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"The prevalence of stroke in elderly patients has been increasing in recent years. However, limited information is available about the burden of stroke in individuals over 80," researchers in Toronto, Canada report (see also Clinical Trial Research).
"We sought to evaluate differences in clinical outcomes in Canadians over 80 years old hospitalized for an acute ischemic stroke. The authors conducted a multicenter cohort study including all hospital admissions for ischemic stroke identified from the Canadian Hospital Morbidity and Mortality Database from April 2003 to March 2004. The Hospital Morbidity and Mortality Database contains a national database that contains patient-level sociodemographic, diagnostic, procedural, and administrative information from across Canada. Multivariable analysis was performed using logistic regression. The primary outcome was 7-day case fatality and fatality at discharge. Secondary end points included intensive care unit admissions, medical complications, gender differences, length of hospital stay, and discharge disposition. We analyzed 26 676 patients with ischemic stroke admitted to 606 hospitals across Canada. Mean age (SD) was 74 +/- 13 years. Overall, 10 171 (38%) were aged 80 years or older. Case fatality at discharge was 5.7% (age = 80; P
The researchers concluded: "Strategies need to be implemented to facilitate equal access to specialized stroke care for the elderly."
Saposnik and colleagues published their study in Stroke (Stroke outcome in those over 80 - A multicenter cohort study ...
Source: HighBeam Research, Data on clinical trial research described by G. Saposnik et al.