Abstract
ObjectiveTo investigate the predictors of 3-month death among an atrial fibrillation-associated acute ischemic stroke (AF-stroke). MethodsThis retrospective cohort study was conducted at a university hospital in Thailand. Patients with AF-stroke admitted between 2012 and 2017 were enrolled into the study. Baseline characteristics, clinical presentations, complications, and outcomes measured by the modified Rankin scale were collected from electronic medical records. Predictors of death outcomes were analyzed by univariate and multivariate logistic regression analysis. ResultsThe mortality rate among 119 AF-stroke patients was 26.89%. The independent predictors of 3-month death were developing AKI during hospitalization (adjusted odds ratio [aOR] = 6.38, 95% CI = 1.96–20.76, p = 0.001) and age above 75 years old (aOR = 3.08, 95% CI = 1.17–8.13, p = 0.019). In contrast, receiving treatment with an oral anticoagulant prior to the stroke episode was a protective factor (aOR = 0.13, 95% CI = 0.03–0.64, p = 0.002). ConclusionDeveloping AKI and older age were the independent predictor of 3- month death among AF-stroke patients.
Published Version
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