title: Multifactorial analysis of factors affecting recurrence of stroke in Japan.
abstract: Data on factors affecting stroke recurrence are relatively limited. The authors examined potential factors affecting stroke recurrence, retrospectively. The study participants were 1087 patients who were admitted to stroke centers suffering from first-ever ischemic stroke and returned questionnaires with usable information after discharge. The authors analyzed the association between clinical parameters of the patients and their prognosis. Recurrence rate of during an average of 2 years after discharge was 21.3%, and there were differences among stroke subtypes. It was found that the disability level of the patients after discharge correlated well with the level at discharge (r s = 0.66). Multivariate logistic regression analysis of the data shows that modified Rankin Scale score, National Institute of Health Stroke Scale score, gender, age, and family history had statistically significant impacts on stroke recurrence, and the impact was different depending on subtypes. These findings suggest that aggressive and persistent health education for poststroke patients and management of risk factors are essential to reduce stroke recurrence.
authors.affiliation: Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan t-omori@med.nagoya-cu.ac.jp.
authors.forename: Toyonori
authors.initials: T
authors.lastname: Omori
authors.affiliation: National Institute of Population and Social Security research, Tokyo, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Kawagoe
authors.affiliation: Hiroshima University Graduate School of Health Sciences, Hiroshima, Japan.
authors.forename: Michiko
authors.initials: M
authors.lastname: Moriyama
authors.affiliation: Toyota Memorial Hospital, Toyota, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yasuda
authors.affiliation: Toyota Memorial Hospital, Toyota, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Ito
authors.affiliation: Japanese Red Cross Hiroshima College of Nursing, Hiroshima, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Hyakuta
authors.affiliation: National Cardiovascular Research Center, Osaka, Japan.
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Nagatsuka
authors.affiliation: Hiroshima University Graduate School of Health Sciences, Hiroshima, Japan.
authors.forename: Masayasu
authors.initials: M
authors.lastname: Matsumoto
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002544:Cerebral Infarction; D005260:Female; D006760:Hospitalization; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge / Q000706:statistics & numerical data; D011379:Prognosis; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D020521:Stroke / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D013997:Time Factors