Impact of stroke type on survival and functional health

In a cohort 760 consecutive stroke patients (23 hospitals in the Netherland s), we studied prognosis in relation to stroke type and focused on (a) shor t-term and long-term mortality, and (b) long-term functional health. Based on clinical and CT data, we distinguished infratentorial strokes from supra tentorial strokes (lacunar infarctions, (sub)cortical infarctions and intra cerebral hemorrhages). Cumulative mortality for all stroke patients was 34% at 6 months, 51% at 3 years, and 62% at 5 years. Short-term mortality coul d be explained by stroke type, whereas long-term mortality could not. Of al l survivors, 55% were in poor functional health at 6 months, 49% at 3 years and 42% at 5 years, Long-term functional health outcomes were associated w ith stroke type. We conclude that the impact of stroke type on mortality is limited to the first 6 months, whereas the type of stroke influences the l ong term functional health. Copyright (C) 2001 S. Karger AG. Basel.