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Differences in cardiovascular risk factors and socioeconomic status do not explain the increased risk of death after a first stroke in diabetic patients: results from the Swedish Stroke Register
Umeå universitet, Samhällsvetenskapliga fakulteten, Handelshögskolan vid Umeå universitet, Statistik.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Medicin.
Umeå universitet, Samhällsvetenskapliga fakulteten, Handelshögskolan vid Umeå universitet, Statistik. Department of Applied Mathematics, Computer Science and Statistics, Ghent University, Ghent, Belgium.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Medicin.
2013 (Engelska)Ingår i: Diabetologia, ISSN 0012-186X, E-ISSN 1432-0428, Vol. 56, nr 10, s. 2181-2186Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIMS/HYPOTHESIS: This study compared survival rates and causes of death after stroke in diabetic and non-diabetic patients in Sweden. We hypothesised that differences in cardiovascular risk factors, acute stroke management or socioeconomic status (SES) could explain the higher risk of death after stroke in diabetic patients. METHODS: The study included 155,806 first-ever stroke patients from the Swedish Stroke Register between 2001 and 2009. Individual patient information on SES was retrieved from Statistics Sweden. Survival was followed until 2010 (532,140 person-years) with a median follow-up time of 35 months. Multiple Cox regression was used to analyse survival adjusting for differences in background characteristics, in-hospital treatment, SES and year of stroke. Causes of death were analysed using cause-specific proportional hazard models. RESULTS: The risk of death after stroke increased in diabetic patients (HR 1.28, 95% CI 1.25, 1.31), and this risk was greater in younger patients and in women. Differences in background characteristics, cardiovascular risk factors, in-hospital treatment and SES did not explain the increased risk of death after stroke (HR 1.35, 95% CI 1.32, 1.37) after adjustments. Diabetic patients had an increased probability of dying from cerebrovascular disease and even higher probabilities of dying from other circulatory causes and all other causes except cancer. CONCLUSIONS/INTERPRETATION: Differences in cardiovascular risk factors, acute stroke management and SES do not explain the lower survival after stroke in diabetic compared with non-diabetic patients. Diabetic patients are at higher risk of dying from cardiovascular causes and all other causes of death, other than cancer.

Ort, förlag, år, upplaga, sidor
2013. Vol. 56, nr 10, s. 2181-2186
Nyckelord [en]
Case fatality, Diabetes, Register, Socioeconomic status, Stroke, Survival
Nationell ämneskategori
Kardiologi Endokrinologi och diabetes
Identifikatorer
URN: urn:nbn:se:umu:diva-76710DOI: 10.1007/s00125-013-2983-0ISI: 000324062800011PubMedID: 23820634Scopus ID: 2-s2.0-84890128708OAI: oai:DiVA.org:umu-76710DiVA, id: diva2:636717
Tillgänglig från: 2013-07-11 Skapad: 2013-07-11 Senast uppdaterad: 2018-06-08Bibliografiskt granskad

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Eriksson, MarieAsplund, KjellVan Rompaye, BartEliasson, Mats

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