1. Current characteristics and early functional outcome of older stroke patients: a population-based study (Dijon Stroke Registry)
- Author
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Lucie Garnier, Gauthier Duloquin, Yannick Béjot, Maurice Giroud, Sophie Mohr, and Mathilde Graber
- Subjects
Male ,Aging ,medicine.medical_specialty ,Population ageing ,Pediatrics ,Population ,Risk Factors ,Interquartile range ,Epidemiology ,medicine ,Humans ,Registries ,education ,Stroke ,Aged ,Aged, 80 and over ,education.field_of_study ,business.industry ,General Medicine ,medicine.disease ,Long-term care ,Delirium ,Female ,France ,Geriatrics and Gerontology ,medicine.symptom ,business ,Older people - Abstract
Background the ongoing growing and ageing population is associated with an increase in older patients suffering a stroke. We aimed to assess the current profile of these patients in a population-based setting. Methods all patients with acute stroke were prospectively identified among residents of Dijon, France, between 2013 and 2017, using a population-based registry. Characteristics and early outcome of patients were compared according to age groups. Results 1,288 stroke cases were recorded (median age: 81.1 years, interquartile range: 66.1–86.7, 54% women). Patients aged 75–85 years and those >85 years accounted for 27.6 and 33.9% of overall cases. Increasing age was associated with a greater prevalence of vascular risk factors, pre-existing cognitive impairment and handicap, higher initial severity, more frequent cardioembolic ischemic stroke, post-stroke pulmonary infection and delirium. Only 41% of patients aged 75–85 years and 18% of those aged >85 years had a good early recovery. Compared with patients aged 85 years (adjusted OR = 7.18; 95% CI: 4.58–11.3, P 85 years. Thirty per cent of patients >85 years old required a long-term care institution. Conclusion the increasing burden of stroke in older people has major implications for future treatment strategies and need for dedicated care facilities.
- Published
- 2020