Relative Survival of Patients with Ischemic Stroke
Abstract
To estimate the relative survival ratio of patients with ischemic stroke and its risk factors. Methods Lifetable and Ederer Ⅱ methods were used to estimate the relative survival ratio of patients with ischemic stroke. The Poission error structure model was adopted to determine the risk factors associated with survival. Results The patients had 99%, 98%, 98% and 99% relative survival ratio 1 year, 3 years, 5 years and 7 years after stroke, respectively. The relative excess risk of death increased with age[53-62 yr. vs. <53 yr., relative excess risk (RER=26.975, 95%CI:1.668-410.90, P=0.020 1], higher mRS scores (≥ 3 vs. <3 points, RER=14.700, 95%CI:1.05-206.45, P=0.047 3), and under body mass (vs. normal body mass, RER=10.082, 95%CI:2.076-48.958, P=0.004 2). Conclusion Ischemic stroke patients have a good prognosis, with slightly lower survival rates than the matched general populations. Those who are older, under body mass, and have a higher mRS score have lower survival rates.
Keywords: Relative survival, Relative excess risk, Ischemic stroke
Full Text:
PDFReferences
ORGANIZATION WH. The world health report 2003; shaping the future. World Health Organization.2003.
YANG G, WANG Y, ZENG Y, et al. Rapid health transition in China, 1990-2010; findings from the Global Burden of Disease Study 2010. Lancet, 2013, 381 ( 9882); 1987-2015.
LIU L, WANG I). WONG KL, et al. Stroke and stroke care in China huge burden, significant workload, and a national priority. Stroke,2011 ,42( 12):3651-3654.
ZHANG LF, YANG J, HONG Z. et al. Proportion of different subtypes of stroke in China. Stroke, 2003, 34 ( 9); 2091-2096.
LIU M, WU B, WANG WZ, et al. Stroke in China: epidemiology, prevention, and management strategies. Lancet Neurol,2007 ,6(5);456-464.
DICKMAN PW. SLOGGETT A, HILLS M, et al. Regression models for relative survival. Stat Med, 2004, 23 (1):51-64.
NELSON CP. Relative survival; what can cardiovascular disease learn from cancer. Eur Heart J , 2008, 29 ( 7 ) ; 941-
SARFATI D. BLAKELY T. PEARCE N. Measuring cancer survival in populations; relative survival vs cancer-specific survival. Int J Epidemiol.2010.39(2):598-610.
] TALBCKM, DICKMAN PW. Estimating expected survival probabilities for relative survival analysis-exploring the impact of including cancer patient mortality in the calculations. Eur J Cancer.2011.47( 17) :2626-2632.
EDERER F, AXTELL LM. CUTLER SJ. The relative survival rate; a statistical methodology. Natl Cancer Inst Monogr, 196 1.6(6): 101-121.
ICKMAN PW. COVIELLO E. Estimating and modeling relative survival. Stata J,2015.15(1): 186-215.
CHOH. HOWLADER N. MARIOTTO AB. et al. Estimating relative survival for cancer patients from the SEER Program using expected rates based on Ederer I versus Ederer Ц method, https; //surveillance, cancer, gov/ reports/,2011.
PERMEMP. STARE J, ESTEVE J. On Estimation in Relative Survival. Biometrics,2011,68( 1); 113-120.
SEPP K, HAKULINEN T, POKHREL A. Choosing the net survival method for cancer survival estimation. Eur J Cancer. 2011.47(14):2202-2210.
JIA Q. LIU LP, WANG Y J. Stroke in china. Clin Exp Pharmacol Physiol,2010,37(2) ;259-264.
MATHISEN SM. DALEN I. LARSEN JP, et al. Long-term mortality and its risk factors in stroke survivors. J Stroke Cerebrovasc Dis,2016,25(3):635-641.
RNNING OM. Very long-term mortality after ischemic stroke:predictors of cardiovascular death. Acta Neurol Scand Suppl, 2013,127(196);69-72.
DICK MAN PW. Estimating and modelling relative survival using SAS. Karolinska Institutet, Stockholm,2004.
ERIKSSON M, NORRVING B. TER ENT A, et al. Functional outcome 3 months after stroke predicts long-term survival. Cerebrovasc Dis,2008,25(5) :423-429.
SLOT KB. BERGE E, DORMAN P. et al. Impact of functional status at six months on long term survival in patients with ischaemic stroke: prospective cohort studies. BMJ.2008.336(7640) ;376-379.
BAJPAI RC, CHATURVEDI HK. PANDEY A. Relative Survival: A Useful Tool in Population Based Health Studies. People.2014.
TERNT A. Survival after stroke and transient ischemic attacks during the 1970s and 1980s. Stroke. 1989. 20 ( 10): 1320-1326.
GATTELLARI M. GOUMAS C, GARDEN F. et al. Relative survival after transient ischaemic attack;results from the Program of Research Informing Stroke Management (PRISM) study. Stroke,2012,43( 1);79-85.
GOULART AC, FERNANDES TG, SANTOS IS, et al. Predictors of long term survival among first ever ischemic and hemorrhagic stroke in a Brazilian stroke cohort. BMC Neurology, 2013, 13 ( 1): 51 [2017-05-13]. https://doi. org/ 10. 1186/1471-2377-13-51.
OLSEN TS, DEHLENDORFF C, PETERSES HG, et al. Body mass index and poststroke mortality. Neuroepidemiology, 2008,30( 2):93-100.
VEMMOSK, NTAIOS G, SPENGOSK. elal. Association between obesity and mortality after acute first-ever stroke: the obesity-stroke paradox. Stroke,2011 ,42( 1);30-36.
RYU WS, LEE SH. KIM С К, et al. Body mass index, initial neurological severity and long-term mortality in ischemic stroke. Cerebrovasc Dis,2011.32(2): 170-176.
KAWASES, KOWA H, SUTO Y, et al. Association between body mass index and outcome in Japanese ischemic stroke patients. Geriatr Gerontol Int.2017,17(3) ;369-374.
Refbacks
- There are currently no refbacks.



