FACTORS, ASSOCIATED WITH ONE YEAR SURVIVAL AFTER STROKE IN KAZAKHSTAN: A COHORT STUDY
Introduction. Many unresolved question exist about the predictors of stroke outcome. The evidence on the determinants of stroke survival in Kazakhstan is very scarce, despite the high prevalence of the problem.
The aim: To study factors associated with one -year stroke survival in a population of Semey, Kazakhstan.
Methods. All cases of stroke were included in a cohort in Semey from 01.01.2014 to 31.12.15 (N = 937).Survival of patients with stroke was assessed using Kaplan-Mayer curves and log-rank tests. Independent associations of the studied factors with survival were studied using multivariable Cox proportional hazard analysis. Crude and adjusted hazard ratios (RR) were calculated with 95% confidence intervals (CI).
Results. Annual 12-years survival was 67.7% (95% CI: 64,6-70,6) in the study population. Age over 70 years (RR= 1,87; 95% CI: 1,09-3,20),Russian ethnicity (RR=1,69;95% CI 1,31-2,17), hemorrhagic and subarachnoid hemorrhage (RR=3,06;95% CI 2,32-4,05) and (RR=3,72;95% CI 1,97-7,01) respectively, history of myocardial infarction (RR=1,41;95% CI 1,03-1,94),а high NIHSS score with 12-months survival.
Conclusions: Factors influencing survival of patients after stroke in Kazakhstan were identified. Our results may be used for the development of therapeutic and rehabilitation measures to improve long-term survival after stroke
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Акимжанова А.К., Гржибовский A.М., Хайбуллин Т.Н., Патрушева О.П., Акимжанов К.Д. Факторы, влияющие на однолетнюю выживаемость пациентов после инсульта в Казахстане: когортное исследование / / Наука и Здравоохранение. 2016. №3. С. 46-57. Akimzhanova A.K., Grjibovski A.M., Khaibullin T.N., Patrusheva O.P., Akimzhanov K.D. Factors, associated with one year survival after stroke in Kazakhstan: a cohort study. Nauka i Zdravookhranenie [Science & Healthcare]. 2016, 3, pp. 46-57. Әкімжанова Ә.Қ., Гржибовский A.М., Хайбуллин Т.Н., Патрушева О.П., Әкімжанов Қ.Д. Қазақстанда инсультан кейінгі науқастардың біржылдық өмір сүруіне əсер ететін факторлар: когортты зерттеу / / Ғылым және Денсаулық сақтау. 2016. №3. Б. 46-57.Related publications:
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