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Stroke in the Lehigh Valley

Combined risk factors for recurrent ischemic stroke

University of Southern California School of Medicine, Los Angeles, CA (Dr. Sobel)
Temple University School of Medicine, Philadelphia. PA (Dre. Alter and Friday)
Loma Linda University School of Medicine, Loma Linda, CA (Dr. Davanipour)
Lehigh Valley Stroke Program, AUentown, PA. (Dra. McCoy and Levitt, and Ms. Isack)

We used the Lehigh Valley Stroke Register and a logistic regression model for the odds ratio to study the relative contribution of several factors, considered jointly, to the risk of recurrent ischemic stroke. The factors were hypertension (HT), transient ischemic attack (TIA), myocardial infarction (MI), other heart diseases (OHD), diabetes mellitus (DM), age, and sex. Among these factors MI, OHD, and TIA constituted significantly greater risk than HTN, DM, age, or sex for ischemic stroke recurrence.

Address correspondence and reprint requests to Dr. Sobel, Department of Preventive Medicine, PMB B-202, USC School of Medicine, 1420 San Pablo Street, Los Angeles, CA 90033.

Received June 1,1988. Accepted for publication in final form November 1,1988.

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