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Current characteristics and early functional outcome of older stroke patients: a population-based study (Dijon Stroke Registry)
- Source :
- Age and Ageing. 50:898-905
- Publication Year :
- 2020
- Publisher :
- Oxford University Press (OUP), 2020.
-
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.
- 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
Subjects
Details
- ISSN :
- 14682834 and 00020729
- Volume :
- 50
- Database :
- OpenAIRE
- Journal :
- Age and Ageing
- Accession number :
- edsair.doi.dedup.....91e358dbadf99ac04151c44c679f49d6