Prevalence
Clinical
features
Investigations
Therapy
Prevention
Prognosis
|  |  | | Prognosis |
Recurrent
stroke
The risk of recurrence is increased following an
ischaemic
stroke with: a
-
increasing age b
-
a prior stroke a
-
diabetes mellitus a
b
or elevated glucose levels on admission a
-
hypertension at discharge a
-
heavy alcohol use a
Why?
Ischaemic stroke: diabetes, a previous stroke or hypertension increase the risk of a recurrent
stroke
| Patient |
Prognostic Factor |
Outcome |
CER |
RR (95% CI) |
NNF+
(95% CI) |
ischaemic stroke a
|
diabetes independent |
recurrent stroke at 12 months |
10% |
1.66 (1.14 to 2.42) |
15 (7 to 71) |
| |
prior stroke independent |
|
|
1.74 (1.19 to 2.55) |
14 (6 to 53) |
ischaemic stroke a
|
heavy alcohol use independent |
recurrent stroke at 5 years |
22% |
2.50 (1.40 to 4.40) |
3 (1 to 11) |
| |
hypertension at discharge independent |
|
|
1.60 (1.01 to 2.60) |
8 (3 to 460) |
| |
5.5 mmol/l increase in admission glucose independent |
|
|
1.40 (1.10 to 1.70) |
|
Ischaemic stroke: increasing age increases the risk of having a stroke
| Patient |
Prognostic Factor |
Outcome |
CER |
RR (95% CI) |
NNF+
(95% CI) |
ischaemic stroke a
|
age increase of 10 years independent |
recurrent stroke at 5 years |
25% |
1.20 (1.10 to 1.36) |
|
|