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Stroke

Prevalence
Clinical features
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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)
 
 

Expiry date: October 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   G  Donnan
CAT Writers   CJ   Wotton , N   Shenker , CM   Ball