title: Ischemic stroke mortality tendency (2000-2009) and prognostic factors. ICTUS Study-Extremadura (Spain).
abstract: OBJECTIVE
  Mortality due to stroke is high in our setting. However, we do not know its magnitude and course in a recent decade. Thus, we have assessed the global inhospital mortality and that at 1 year of stroke in patients seen in a regional hospital as well as its prognostic factors.
  
  
  METHODS
  A one-year follow-up historical cohort study was performed of patients admitted at Don Benito-Villanueva de la Serena Regional Hospital (Badajoz) with diagnosis of ischemic stroke (1 January 2000 to 31 December 2009). Epidemiological, clinical data all cause death information were collected.
  
  
  RESULTS
  A total of 2.228 patients (50.8% male), mean age 71 (SD 10) years were recruited. In-hospital mortality rate was 15.3% and mortality rate at 1 year was 16.9%, with no significant changes during the 10-year study period. Risk factors for greater in-hospital mortality were age, previous renal and heart failure and not performing diagnostic tests. Factors associated with 1-year all-cause mortality were age, dementia, chronic obstructive pulmonary disease, myocardial infarction, atrial fibrillation and also not performing diagnostic tests. During the study, use of diagnostic tests and treatment with statin, heparin and antihypertensive medication on discharge increased.
  
  
  CONCLUSIONS
  Patients admitted due to ischemic stroke, in a regional hospital presented a 1 year mortality rate of 29.6%. This tendency did not improve during the 10-year study period. Mortality was associated to greater age, comorbidities and not performing diagnostic tests.
authors.affiliation: Centro de Salud Villanueva norte, Servicio Extreme˜no de Salud, Villanueva de la Serena, Badajoz, Spain. felixredondofj@gmail.com
authors.forename: F J
authors.initials: FJ
authors.lastname: Félix-Redondo
authors.forename: L
authors.initials: L
authors.lastname: Consuegra-Sánchez
authors.forename: J M
authors.initials: JM
authors.lastname: Ramírez-Moreno
authors.forename: L
authors.initials: L
authors.lastname: Lozano
authors.forename: V
authors.initials: V
authors.lastname: Escudero
authors.forename: D
authors.initials: D
authors.lastname: Fernández-Bergés
mesh_terms: D000368:Aged; D002545:Brain Ischemia / Q000150:complications / Q000401:mortality*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009026:Mortality / Q000639:trends; D011379:Prognosis; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology; D020521:Stroke / Q000209:etiology / Q000401:mortality*; D013997:Time Factors