title: Factors affecting one year mortality and functional outcome after first ever ischemic stroke in the region of Antalya, Turkey (a hospital-based study).
abstract: In order to establish good health politics for stroke survivors, regional differences in factors affecting the outcome of patients have to be known. For this purpose we investigated factors affecting 1 year mortality and functional outcome in patients with first-ever-in a lifetime stroke in the region of Antalya, Turkey. One-hundred and forty-seven patients with a first ever stroke were included and followed up for at least one year. The modified Rankin Scale was used for evaluation of handicap. Several factors known to affect prognosis such as demographic features, socioeconomic status, stroke subtype, neurological findings and stroke risk factors were compared between patients who died during follow-up and survivors. Of the 147 patients 35 (23.8%) died during the course of the study. Multivariate logistic regression analysis showed that only illiteracy, being single or widowed and presence of urinary incontinence were significant predictors of being dead at the end of 1 year. In the survivors factors independently affecting dependence at the end of one year were age, presence of coma on admission and urinary incontinence. Our results suggest that not only stroke severity but also socioeconomic variables are important in determining the prognosis of stroke patients.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Akdeniz University School of Medicine, Antalya, Turkey. nehirsamanci@akdeniz.edu.tr
authors.forename: Nehir
authors.initials: N
authors.lastname: Samanci
authors.forename: Babür
authors.initials: B
authors.lastname: Dora
authors.forename: Ferah
authors.initials: F
authors.lastname: Kizilay
authors.forename: Nilüfer
authors.initials: N
authors.lastname: Balci
authors.forename: Emel
authors.initials: E
authors.lastname: Ozcan
authors.forename: Mehmet
authors.initials: M
authors.lastname: Arman
mesh_terms: D000368:Aged; D002545:Brain Ischemia / Q000401:mortality*; D003128:Coma / Q000401:mortality; D015897:Comorbidity; D004185:Disability Evaluation; D018450:Disease Progression; D004522:Educational Status; D005260:Female; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D011379:Prognosis; D012959:Socioeconomic Factors; D020521:Stroke / Q000401:mortality*; D015996:Survival Rate; D014421:Turkey / Q000453:epidemiology; D014549:Urinary Incontinence / Q000401:mortality