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Stroke

Prevalence
Clinical features
Investigations
Therapy
Prevention
Prognosis
Prognosis

Death

The risk of dying after 30 days is increased with a

  • a previous TIA
  • pre-stroke functional disability 
  • a history of intermittent claudication
  • urinary incontinence

Why?

A history of TIA, intermittent claudication and disability increase the risk of death after 30 days

Patient Prognostic Factor Outcome CER OR
(95% CI)
NNF+
(95% CI)
survived stroke for 30 days a previous TIA death at 5 years 35% 2.4
(1.4 to 4.1)
2
(1 to 7)
  prestroke Barthel's Index < 20/20     2.0
(1.2 to 3.2)
3
(1 to 14)
  intermittent claudication     1.9
(1.2 to 2.9)
3
(2 to 14)
  urinary incontinence     2.0
(1.3 to 3.0)
3
(1 to 10)

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