TY - JOUR
T1 - Life Expectancy after Stroke Based On Age, Sex, and Rankin Grade of Disability
T2 - A Synthesis
AU - Shavelle, Robert M
AU - Brooks, Jordan C
AU - Strauss, David J
AU - Turner-Stokes, Lynne
N1 - Copyright © 2019 Elsevier Inc. All rights reserved.
PY - 2019/12
Y1 - 2019/12
N2 - BACKGROUND: Stroke is a leading cause of death and disability in the developed world. The major factor affecting long term survival (other than age) is known to be the severity of disability. Yet to our knowledge there are no studies reporting life expectancies stratified by both age and severity. Remaining life expectancy is a key measure of health.METHODS: We identified 11 long-term follow-up studies of stroke patients that reported the multivariate effects of age, sex, the modified Rankin Scale (mRS) grade of disability, and other factors. From these we computed the composite effects of these factors on survival, then used these to calculate age-, sex-, and mRS-specific mortality rates. Finally we used the rates to construct life tables, and hence obtain life expectancies.RESULTS: Life expectancy varies by age, sex, and mRS. The life expectancies of males age 70, for example, were 13, 13, 11, 8, 6, and 5 years for Rankin Grades 0-5, respectively, representing reductions of 1, 1, 3, 6, 8, and 9 years from the corresponding general population figure.CONCLUSIONS: These figures demonstrate the importance of rehabilitation following stroke, and can be used in discussion of public policy and benchmarking of future results.
AB - BACKGROUND: Stroke is a leading cause of death and disability in the developed world. The major factor affecting long term survival (other than age) is known to be the severity of disability. Yet to our knowledge there are no studies reporting life expectancies stratified by both age and severity. Remaining life expectancy is a key measure of health.METHODS: We identified 11 long-term follow-up studies of stroke patients that reported the multivariate effects of age, sex, the modified Rankin Scale (mRS) grade of disability, and other factors. From these we computed the composite effects of these factors on survival, then used these to calculate age-, sex-, and mRS-specific mortality rates. Finally we used the rates to construct life tables, and hence obtain life expectancies.RESULTS: Life expectancy varies by age, sex, and mRS. The life expectancies of males age 70, for example, were 13, 13, 11, 8, 6, and 5 years for Rankin Grades 0-5, respectively, representing reductions of 1, 1, 3, 6, 8, and 9 years from the corresponding general population figure.CONCLUSIONS: These figures demonstrate the importance of rehabilitation following stroke, and can be used in discussion of public policy and benchmarking of future results.
KW - Survival
KW - cerebrovascular disease
KW - epidemiology
KW - hemorrhagic
KW - intracranial hemorrhage
KW - ischemic
KW - life table
KW - severity
UR - http://www.scopus.com/inward/record.url?scp=85074539860&partnerID=8YFLogxK
U2 - 10.1016/j.jstrokecerebrovasdis.2019.104450
DO - 10.1016/j.jstrokecerebrovasdis.2019.104450
M3 - Article
C2 - 31676160
SN - 1052-3057
VL - 28
SP - 104450
JO - Journal Of Stroke & Cerebrovascular Diseases
JF - Journal Of Stroke & Cerebrovascular Diseases
IS - 12
M1 - 104450
ER -