Predictive Factors for Excellent or Extremely Poor Functional Outcome in Initial Atrial Fibrillation-Related Cardioembolic Stroke

Koji Tanaka, Takeshi Yamada, Takako Torii, Shoji Matsumoto, Takeo Yoshimura, Kei Ichiro Takase, Yoshifumi Wakata, Naoki Nakashima, Jun Ichi Kira, Hiroyuki Murai

研究成果: ジャーナルへの寄稿記事

抜粋

Background: We aimed to determine the predictive factors for excellent or extremely poor functional outcome in patients with first-ever atrial fibrillation (AF)-related cardioembolic stroke. Methods: Retrospective observational study from a database. Patients with AF-related cardioembolic stroke with a premorbid modified Rankin Scale (mRS) score of 0 or 1 and without a previous history of stroke were included. Results: Factors associated with excellent functional outcome (mRS scores of 0 or 1; n = 77; 30.4% of patients) included age >78 years (OR 0.31, 95% CI 0.15-0.61), male sex (OR 2.16, 95% CI 1.04-4.60), absence of hypertension (OR 0.46, 95% CI 0.22-0.94) and initial National Institutes of Health Stroke Scale (NIHSS) score of >9 (OR 0.08, 95% CI 0.03-0.16). Factors associated with extremely poor functional outcome (mRS scores of 5 or 6; n = 63; 24.9%) included age >78 years (OR 3.30, 95% CI 1.54-7.39), initial NIHSS score of >9 (OR 12.38, 95% CI 5.40-32.56), congestive heart failure (OR 4.82, 95% CI 2.00-12.19) and ischemic heart disease (OR 4.02, 95% CI 1.18-14.69). Conclusions: Predictive factors exist to delineate excellent and extremely poor functional outcomes after a first-time stroke associated with AF.

元の言語英語
ページ(範囲)105-111
ページ数7
ジャーナルEuropean Neurology
76
発行部数3-4
DOI
出版物ステータス出版済み - 10 1 2016

    フィンガープリント

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

これを引用

Tanaka, K., Yamada, T., Torii, T., Matsumoto, S., Yoshimura, T., Takase, K. I., ... Murai, H. (2016). Predictive Factors for Excellent or Extremely Poor Functional Outcome in Initial Atrial Fibrillation-Related Cardioembolic Stroke. European Neurology, 76(3-4), 105-111. https://doi.org/10.1159/000447629