Matthew B Downer, Ramon Luengo-Fernandez, Lucy E Binney, Sergei A Gutnikov, Louise E Silver, Aubretia McColl, Peter M Rothwell
INTRODUCTION: Multimorbidity is common in patients with stroke, and is associated with increased medium to long-term mortality, but its value for clinical decision-making and case-mix adjustment will depend on other factors, such as age, stroke severity, aetiological subtype, prior disability, and vascular risk factors. AIMS: In the absence of previous studies, we related multimorbidity to long-term post-stroke mortality with stratification by these factors. METHODS: In patients ascertained in a population-based stroke incidence study (Oxford Vascular Study; 2002-2017), we related pre-stroke multimorbidity (weighted/unweighted Charlson Comorbidity Index-CCI) to all-cause/vascular/non-vascular mortality (1/5/10-years) using regression models adjusted/stratified by age, sex, predicted early outcome (THRIVE Score), stroke severity (NIH Stroke Scale-NIHSS), aetiology (TOAST), pre-morbid disability (modified Rankin Scale-mRS), and non-CCI risk factors (hypertension, hyperlipidaemia, atrial fibrillation, smoking, deprivation, anxiety/depression)...
October 18, 2023: International Journal of Stroke: Official Journal of the International Stroke Society