지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Objective : We retrospectively evaluated the prognostic factors that can influence long-term survival in patients who suffered acute large cerebral infarction. Methods : Between June 2003 and October 2008, a total of 178 patients were diagnosed with a large cerebral infarction, and, among them, 122 patients were alive one month after the onset of stroke. We investigated the multiple factors that might have influenced the life expectancies of these 122 patients. Results : The mean age of the patients was $70{\pm}13.4$ years and the mean survival was $41.7{\pm}2.8$ months. The mean survival of the poor functional outcome group ($mRS{\geq}4$) was $33.9{\pm}3.3$ months, whereas that of the good functional outcome group ($mRS{\leq}3$) was $58.6{\pm}2.6$ months (p value=0.000). The mean survival of the older patients (270 years) was $29.7{\pm}3.4$ months, whereas that of the younger patients (<70 years) was much better as $58.9{\pm}3.2$ months (p value=0.000). Involvement of ACA or PCA territory in MCA infarction is also a poor prognostic factor (p value=0.021). But, other factors that are also known as significant predictors of poor survival (male gender, hypertension, heart failure, atrial fibrillation, diabetes mellitus, a previous history of stroke, smoking, and dyslipidemia) did not significantly influence the mean survival time in the current study. Conclusion : Age (older versus younger than 70 years old) and functional outcome at one month could be critical prognostic factors for survival after acute large cerebral infarction. Involvement of ACA or PCA territory is also an important poor prognostic factor in patients with MCA territorial infarction.
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참고문헌 (14)
참고문헌 신청
Acciarresi M / 2006 / First-ever stroke and outcome in patients admitted to Perugia Stroke Unit: predictors for death, dependency, and recurrence of stroke within the first three months / Clin Exp Hypertens 28:287~294
Boysen G / 2009 / Long-term survival after stroke : 30 years of follow-up in a cohort, the Copenhagen City Heart Study / Neuroepidemiology 33:254~260
Dennis MS / 1993 / Long-term survival after first-ever stroke: the Oxfordshire Community Stroke Project / Stroke 24:796~800
Eriksson M / 2008 / Functional outcome 3 months after stroke predicts long-term survival / Cerebrovasc Dis 25:423~429
Hankey GJ / 2002 / Long-term disability after first-ever stroke and related prognostic factors in the Perth Community Stroke Study, 1989-1990 / Stroke 33:1034~1040
Boysen G / 2009 / Long-term survival after stroke : 30 years of follow-up in a cohort, the Copenhagen City Heart Study / Neuroepidemiology 33:254~260
Dennis MS / 1993 / Long-term survival after first-ever stroke: the Oxfordshire Community Stroke Project / Stroke 24:796~800
Eriksson M / 2008 / Functional outcome 3 months after stroke predicts long-term survival / Cerebrovasc Dis 25:423~429
Hankey GJ / 2002 / Long-term disability after first-ever stroke and related prognostic factors in the Perth Community Stroke Study, 1989-1990 / Stroke 33:1034~1040
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