期刊导航

论文摘要

缺血性脑卒中幸存者的相对生存率及其影响因素分析

Relative Survival of Patients with Ischemic Stroke

作者:李宓儿, 王菊, 杜旭东, 朱萍, 张露, 周沐科, 朱彩蓉

Author:LI Mi-er, WANG Ju, DU Xu-dong, ZHU Ping, ZHANG Lu, ZHOU Mu-ke, ZHU Cai-rong

收稿日期:2018-01-04          年卷(期)页码:2018,49(4):594-598

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:相对生存, 超额死亡风险, 缺血性脑卒中

Key words:Relative survival, Relative excess risk, Ischemic stroke

基金项目:

中文摘要

目的 估算缺血性脑卒中幸存者的相对生存率并探索相对生存率的影响因素。 方法 采用寿命表法和Ederer Ⅱ法估算首发缺血性脑卒中幸存者的相对生存率;采用泊松误差结构模型,探索缺血性脑卒中幸存者相对生存率的影响因素。 结果 首发缺血性脑卒中幸存者1年、3年、5年、7年相对生存率分别为99%、98%、98%、99%;相比于CI:1.668~410.90;P=0.020 1];相比于mRS评分CI:1.05~206.45;P=0.047 3);相比于体质量正常者,体质量过轻者超额死亡风险增加(RER=10.082,95%CI:2.076~48.958,P=0.004 2)。 结论 对于缺血性脑卒中幸存者,生存率略低于可比的一般人群,长期生存状况较好。其中,首发年龄介于53~62岁、出院后3月mRS ≥ 3分、体质量过轻的患者超额死亡风险相对较高,建议给予这类患者更多关注。

英文摘要

ObjectiveTo estimate the relative survival ratio of patients with ischemic stroke and its risk factors.MethodsLifetable and Ederer Ⅱ methods were used to estimate the relative survival ratio of patients with ischemic stroke. The Poission error structure model was adopted to determine the risk factors associated with survival.ResultsThe patients had 99%, 98%, 98% and 99% relative survival ratio 1 year, 3 years, 5 years and 7 years after stroke, respectively. The relative excess risk of death increased with age[53-62 yr. vs.CI:1.668-410.90,P=0.020 1], higher mRS scores (≥ 3 vs.CI:1.05-206.45,P=0.047 3), and under body mass (vs. normal body mass, RER=10.082, 95%CI:2.076-48.958,P=0.004 2).ConclusionIschemic stroke patients have a good prognosis, with slightly lower survival rates than the matched general populations. Those who are older, under body mass, and have a higher mRS score have lower survival rates.

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