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
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...
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ftunivgent:oai:archive.ugent.be:5825675 2023-06-11T04:15:24+02:00 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 Eriksson, Marie Asplund, Kjell Van Rompaye, Bart Eliasson, Mats 2013 application/pdf https://biblio.ugent.be/publication/5825675 http://hdl.handle.net/1854/LU-5825675 https://doi.org/10.1007/s00125-013-2983-0 https://biblio.ugent.be/publication/5825675/file/6962210 eng eng https://biblio.ugent.be/publication/5825675 http://hdl.handle.net/1854/LU-5825675 http://dx.doi.org/10.1007/s00125-013-2983-0 https://biblio.ugent.be/publication/5825675/file/6962210 No license (in copyright) info:eu-repo/semantics/restrictedAccess DIABETOLOGIA ISSN: 0012-186X Medicine and Health Sciences Diabetes Case fatality Register Stroke Socioeconomic status Survival DISPARITY LONG-TERM SURVIVAL NORTHERN SWEDEN MONICA MORTALITY journalArticle info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2013 ftunivgent https://doi.org/10.1007/s00125-013-2983-0 2023-05-10T22:25:51Z 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. 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. 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. 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. Article in Journal/Newspaper Northern Sweden Ghent University Academic Bibliography Diabetologia 56 10 2181 2186 |
institution |
Open Polar |
collection |
Ghent University Academic Bibliography |
op_collection_id |
ftunivgent |
language |
English |
topic |
Medicine and Health Sciences Diabetes Case fatality Register Stroke Socioeconomic status Survival DISPARITY LONG-TERM SURVIVAL NORTHERN SWEDEN MONICA MORTALITY |
spellingShingle |
Medicine and Health Sciences Diabetes Case fatality Register Stroke Socioeconomic status Survival DISPARITY LONG-TERM SURVIVAL NORTHERN SWEDEN MONICA MORTALITY Eriksson, Marie Asplund, Kjell Van Rompaye, Bart Eliasson, Mats 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 |
topic_facet |
Medicine and Health Sciences Diabetes Case fatality Register Stroke Socioeconomic status Survival DISPARITY LONG-TERM SURVIVAL NORTHERN SWEDEN MONICA MORTALITY |
description |
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. 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. 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. 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. |
format |
Article in Journal/Newspaper |
author |
Eriksson, Marie Asplund, Kjell Van Rompaye, Bart Eliasson, Mats |
author_facet |
Eriksson, Marie Asplund, Kjell Van Rompaye, Bart Eliasson, Mats |
author_sort |
Eriksson, Marie |
title |
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 |
title_short |
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 |
title_full |
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 |
title_fullStr |
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 |
title_full_unstemmed |
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 |
title_sort |
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 |
publishDate |
2013 |
url |
https://biblio.ugent.be/publication/5825675 http://hdl.handle.net/1854/LU-5825675 https://doi.org/10.1007/s00125-013-2983-0 https://biblio.ugent.be/publication/5825675/file/6962210 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
DIABETOLOGIA ISSN: 0012-186X |
op_relation |
https://biblio.ugent.be/publication/5825675 http://hdl.handle.net/1854/LU-5825675 http://dx.doi.org/10.1007/s00125-013-2983-0 https://biblio.ugent.be/publication/5825675/file/6962210 |
op_rights |
No license (in copyright) info:eu-repo/semantics/restrictedAccess |
op_doi |
https://doi.org/10.1007/s00125-013-2983-0 |
container_title |
Diabetologia |
container_volume |
56 |
container_issue |
10 |
container_start_page |
2181 |
op_container_end_page |
2186 |
_version_ |
1768372174343634944 |