London, United Kingdom 2013 Stroke prognosis (PO 52 - 122) Poster Session Red Cerebrovasc Dis 2013; 35 (suppl 3)1-854 305 Figure 1. Clinical case of acute stroke due to ICA occlusion. The result of intra-arterial thrombolysis and an-gioplasty. Figure 2. Clinical case of acute stroke due to basilar artery occlusion. The result of intra-arterial thrombolysis, thromborhexis and stenting. 52 Stroke prognosis Differences in cardiovascular risk factors and socioeconomic status do not explain the in-creased risk of death after stroke in diabetic patients – results from the Swedish Stroke Regis-ter M. Eriksson1, K. Asplund2, M. Eliasson3 Department of Statistics, USBE, Umeå University, Umeå, SWEDEN1, Department of Public Health and Clinical Medicine, Umeå University, Umeå, SWEDEN2, Department of Public Health and Clinical Medicine, Umeå University, Umeå, SWEDEN3 Background: The diabetes prevalence is higher in low socioeconomic groups and diabetes is associ-ated with an increased risk of stroke and stroke mortality. This nationwide study compared survival after stroke in diabetic and non-diabetic patients, and analyzed if differences in cardiovascular risk factors, acute stroke management and socioeconomic status could explain inequalities. Methods: The study included 155 806 first-ever stroke patients from the Swedish Stroke Register (Riks-Stroke) 2001-2009. Individual patient information on socioeconomic status (education, in-come and country of birth) was retrieved from Statistics Sweden. Survival was followed until De-cember 31, 2010 (0-10 years). Multivariable Cox regression models with censored data were used to analyze survival, adjusting for differences in background characteristics, in-hospital treatment (stroke unit care and thrombolysis), and socioeconomic status. Results: Of 155 806 first ever stroke patients, 29 580 (19%) had diabetes. Diabetic patients were more often men, living in institution, dependent in ADL before stroke, having atrial fibrillation or antihypertensive drugs before stroke. Smoking and hemorrhagic stroke were less common among diabetic patients. Diabetic patients were less likely to receive thrombolysis, had lower income and education than non-diabetic patients and were more often born outside of Sweden. The risk of death after stroke was increased in diabetic stroke patients (OR: 1.23, 95% CI: 1.21- 1.26), more markedly so in younger patients and in women. Differences in background character-istics, cardiovascular risk factors, in-hospital treatment or socioeconomic status did not explain the increased risk of death after stroke (OR 1.29, 95% CI: 1.26-1.31 after adjustments). Conclusion: Differences in cardiovascular risk factors, acute stroke management and socioeconomic status do not explain the lower long-term survival after stroke in diabetic compared to non-diabetic patients.
Karger_ESC London_2013
To see the actual publication please follow the link above