Biomedical subjects

B L Truscott

Publications and source records attributed to B L Truscott.

11 recordsLinked to original sources

PubMed1990

Characteristics of stroke victims associated with early cardiovascular mortality in their children.

We assessed the relationship between characteristics of stroke victims and the risk of early death from coronary or cerebrovascular disease (CCVD) among their children. For each of 55 stroke patients selected from a registry which enrolled patients between 1969 and 1973, an index of their progeny's survival was calculated using the age in 1987 of 197 surviving children, and the age at and cause of death for 55 deceased children. Increased risk of CCVD death within families was significantly related to parental age at the time of first stroke, and with the parental history of diabetes mellitus. No significant relationship was found between the children's risk of CCVD death and the stroke patient/parent's sex, race, history of hypertension or cardiac disease, stroke diagnosis (infarction vs hemorrhage), or severity upon admission. These results suggest that family histories of cerebrovascular disease may impart differential risks, depending upon a family history of diabetes, and perhaps, the ages at which ancestral strokes first occurred.

Adolescent↗

PubMed1989

Cause specific mortality following cerebral infarction.

Mortality from four causes (index stroke, subsequent stroke, cardiac disease and non-cardiovascular causes) was examined during a 5 year follow-up of 1694 cerebral infarction patients admitted to 25 community hospitals between 1969 and 1973. The hazard for mortality from the index stroke was high initially, but declined to a negligible level by 6 months post-stroke. In contrast, hazards for mortality from subsequent strokes, cardiac diseases and non-cardiovascular causes each peaked midway through the first year, declined during the remainder of that year, and then increased in the latter part of the follow-up. Proportional hazards analysis indicated that advanced age and increased stroke severity were the only factors significantly related to increased risk from each of the four causes of death. Other risk factors were significant only for one or two select causes of death. White patients were less likely to die from subsequent strokes, but more likely to die from cardiac diseases, than were non-white patients (primarily blacks). Males were more likely to die from both the index stroke and non-cardiovascular causes than females. A history of cardiac disease increased the risk of death from both the index stroke and from future cardiac events, while a history of hypertension or diabetes increased the risk of death from non-cardiovascular causes, and a history of previous stroke increased the risk of death from subsequent stroke.

Age Factors↗

PubMed1989

Changes in survival following stroke in five North Carolina counties observed during two different periods.

We evaluated survival following stroke for patients from a five-county area of rural North Carolina enrolled in either of two community hospital-based stroke survey programs. In this area, the first program enrolled 843 stroke patients between 1970 and 1973 and the second program enrolled 786 stroke patients between 1979 and 1980. One-year survival increased from 49% in the first program to 62% in the second for all stroke patients, from 54% to 68% for patients with cerebral infarction, and from 18% to 55% for patients with cerebral hemorrhage. While other reports have attributed declining stroke mortality to a decline in the incidence of stroke, our study suggests that increased survival after stroke may account for a large portion of the decrease in stroke mortality.

Actuarial Analysis↗

PubMed1985

Factors influencing return to work following cerebral infarction.

A study of 379 patients, employed before cerebral infarction and living one year afterward, was undertaken to determine what factors had influenced their returning to work. We found age, occupation, degree of disability, race, and hemisphere infarcted to be significant. Younger patients with less disability were more likely to return to work. Patients employed in professional-managerial positions were more likely to return to work than patients in blue-collar or farming positions. Although there were no racial differences following a left-hemisphere infarct, white patients were more likely to return to work following a right-hemisphere infarct. Sex, blood pressure, severity of stroke, educational level, consciousness level at admission, maximum weakness in extremities, first v repeated stroke, care by a specially trained stroke team, rehabilitation therapy, and speech did not additionally influence the probability of returning to work.

Age Factors↗

PubMed1973