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Stroke

Prevalence
Clinical features
Investigations
Therapy
Prevention
Prognosis
Prognosis

Death

Many patients die b though the risk is lower with a minor stroke or TIA  a

Note:

  • A third of patients with any stroke are dead within a year (38%: 95% CI: 34% to 42%) b
  • A tenth of patients admitted to hospital with an ischaemic stroke will die within 30 days. (8.9%: 95% CI: 4.3% to 14%) a b . A third are dead within 12 months, (28%: 95% CI: 23% to 33%) b and 44% are dead within 5 years (95% CI: 39% to 50%). a
  • 15% with a first-ever stroke or TIA die in hospital (95% CI: 13% to 17%). a  
  • 58% of patients with a first stroke are dead within 5 years (95% CI: 53% to 63%). a 30% of patients with a first stroke and minor disability are dead within 10 years (95% CI: 25% to 35%). a
  • Half of patients with an intracranial haemorrhage die in hospital (51%: 95% CI: 43% to 58%) a
  • One in thirteen patients aged 15 to 44 with a first stroke or TIA died within the next 8 years. (7.9%: 95% CI: 5.0% to 11%). b

Stroke subtypes help predict which patients will die

Stroke subtype a death at 1 year
(95% CI)
LACI 11% 
(6% to 16%)
TACI 60% 
(50% to 70%)
PACI 16% 
(11% to 22%)
POCI 19% 
(12% to 25%)
  • 60% of patients with a first motor stroke are dead within 10 years (95% CI: 52% to 67%). A quarter have a recurrent stroke within 10 years (24%: 95% CI: 17% to 30%). a

The cause of stroke can help predict mortality 

Presumed cause a death at 30 days
atherosclerosis 8.1%
(1.9% to 14%)
cardioembolic 30%
(23% to 38%)
lacunar 1.4%
(0.0% to 4.1%)
unknown 14%
(8.7% to 19%)

 

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