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Comment & Response
July 17, 2013

Long-term Follow-up of Young Adults With Stroke

Author Affiliations
  • 1Department of Neurology and Stroke Unit, Sant’Anna Hospital, Como, Italy
  • 2Section of Neurology, University of Insubria, Varese, Italy
JAMA. 2013;310(3):320-321. doi:10.1001/jama.2013.7942

To the Editor Mr Rutten-Jacobs and colleagues1 reported the long-term follow-up of 959 young adults with stroke and observed a standardized mortality ratio of 4.3 for women and 3.6 for men. The authors also registered clinical severity and disability using the National Institutes of Health Stroke Scale and modified Rankin scale. It would be interesting to assess the association between these parameters and mortality rate during follow-up because previous studies have demonstrated a poor long-term prognosis in patients with stroke and a high level of disability at discharge.2