Abstract
BACKGROUND AND OBJECTIVE: Data on the factors affecting long-term mortality following a stroke in Iran are scarce. The current research aimed at investigating the extent of 2-year mortality following a stroke and the factors affecting it in the northwest of Iran. MATERIALS AND METHODS: This prospective cohort study was conducted in Tabriz, Northwest of Iran. Patients with computed tomography/magnetic resonance imaging confirmed the first-ever stroke were included in this study and followed up to 2 years. Clinical examinations, including the severity of the stroke using the modified National Institutes of Health Stroke Scale (mNIHSS), were conducted by a neurologist. The general characteristics, lifestyle factors, and laboratory tests were also completed. To estimate the survival, Kaplan-Meier analysis was used; and for group comparison, the log-rank method was applied. To identify the factors predicting 2-year mortality, semiparametric Cox regression analysis was used. RESULTS: < 0.001). In the multivariate Cox model, variables age, type of stroke, diabetes, and severity of the stroke, according to the mNIHSS index, were identified as factors predicting 2-year mortality following the stroke. CONCLUSION: The 2-year mortality following acute stroke was relatively high compared to that of in developed countries. Implementation of secondary prevention is recommended to better management of modifiable predictors of mortality.
Keywords
Subject
Publication details
- DOI
- 10.4103/jehp.jehp_8_19
- Journal
- Journal of Education and Health Promotion, 9, 45
- Publisher
- Wolters Kluwer Medknow Publications
- Open access
- Gold open access
- License
- CC BY-NC-ND 4.0
Cite this article
APA 7
Novbakht, H., Shamshirgaran, S. M., Sarbakhsh, P., Savadi-Oskouei, D., Yazdchi, M., & Ghorbani, Z. (2020). Predictors of long-term mortality after first-ever stroke. Journal of Education and Health Promotion, 9, 45. https://doi.org/10.4103/jehp.jehp_8_19
MLA 9
Novbakht, Hossein, et al. "Predictors of long-term mortality after first-ever stroke." Journal of Education and Health Promotion, vol. 9, 2020, pp. 45. https://doi.org/10.4103/jehp.jehp_8_19.
Chicago (author–date)
Novbakht, Hossein, Seyed Morteza Shamshirgaran, Parvin Sarbakhsh, Daryoush Savadi-Oskouei, Mohammad Yazdchi, and Zohreh Ghorbani. 2020. "Predictors of long-term mortality after first-ever stroke." Journal of Education and Health Promotion 9: 45. https://doi.org/10.4103/jehp.jehp_8_19.
Harvard
Novbakht, H., Shamshirgaran, S. M., Sarbakhsh, P., Savadi-Oskouei, D., Yazdchi, M. and Ghorbani, Z. (2020) 'Predictors of long-term mortality after first-ever stroke', Journal of Education and Health Promotion, 9, pp. 45. doi:10.4103/jehp.jehp_8_19.
Vancouver
Novbakht H, Shamshirgaran SM, Sarbakhsh P, Savadi-Oskouei D, Yazdchi M, Ghorbani Z. Predictors of long-term mortality after first-ever stroke. Journal of Education and Health Promotion. 2020;9:45. doi:10.4103/jehp.jehp_8_19
IEEE
H. Novbakht, S. M. Shamshirgaran, P. Sarbakhsh, D. Savadi-Oskouei, M. Yazdchi, and Z. Ghorbani, "Predictors of long-term mortality after first-ever stroke," Journal of Education and Health Promotion, vol. 9, pp. 45, 2020, doi: 10.4103/jehp.jehp_8_19.