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These authors analyzed a group of 959 patients admitted to one hospital in the Netherlands during a 30-year period with a diagnosis of transient ischemic attack (TIA), ischemic stroke, or hemorrhagic stroke. The investigators focused on first stroke in young patients, defined as 18 to 50 years old at the time of presentation. Patients who smoked comprised 52.5% of the group; 27% of all patients had hypertension. Patients were subsequently followed for a mean of 11.1 years. After excluding deaths within 30 days of the index event, the authors compared observed and expected mortality. Expected mortality was based on calendar-matched rates in their population. Subgroup analyses included age (by decade) and sex.
Each stroke category was associat…