • ,
  • Pedro Abecasis

      Affiliations

    • Faculty of Medical Sciences, New University of Lisbon, Campo Mártires da Pátria, n°. 130, 1169-056 Lisbon, Portugal
    • ,
  • José M. Ferro

      Affiliations

    • Faculty of Medicine, University of Lisbon, Avenida Professor Egas Moniz, 1600-190 Lisbon, Portugal

Received 26 March 2010 ,Revised 25 June 2010 ,Accepted 27 June 2010.

References 

  1. Adams EEHP, Bendixen BH, Kappelle LJ, Biller J, Love BB, Gordon DL, et al. Classification of subtype of acute ischemic stroke: definitions for use in a Multicenter Clinical Trial. Stroke. 1993;24:35–41
  2. Adams HP, Davis PH, Leira EC, Chang KC, Bendixen BH, Clarke WR, et al. Baseline NIH Stroke Scale score strongly predicts outcome after stroke: a report of the Trial of Org 10 172 in Acute Stroke Treatment (TOAST). Neurology. 1999;53:126–131
  3. Aho K, Harmsen P, Hatano S, Marquardsen J, Smirnov VE, Strasser T. Cerebrovascular disease in the community: results of a WHO Collaborative Study. Bull. WHO. 1980;58:113–130
  4. Appelros P, Nydevik I, Seiger A, Terént A. Predictors of severe stroke: influence of preexisting dementia and cardiac disorders. Stroke. 2002;33:2357–2362
  5. Appelros P, Nydevik I, Viitanen M. Poor outcome after first-ever stroke: predictors for death, dependency and recurrent stroke within the first year. Stroke. 2003;34:122–126
  6. Arboix A, García-Eroles L, Massons J, Oliveres M, Targa C. Acute stroke in very old people: clinical features and predictors of in-hospital mortality. J. Am. Geriatr. Soc. 2000;48:36–41
  7. Asplund K, Carlberg B, Sundström G. Stroke in the elderly: observations in a population-based sample of hospitalized patients. Cerebrovasc. Dis. 1992;2:152–157
  8. Bhalla A, Grieve R, Tilling K, Rudd AG, Wolfe CDA. Older stroke patients in Europe: stroke care and determinants of outcome. Age Ageing. 2004;33:618–624
  9. Bamford J, Sandercock P, Dennis M, Burn J, Warlow C. Classification and natural history of clinically identifiable subtypes of cerebral infarction. Lancet. 1991;337:1521–1526
  10. Brott T, Adams , Olinger CP, Marler JR, Barsan WG, Biller J, et al. Measurements of acute cerebral infarction: a clinical examination scale. Stroke. 1989;20:864–870
  11. Chang KC, Tseng MC, Tan TY, Liou CW. Predicting 3-month mortality among patients hospitalized for first-ever acute ischemic stroke. J. Formos. Med. Assoc. 2006;105:310–317
  12. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J. Chron. Dis. 1987;40:373–383
  13. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al. The Seventh report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure: The JNC 7 report. J. Am. Med. Assoc. 2003;289:2560–2572
  14. Christensen H, Meden P, Overgaard K, Boysen G. The course of blood pressure in acute stroke is related to the severity of the neurological deficits. Acta Neurol. Scand. 2002;106:142–147
  15. Counsell C, Dennis M. Systematic review of prognostic models in patients with acute stroke. Cerebrovasc. Dis. 2001;12:159–170
  16. Dennis MS, Burn JPS, Sandercock PAG, Bamford JM, Wade DT, Warlow CP. Long-term survival after first-ever stroke: The Oxfordshire Community Stroke Project. Stroke. 1993;24:796–800
  17. Di Carlo A, Lamassa M, Pracucci G, Basile AM, Trefoloni G, Vanni P, et al. Stroke in the very old. Clinical presentation and determinants of 3-month functional outcome: a European perspective. Stroke. 1999;30:2313–2319
  18. Duncan PW, Jorgensen HS, Wade DT. Outcome measures in acute stroke trials: a systematic review and some recommendations to improve practice. Stroke. 2000;31:1429–1438
  19. Feigin V, Lawes CMM, Bennett DA, Anderson CS. Stroke epidemiology: a review of population-based studies of incidence, prevalence and case-fatality in the late 20th century. Lancet Neurol. 2003;2:43–53
  20. Fischer U, Arnold M, Nedeltchev K, Schoenenberger RA, Kappeler L, Höllin-ger P, et al. Impact of comorbidity on ischemic stroke outcome. Acta Neurol. Scand. 2006;113:108–113
  21. Goldstein LB, Samsa GP, Matchar DB, Horner RD. Charlson Index Comorbidity adjustment for ischemic stroke outcome studies. Stroke. 2004;35:1941–1945
  22. Jorm AF, Jacomb PA. The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): socio-demographic correlates, reliability, validity and some norms. Psychol. Med. 1989;19:1015–1022
  23. Kammersgaard LP, Jorgensen HS, Reith J, Nakayama H, Pedersen PM, Olsen TS. Short and long-term prognosis for very old stroke patients. The Copenhagen Stroke Study. Age Ageing. 2004;33:149–154
  24. Kasner SE. Clinical interpretation and use of stroke scales. Lancet Neurol. 2006;5:603–612
  25. Lindsberg PJ. High blood pressure after acute cerebrovascular occlusion: risk or risk marker?. Stroke. 2005;36:268–269
  26. Mahoney FI, Barthel DW. Functional evaluation: The Barthel Index. Maryland State Med. J. 1965;14:61–65
  27. Mattle HP, Kappeler L, Arnold M, Fischer U, Nedeltchev K, Remonda L, et al. Blood pressure and vessel recanalization in the first hours after ischemic stroke. Stroke. 2005;36:264–268
  28. Mayo NE, Nadeau L, Daskalopoulou SS, Cote R. The evolution of stroke in Quebec: a 15-year perspective. Neurology. 2007;68:1122–1127
  29. Mead GE, Lewis SC, Wardlaw JM, Dennis MS, Warlow CP. How well does the Oxfordshire Community Stroke Project classification predict the site and size of the infarct on brain imaging?. J. Neurol. Neurosurg. Psychiatry. 2000;68:558–562
  30. Minn Y-K, Cho S-J, Kim S-G, Kwon K-H, Kim J-H, Oh M-S, et al. Long-term outcomes of acute ischemic stroke in patients aged 80 years and older. Yonsei Med. J. 2008;49:400–404
  31. Pohjasvaara T, Erkinjuntti T, Vataja R, Kaste M. Comparison of stroke features and disability in daily life in patients with ischemic stroke aged 55 to 70 and 71 to 85 years. Stroke. 1997;28:729–735
  32. Rankin J. Cerebral vascular accidents in patients over the age of 60. II. Prognosis. Scott. Med. J. 1957;2:200–215
  33. Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, et al. A global clinical measure of fitness and frailty in elderly people. Can. Med. Assoc. J. 2005;173:489–495
  34. Rojas JI, Zurrú MC, Romano M, Patrucco L, Cristiano E. Acute ischemic stroke and transient ischemic attack in the very old–risk factor profile and stroke subtype between patients older than 80 years and patients aged less than 80 years. Eur. J. Neurol. 2007;14:895–899
  35. Rothwell PM, Coull AJ, Silver LE, Fairhead JF, Giles MF, Lovelock CE, et al. Population-based study of event-rate, incidence, case fatality and mortality for all acute vascular events in all arterial territories (Oxford Vascular Study). Lancet. 2005;366:1773–1783
  36. Saposnik G, Cote R, Phillips S, Gubitz G, Bayer N, Minuk J, et al. Stroke outcome in those over 80: a Multicenter Cohort Study across Canada. Stroke. 2008;39:2310–2317
  37. Shen Q, Cordato D, Chan DKY, Hung WT, Karr M. Identifying the determinants of 1-year post-stroke outcomes in elderly patients. Acta Neurol. Scand. 2006;113:114–120
  38. Task Force on Stroke Impairment, Task Force on Stroke Disability and Task Force on Stroke Handicap . Symposium recommendations for methodology in stroke outcome research. Stroke. 1990;21(Suppl. II):II-68–II-73
  39. Wade DT. Epidemiology of disabling neurological disease: how and why does disability occur?. J. Neurol. Neurosurg. Psychiatry. 1996;61:242–249
  40. Weimar C, Ziegler A, König IR, Diener H-C. Predicting functional outcome and survival after acute ischemic stroke. J. Neurol. 2002;249:888–895
  41. Weimar C, König IR, Kraywinkel K, Ziegler A, Diener HC. Age and National Institutes of Health Stroke Scale score within 6hours after onset are accurate predictors of outcome after cerebral ischemia: development and external validation of prognostic models. Stroke. 2004;35:158–162
  42. Weir CJ, Bradford APJ, Lees KR. The prognostic value of the components of the Glasgow Coma Scale following acute stroke. Q. J. Med. 2003;96:67–74
  43. WHO (World Health Organization) . Towards A Common Language for Functioning, Disability and Health. Geneva: WHO; 2002;
  44. Yong M, Diener H-C, Kaste M, Mau J. Characteristics of blood pressure profiles as predictors of long-term outcome after acute ischemic stroke. Stroke. 2005;26:2619–2625
  45. Zuliani G, Cherubini A, Ranzini M, Ruggiero C, Atti AR, Fellin R. Risk factors for short-term mortality in older subjects with acute ischemic stroke. Gerontology. 2006;52:231–236

PII: S0167-4943(10)00184-6

doi: 10.1016/j.archger.2010.06.019

Archives of Gerontology and Geriatrics
Volume 53, Issue 2 , Pages e81-e87 , September 2011

Article Tools

* Image Usage & Resolution