The changing pattern of survival following Stroke.

This study, compared survivorship for first episodes of cerebral infarction, intracerebral hemorrhage and subarachnoid hemorrhage which occurred in residents of Rochester, Minnesota during 5-year periods from 1945–49 through 1975–79. The progressive improvement in long-term survival following cerebral infarction which occurred between 1945–49 and 1970–74 was such that a higher proportion of patients survived for six years in 1970–74 (45%) than survived for three years in 1945–49 (42%). A modest improvement in short-term survival following cerebral infarction occurred up to 1975–79 but a marked improvement in 30-day survival following intracerebral hemorrhage was noted. The reasons for the improvement in survival have not been established, but possible changes in the diagnosis and management of stroke which might have been contributory factors are discussed.

[1]  N. Higano,et al.  Life-table analysis of survival after cerebral thrombosis; ten-year experience. , 1959, Journal of the American Medical Association.

[2]  D. Christie.  Aftermath of stroke: an epidemiological study in Melbourne, Australia. , 1982, Journal of epidemiology and community health.

[3]  W. E. Drake,et al.  Acute Stroke Management and Patient Outcome: The Value of Neurovascular Care Units (NCU) , 1973, Stroke.

[4]  D. Lougson,et al.  Acute. , 2020, The Manchester medical gazette.

[5]  P. Wolf,et al.  The role of impaired cardiac function in atherothrombotic brain infarction: the Framingham study. , 1973, American journal of public health.

[6]  T. Sundt,et al.  Subarachnoid hemorrhage from intracranial aneurysms. Surgical management and natural history of disease. , 1978, The New England journal of medicine.

[7]  S. Takagi,et al.  Natural History , 2019, Nature.

[8]  L. Kurland,et al.  Natural History of Stroke in Rochester, Minnesota, 1955 Through 1969: An Extension of a Previous Study, 1945 Through 1954 , 1973, Stroke.

[9]  F. Kennedy,et al.  Stroke intensive care--an appraisal. , 1970, American heart journal.

[10]  W. Garraway,et al.  The continuing decline in the incidence of stroke. , 1983, Mayo Clinic proceedings.

[11]  R. R. Carpenter,et al.  The Outcome for patients With Cerebrovascular Disease in University and Community Hospitals , 1972, Stroke.

[12]  J. Marquardsen.  The natural history of acute cerebrovascular disease: a retrospective study of 769 patients. , 1969, Acta neurologica Scandinavica.

[13]  L. Kurland,et al.  The patient record in epidemiology. , 1981, Scientific American.

[14]  A. Belanger,et al.  The Framingham study. , 1976, British medical journal.

[15]  P A Wolf,et al.  Survival and recurrence following stroke. The Framingham study. , 1982, Stroke.

[16]  S. Beresford,et al.  Planning for stroke patients : a four-year descriptive study of home and hospital care , 1979 .

[17]  J. Whisnant,et al.  A comparison of trends in mortality from stroke in the United States and Rochester, Minnesota. , 1982, Stroke.