Factors influencing the survival of 451 transient ischemic attack patients

• Published in: Stroke (1970) Vol. 18; no. 3; pp. 552 - 557
• Main Authors: HOWARD, G, TOOLE, J. F, FRYE-PIERSON, J, HINSHELWOOD, L. C
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott Williams & Wilkins 01.05.1987
• Subjects: Aged; Aging; Biological and medical sciences; Cerebrovascular Disorders - complications; Continental Population Groups; Diabetes Complications; Heart Diseases - complications; Humans; Hypertension - complications; Ischemic Attack, Transient - complications; Ischemic Attack, Transient - mortality; Medical sciences; Middle Aged; Neurology; North Carolina; Risk; Smoking; Statistics as Topic; Time Factors; Vascular diseases and vascular malformations of the nervous system; North Carolina; Human; Nervous system diseases; Mortality; Risk factor; Cerebrovascular insufficiency; Transitory; Cerebrovascular disease
• ISSN: 0039-2499; 1524-4628
• DOI: 10.1161/01.STR.18.3.552

Four hundred fifty-one patients with transient ischemic attacks (TIA) occurring within 1 month of hospitalization, admitted during 1977-1983, were analyzed to establish the effect on survival of age, race, sex, distribution of TIA, cigarette smoking, previous cerebral infarction or hemorrhage, previous TIA, or history of ischemic heart disease, valvular heart disease, cardiac dysrhythmia, hypertension, and diabetes mellitus. Proportional hazards analysis revealed that decreased survival was associated with increasing age, carotid artery distribution TIAs (compared with vertebrobasilar distribution TIAs), cigarette smoking, previous contralateral stroke, ischemic heart disease, and diabetes mellitus. We found great variation in the estimated survival of TIA patients, ranging from 5-year survivals of greater than 95% for 60-year-old patients with none of these risk factors to less than 25% for patients with all of these risk factors. Although the survival of the strata differed, the average mortality rates for this series of patients was about one-half of that observed for 225 patients accessed and followed by our center during 1961-1973.