Long-term survival of patients after cerebrovascular accident with prior coronary artery disease: data from the outpatient stage of REGION-M registry
Aim. To study two-year survival and factors affecting it in patients with cerebrovascular accident (CVA) with prior coronary artery disease (CAD).Material and methods. The outpatient stage of the REGION-M registry included 684 patients assigned to the Moscow City Polyclinic № 64, discharged from the...
Saved in:
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
«SILICEA-POLIGRAF» LLC
2022-09-01
|
| Series: | Кардиоваскулярная терапия и профилактика |
| Subjects: | |
| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/3288 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850030537681403904 |
|---|---|
| author | S. N. Tolpygina A. V. Zagrebelny M. I. Chernysheva V. P. Voronina N. P. Kutishenko N. A. Dmitrieva O. V. Lerman Yu. V. Lukina S. V. Blagodatskikh M. M. Lukyanov E. Yu. Okshina N. E. Parsadanyan S. Yu. Martsevich N. E. Parsadanyan |
| author_facet | S. N. Tolpygina A. V. Zagrebelny M. I. Chernysheva V. P. Voronina N. P. Kutishenko N. A. Dmitrieva O. V. Lerman Yu. V. Lukina S. V. Blagodatskikh M. M. Lukyanov E. Yu. Okshina N. E. Parsadanyan S. Yu. Martsevich N. E. Parsadanyan |
| author_sort | S. N. Tolpygina |
| collection | DOAJ |
| description | Aim. To study two-year survival and factors affecting it in patients with cerebrovascular accident (CVA) with prior coronary artery disease (CAD).Material and methods. The outpatient stage of the REGION-M registry included 684 patients assigned to the Moscow City Polyclinic № 64, discharged from the F.I. Inozemtsev City Clinical Hospital in the period from January 1, 2012 to April 30, 2017 with a verified diagnosis of stroke or transient ischemic attack. Of these, 423 (61,8%) patients had a diagnosis of CAD in the outpatient records.Results. Patients with CAD were significantly older, more often had comorbidities, disability, and were monitored in the polyclinic before the stroke and after hospital discharge than patients without CAD. During the follow-up period, mortality among patients with CAD (34,3%) was significantly higher than without CAD (19,9%) (p< 0,01), At the same time, mortality in CAD was 2,6 times lower among patients who applied to the polyclinic at least once after discharge (28%) than those who never applied after discharge — 72,9% (p< 0,001), Multivariate analysis confirmed this positive effect (relative risk, 0,998; confidence interval: 0,983-0,992, p< 0,0001).Conclusion. Mortality in patients with stroke and CAD was significantly higher than in those without CAD, while it was significantly lower among patients monitored in the polyclinic in the post-hospital period of stroke. |
| format | Article |
| id | doaj-art-cf04a017c1f640d0bd18c28247ff097b |
| institution | DOAJ |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| publishDate | 2022-09-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj-art-cf04a017c1f640d0bd18c28247ff097b2025-08-20T02:59:11Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252022-09-0121810.15829/1728-8800-2022-32882522Long-term survival of patients after cerebrovascular accident with prior coronary artery disease: data from the outpatient stage of REGION-M registryS. N. Tolpygina0A. V. Zagrebelny1M. I. Chernysheva2V. P. Voronina3N. P. Kutishenko4N. A. Dmitrieva5O. V. Lerman6Yu. V. Lukina7S. V. Blagodatskikh8M. M. Lukyanov9E. Yu. Okshina10N. E. Parsadanyan11S. Yu. Martsevich12N. E. Parsadanyan13National Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineCity Polyclinic № 218National Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineCity Polyclinic № 218National Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineAim. To study two-year survival and factors affecting it in patients with cerebrovascular accident (CVA) with prior coronary artery disease (CAD).Material and methods. The outpatient stage of the REGION-M registry included 684 patients assigned to the Moscow City Polyclinic № 64, discharged from the F.I. Inozemtsev City Clinical Hospital in the period from January 1, 2012 to April 30, 2017 with a verified diagnosis of stroke or transient ischemic attack. Of these, 423 (61,8%) patients had a diagnosis of CAD in the outpatient records.Results. Patients with CAD were significantly older, more often had comorbidities, disability, and were monitored in the polyclinic before the stroke and after hospital discharge than patients without CAD. During the follow-up period, mortality among patients with CAD (34,3%) was significantly higher than without CAD (19,9%) (p< 0,01), At the same time, mortality in CAD was 2,6 times lower among patients who applied to the polyclinic at least once after discharge (28%) than those who never applied after discharge — 72,9% (p< 0,001), Multivariate analysis confirmed this positive effect (relative risk, 0,998; confidence interval: 0,983-0,992, p< 0,0001).Conclusion. Mortality in patients with stroke and CAD was significantly higher than in those without CAD, while it was significantly lower among patients monitored in the polyclinic in the post-hospital period of stroke.https://cardiovascular.elpub.ru/jour/article/view/3288cerebral strokecoronary artery diseaseregistrylongterm survivalmortalitypolyclinic visitsmedical supervision |
| spellingShingle | S. N. Tolpygina A. V. Zagrebelny M. I. Chernysheva V. P. Voronina N. P. Kutishenko N. A. Dmitrieva O. V. Lerman Yu. V. Lukina S. V. Blagodatskikh M. M. Lukyanov E. Yu. Okshina N. E. Parsadanyan S. Yu. Martsevich N. E. Parsadanyan Long-term survival of patients after cerebrovascular accident with prior coronary artery disease: data from the outpatient stage of REGION-M registry Кардиоваскулярная терапия и профилактика cerebral stroke coronary artery disease registry longterm survival mortality polyclinic visits medical supervision |
| title | Long-term survival of patients after cerebrovascular accident with prior coronary artery disease: data from the outpatient stage of REGION-M registry |
| title_full | Long-term survival of patients after cerebrovascular accident with prior coronary artery disease: data from the outpatient stage of REGION-M registry |
| title_fullStr | Long-term survival of patients after cerebrovascular accident with prior coronary artery disease: data from the outpatient stage of REGION-M registry |
| title_full_unstemmed | Long-term survival of patients after cerebrovascular accident with prior coronary artery disease: data from the outpatient stage of REGION-M registry |
| title_short | Long-term survival of patients after cerebrovascular accident with prior coronary artery disease: data from the outpatient stage of REGION-M registry |
| title_sort | long term survival of patients after cerebrovascular accident with prior coronary artery disease data from the outpatient stage of region m registry |
| topic | cerebral stroke coronary artery disease registry longterm survival mortality polyclinic visits medical supervision |
| url | https://cardiovascular.elpub.ru/jour/article/view/3288 |
| work_keys_str_mv | AT sntolpygina longtermsurvivalofpatientsaftercerebrovascularaccidentwithpriorcoronaryarterydiseasedatafromtheoutpatientstageofregionmregistry AT avzagrebelny longtermsurvivalofpatientsaftercerebrovascularaccidentwithpriorcoronaryarterydiseasedatafromtheoutpatientstageofregionmregistry AT michernysheva longtermsurvivalofpatientsaftercerebrovascularaccidentwithpriorcoronaryarterydiseasedatafromtheoutpatientstageofregionmregistry AT vpvoronina longtermsurvivalofpatientsaftercerebrovascularaccidentwithpriorcoronaryarterydiseasedatafromtheoutpatientstageofregionmregistry AT npkutishenko longtermsurvivalofpatientsaftercerebrovascularaccidentwithpriorcoronaryarterydiseasedatafromtheoutpatientstageofregionmregistry AT nadmitrieva longtermsurvivalofpatientsaftercerebrovascularaccidentwithpriorcoronaryarterydiseasedatafromtheoutpatientstageofregionmregistry AT ovlerman longtermsurvivalofpatientsaftercerebrovascularaccidentwithpriorcoronaryarterydiseasedatafromtheoutpatientstageofregionmregistry AT yuvlukina longtermsurvivalofpatientsaftercerebrovascularaccidentwithpriorcoronaryarterydiseasedatafromtheoutpatientstageofregionmregistry AT svblagodatskikh longtermsurvivalofpatientsaftercerebrovascularaccidentwithpriorcoronaryarterydiseasedatafromtheoutpatientstageofregionmregistry AT mmlukyanov longtermsurvivalofpatientsaftercerebrovascularaccidentwithpriorcoronaryarterydiseasedatafromtheoutpatientstageofregionmregistry AT eyuokshina longtermsurvivalofpatientsaftercerebrovascularaccidentwithpriorcoronaryarterydiseasedatafromtheoutpatientstageofregionmregistry AT neparsadanyan longtermsurvivalofpatientsaftercerebrovascularaccidentwithpriorcoronaryarterydiseasedatafromtheoutpatientstageofregionmregistry AT syumartsevich longtermsurvivalofpatientsaftercerebrovascularaccidentwithpriorcoronaryarterydiseasedatafromtheoutpatientstageofregionmregistry AT neparsadanyan longtermsurvivalofpatientsaftercerebrovascularaccidentwithpriorcoronaryarterydiseasedatafromtheoutpatientstageofregionmregistry |