Melkas et al identified a number of factors associated with a poor long-term survival following a stroke. The authors are from the University of Tampere in Finland.


Patient selection: acute stroke


Risk factors associated with a poor long-term survival:

(1) cognitive decline prior to the stroke

(2) cognitive impairment and/or dementia after the stroke

(3) advanced age

(4) severe stroke with poor Rankin score (severe disability after the stroke)

(5) history of smoking

(6) cardiac failure

(7) atrial fibrillation



• Advanced age was arbitrarily set to > 75 years in the implementation.


Dementia, advanced age and poor Rankin score were associated with death from a brain-related cause.


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