Article

Clinical outcomes and socioeconomic consequences after a stroke may
differ between regions. One cohort was established prospectively in
Kunming (China) to compare with a cohort of 156 stroke patients included in
Limoges (France). During 1 year, patients hospitalized within 48 hours for a
first-ever hemispheric stroke were included. Demographic data and
neurocardiovascular risk factors were registered. Hemiplegia was evaluated.
Functional outcome was assessed using the Barthel Index (BI) after 3 months.
RESULTS: One hundred and eighteen patients were included in Kunming. Patients of
Kunming were younger (61.4 +/- 13.4 vs 72.3 +/- 14.6 years in Limoges, P<0.0001),
more involved in professional activity (36.4% vs 12.8%, P<0.0001). Survival
analysis indicated that mortality did not differ between cohorts, but
independently predicted by coma at the 2nd day (HR=9.33, 95% CI [4.39, 19.78])
and age>70 years (HR=6.29, 95% CI [2.36, 16.59]). Despite a better baseline BI
for patients of Kunming (50.0 +/- 34.9 vs 37.4 +/- 34.2, P=0.0031), after
adjustment for confusing, patients in Limoges had a 2.11 OR 95% CI [1.03, 4.31])
to reach a BI>80 at 3 months. CONCLUSIONS: Functional recovery for patients of
Kunming was not as good as expected. The socioeconomic consequences of stroke in
Kunming are significant as they involved younger subjects who were still in work.
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Langue : ANGLAIS ; FRANCAIS