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- W2019762024 abstract "<h3>Abstract</h3> <b>Objective:</b> To assess whether a raised serum troponin T concentration would be an independent predictor of death in patients with an acute ischaemic stroke. <b>Design:</b> Observational study. <b>Setting:</b> Auckland Hospital, Auckland, New Zealand. <b>Subjects:</b> All 181 patients with an acute ischaemic stroke admitted over nine months in 1997-8, from a total of 8057 patients admitted to the acute medical service. <b>Main outcome measures:</b> Blood samples for measuring troponin T concentration were collected 12-72 hours after admission; other variables previously associated with severity of stroke were also recorded and assessed as independent predictors of inpatient mortality. <b>Results:</b> Troponin T concentration was raised (>0.1 μg/l) in 17% (30) of patients admitted with an acute ischaemic stroke. Thirty one patients died in hospital (12/30 (40%) patients with a raised troponin T concentration <i>v</i> 19/151 (13%) patients with a normal concentration (relative risk 3.2 (95% confidence 1.7 to 5.8; P=0.0025)). Of 17 possible predictors of death, assessed in a multivariate stepwise model, only a raised troponin T concentration (P=0.0002), age (P=0.0008), and an altered level of consciousness at presentation (P=0.0074) independently predicted an adverse outcome. <b>Conclusions:</b> Serum troponin T concentration at hospital admission is a powerful predictor of mortality in patients admitted with an acute ischaemic stroke." @default.
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- W2019762024 title "Relation between troponin T concentration and mortality in patients presenting with an acute stroke: observational study" @default.
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- W2019762024 doi "https://doi.org/10.1136/bmj.320.7248.1502" @default.
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