Survival Rate of Stroke in Kaeng Sanam Nang Hospital, Nakhon Ratchasima Province

Authors

  • Kanokporn Intawee Master Degree Student of Public Health Program in Epidemiology, Faculty of Public Health, Khon Kaen University
  • Supot Kamsa-ard Department of Epidemiology and Biostatistics, Faculty of Public Health, Khon Kaen University
  • Chukeat Raweechaiwat Subdivision Medical Team, Kaeng Sanam Nang Hospital, Nakhon Ratchasima Province
  • Rawat Niyomphok Subdivision Health Insurance, Strategy and Medical Information Team, Kaeng Sanam Nang Hospital, Nakhon Ratchasima Province

Keywords:

Stroke, survival rate, Ischemic Stroke, Hemorrhagic Stroke

Abstract

Background and Objective:   Comparing survival rates between Ischemic Stroke (IS) and Hemorrhagic Stroke (HS) is still being less studied. This study aimed to compare the survival rate between types of stroke and survival rate of stroke who admitted at Kaeng Sanam Nang Hospital, Kaeng Sanam Nang District, Nakhon Ratchasima Province

Methods: This was an analytical retrospective cohort study of  629 patients who were admitted between 2011and 2021. All patients were follow-up until 2022. Survival rates were estimated by the Kaplan-Meier method. Comparison survival rate between groups were estimated by Log-rank test. Cox regression for relation between exposure and survival time.

Result: Overall, 277 of the 629 patients died, corresponding to a mortality rate 14.00 per 100 case-years (95%CI; 12.00 - 16.00 yrs.). The median survival was 6.6 yrs. (95%CI: 5.38 - 8.09 yrs.). The overall survival rate of stroke patients after diagnosis at 11 yrs. was 28.0% (95%CI: 19.00 - 38.00 yrs.). There was not significantly different between IS and HS. HS was risk to death 1.27 time comparing to IS (Adjusted HR = 1.27, 95%). CI; 0.99 - 1.61, p=0.058).

Conclusions:  Survival rate between HS and IS is not difference. Overall survival rate after diagnosis is also low.

References

Feigin VL, Brainin M, Norrving B, Martins S, Sacco RL, Hacke W, et al. World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. Int J Stroke 2022;17(1):18-29. doi.org/10.1177/17474930211065917

Saengsuwan J. Cerebrovascular Disease. [serial online] [cited Apr 5, 2023]. Available from: http://library.dmh.go.th/jvkk/dublin.php?&f=dublin&ID=32002#.ZC1f-3ZBzIU

Smintarapanya K. Cause of Death Stroke. Thai J Neurol 2021;37(3):6–14.

Smajlovic D, Kojic B, Sinanovic O. Five-year survival-after first-ever stroke. Bosn J Basic Med Sci 2006;6(3):17–22. doi.org/ 10.17305/bjbms.2006.3138

Netta B, Shirli R. Five Year Survival after Stroke, and Related Prognostic Factors in Israel. Isr Med Assoc J 2009;11:411–5.

Division of Non Communicable Diseases. Case – Fatality Rate 2016 - 2019. Department of Disease Control, Ministry of Public Health [serial online]. [cited Apr 5, 2023]. Available from: http://www.thaincd.com/2016/mission/documents-detail.php?id=13893&tid=32&gid=1-020

HDC - Report. Death Rate of Stroke. Nakhon Ratchasima Public Health Provincial Office [serial online]. [cited Apr 5, 2023]. Available from: https://nma.hdc.moph.go.th/hdc/reports/report.php?source=pformated/format1.php&cat_id=39fd60c25235db479930db85a0e97dd3&id=7ac059f4e4e3d08750d2ee23600556af

ICD-10-TM. Ministry of Public Health. Strategy and Planning Division. Office of the Permanent Secretary [serial online]. [cited Apr 10, 2023]. Available from: http://110.164.65.20/moodle5/file.php/1/ICD-Book/ICD-10-TM%202009_AllOK.pdf

Hardie K, Hankey GJ, Jamrozik K, Broadhurst RJ, Anderson C. Ten-year survival after first-ever stroke in the perth community stroke study. Stroke 2003;34(8):1842–6. doi.org/ 10.1161/01.STR.0000082382.42061.EE

Chen Y, Wright N, Guo Y, Turnbull I, Kartsonaki C, Yang L, et al. Mortality and recurrent vascular events after first incident stroke: a 9-year community-based study of 0·5 million Chinese adults. Lancet Glob Health 2020;8(4):e580–90. doi.org/ 10.1016/S2214-109X(20)30069-3

Khummongkol P. 5-year Survival Rate After Having been First Stroke Diagnosed and Treated at Uthai-Thani Hospital. Region 3 Med Public Health J 2022;19(3):258–68.

Radisauskas R, Tamosiunas A, Kranciukaite-Butylkiniene D, Milinaviciene E, Malinauskiene V, Bernotiene G, et al. Long-term survival after stroke in Lithuania: Data from Kaunas population-based stroke registry. PLoS ONE 2019;14(7):e0219392. doi.org/ 10.1371/journal.pone.0219392

Han DS, Pan SL, Chen SY, Lie SK, Lien IN, Wang TG. Predictors of long-term survival after stroke in Taiwan. J Rehabil Med 2008;40(10):844–9. doi.org/10.2340/16501977-0275

Butsing N, Mawn B, Suwannapong N, Tipayamongkholgul M. Long-term survival of ischemic and hemorrhagic stroke patients: An analysis of national thai data. Southeast Asian J Trop Med Public Health 2018;49:322–30. doi.org/ 10.1108/JHR-10-2018-0126

Goulart AC, Fernandes TG, Santos IS, Alencar AP, Bensenor IM, Lotufo PA. Predictors of long-term survival among first-ever ischemic and hemorrhagic stroke in a Brazilian stroke cohort. BMC Neurol 2013;13:51-7. doi.org/ 10.1186/1471-2377-13-51

Che B, Shen S, Zhu Z, Wang A, Xu T, Peng Y, et al. Education Level and Long-term Mortality, Recurrent Stroke, and Cardiovascular Events in Patients With Ischemic Stroke. J Am Heart Assoc 2020;9(16): e016671. doi.org/ 10.1161/JAHA.120.016671

Published

2023-08-24

How to Cite

1.
Intawee K, Kamsa-ard S, Raweechaiwat C, Niyomphok R. Survival Rate of Stroke in Kaeng Sanam Nang Hospital, Nakhon Ratchasima Province. SRIMEDJ [Internet]. 2023 Aug. 24 [cited 2024 May 10];38(4):338-46. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/258638

Issue

Section

Original Articles