10- years mortality after stroke and its effective factors in Ardabil province 1398

Abstract

Introduction: Stroke is the second leading cause of mortality and the sixth factor in global disease burden, which is expected to be moved to fourth place by 2020. Nearly 16 million people with stroke have been reported annually, leading to 5.5 million deaths. The aim of this study was to investigate the long-term mortality rate (10 years) among people with stroke and the relationship between demographic factors and the history of other diseases and high-risk behaviors with its attenuation rate in Ardebil province. Methods: This prospective cohort study was conducted to investigate the long-term stroke and effective factors (hypertension, diabetes, smoking, high blood fat, etc.). During which all patients suffering from stroke admitted to Imam Khomeini hospital in 2004 in Ardabil were studied and filled out the questionnaire. Demographic information and other necessary information were recorded in the structured checklist. Individuals were followed up for one year, 5 years and 10 years after the stroke, and the data were analyzed and analyzed based on Kaplan Mayer's test. Results: According to the findings, 79.6% of patients had an ischemic stroke and their attenuation was 38.3%, 48.7% at one year, 5 years and 10 years after the infection. 65.2% were reported. In demographic factors and its association with stroke attenuation at one year, 5 years and 10 years, it was found that the age of the infected person in each of the three stages (P<.001) and the occupation of the individual in mortality five years after the stroke ( p = .035), and sex (p = .021) and individual occupation (p< .001) have a significant relationship with the rate of attenuation, that is, with increasing age, the mortality rate also increases and in terms of occupation, the highest mortality rate And Mir occurs in the 5 years after the onset of unemployment in 69.2% of the unemployed, and in the 10 years after the infection, in addition to age and occupation, the mortality rate in men is 74% hig The most important factors that have been considered in the study and its role in stroke inhibition are high blood pressure, high blood lipids, diabetes, myocardial infarction, and high-risk behaviors, smoking, hookah, and physical activity, as well as The use of oral contraceptives in women showed that the history of heart disease (p = .026) and oral contraceptive use (p < .001) were effective in mortality one year after the stroke. There was a significant relationship with hypertension (p = .032) and high blood lipids (p = .022) as well as women who had oral contraceptive pills (p < .00 1) has a significant relationship with long-term recurrence (10 years after it), and the relationship of other variables related to high-risk behaviors and history of diseases, including the history of diabetes and family history of heart attacks and stroke, and smoking and Hookahs or exercise inactivity did not significantly correlate with the long-term attenuation (10 years) of stroke.her than in women Falls. occurrence of stroke is high among the affected patients, and this also increases with age. Considering the fact that among the risk factors for increased blood pressure with increasing mortality, You need to follow a more intensive care plan for patients with hypertension.