Ethnic differences in stroke recurrence
dc.contributor.author | Lisabeth, Lynda D. | en_US |
dc.contributor.author | Smith, Melinda A. | en_US |
dc.contributor.author | Brown, Devin L. | en_US |
dc.contributor.author | Moyé, Lemuel A. | en_US |
dc.contributor.author | Risser, Jan M. H. | en_US |
dc.contributor.author | Morgenstern, Lewis B. | en_US |
dc.date.accessioned | 2007-09-20T17:43:07Z | |
dc.date.available | 2008-01-03T16:19:42Z | en_US |
dc.date.issued | 2006-10 | en_US |
dc.identifier.citation | Lisabeth, Lynda D.; Smith, Melinda A.; Brown, Devin L.; MoyÉ, Lemuel A.; Risser, Jan M. H.; Morgenstern, Lewis B. (2006). "Ethnic differences in stroke recurrence." Annals of Neurology 60(4): 469-475. <http://hdl.handle.net/2027.42/55835> | en_US |
dc.identifier.issn | 0364-5134 | en_US |
dc.identifier.issn | 1531-8249 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/55835 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=16927332&dopt=citation | en_US |
dc.description.abstract | Objective To determine whether stroke recurrence and the effect of recurrence on mortality differ by ethnicity. Methods Using methods from the Brain Attack Surveillance in Corpus Christi project, we prospectively identified first-ever ischemic strokes from emergency department logs and hospital admissions (January 2000 to December 2004). Recurrent strokes and deaths were identified for the same period. Cumulative probability of stroke recurrence was estimated. Cox proportional hazards models were used to examine ethnic differences in recurrence and to examine the relation among ethnicity, recurrence, and mortality. Results During the time interval, 1,345 first-ever ischemic strokes were validated. Median age of patients was 72 years; 53% were Mexican American (MA). There were 126 recurrent strokes. Cumulative risk for recurrence at 30 days and 1 year was 2.6 and 7.5%, respectively. MAs had higher risk for stroke recurrence (risk ratio, 1.57; 95% confidence interval, 1.05–2.34) compared with non-Hispanic white patients, adjusted for demographics, stroke risk factors, and stroke severity. Stroke recurrence was related to mortality to a similar extent across ethnic groups (non-Hispanic white patients: risk ratio, 3.32; 95% confidence interval, 2.07–5.32; MAs: risk ratio, 2.35; 95% confidence interval, 1.42–3.88). Interpretation MAs had higher stroke recurrence risk compared with non-Hispanic white patients. Stroke recurrence had an important impact on mortality. Efforts to reduce stroke recurrence in MAs are needed. Ann Neurol 2006 | en_US |
dc.format.extent | 122768 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Wiley Subscription Services, Inc., A Wiley Company | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Neuroscience, Neurology, and Psychiatry | en_US |
dc.title | Ethnic differences in stroke recurrence | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Psychiatry | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Epidemiology, University of Michigan School of Public Health ; Stroke Program, University of Michigan Medical School, Ann Arbor, MI ; Department of Epidemiology, University of Michigan School of Public Health, 109 South Observatory, Ann Arbor, MI 48109-2029 | en_US |
dc.contributor.affiliationum | Stroke Program, University of Michigan Medical School, Ann Arbor, MI | en_US |
dc.contributor.affiliationum | Stroke Program, University of Michigan Medical School, Ann Arbor, MI | en_US |
dc.contributor.affiliationum | Department of Epidemiology, University of Michigan School of Public Health ; Stroke Program, University of Michigan Medical School, Ann Arbor, MI | en_US |
dc.contributor.affiliationother | University of Texas Health Science Center at Houston School of Public Health, Houston, TX | en_US |
dc.contributor.affiliationother | University of Texas Health Science Center at Houston School of Public Health, Houston, TX | en_US |
dc.identifier.pmid | 16927332 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/55835/1/20943_ftp.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1002/ana.20943 | en_US |
dc.identifier.source | Annals of Neurology | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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