What question did this study set out to answer?

To evaluate age-specific clinical features, diagnostic resource utilization, and 3-month functional outcomes in stroke patients aged 80 years and older compared with younger cohorts.

November 1, 1999StrokeOpen Access

Stroke in the Very Old

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Authors

ACAntonio Di CarloTemple University Hospital MLMaria LamassaAzienda Ospedaliero-Universitaria Careggi GPGiovanni PracucciAzienda Ospedaliero-Universitaria Careggi

Discussion

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Implication

Multicenter cohort study reveals poorer functional outcomes and lower diagnostic resource use in stroke patients aged 80 and older, highlighting distinct medical and social recovery determinants.

Key Points

To evaluate age-specific clinical features, diagnostic resource utilization, and 3-month functional outcomes in stroke patients aged 80 years and older compared with younger cohorts.
Conducted a multicenter European Union Concerted Action study across 7 countries evaluating 4,499 hospitalized patients with first-in-a-lifetime stroke (3,141 aged <80 years and 1,358 aged ≥80 years).
Recorded patient demographics, prestroke status, acute clinical presentations, and use of brain imaging and diagnostic evaluations.
Assessed functional disability via the Barthel Index and handicap via the Rankin Scale at 3 months post-stroke.
Coma, paralysis, swallowing difficulties, and urinary incontinence occurred significantly more often during the acute phase in patients aged ≥80 years (all P<0.001), while brain imaging and diagnostic resources were utilized significantly less frequently.
Paralysis, swallowing difficulties, and urinary incontinence independently predicted 3-month disability and handicap in both age cohorts.
Among patients aged ≥80 years, prestroke institutionalization independently predicted 3-month disability (OR, 2.33; 95% CI, 1.22 to 4.45) and handicap (OR, 7.04; 95% CI, 1.62 to 30.69).

Cite This Study

Carlo et al. (1999) studied this question.

synapsesocial.com/papers/6a87ed2c7d1a7154c5016c4d https://doi.org/10.1161/01.str.30.11.2313

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Implication

Multicenter cohort study reveals poorer functional outcomes and lower diagnostic resource use in stroke patients aged 80 and older, highlighting distinct medical and social recovery determinants.

Stroke in the Very Old

Discussion

Member takes

Implication

Key Points

Cite This Study

Stroke in the Very Old

Discussion

Member takes

Implication

Key Points

Cite This Study

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