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<Articles JournalTitle="Journal of Biostatistics and Epidemiology">
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Journal of Biostatistics and Epidemiology</JournalTitle>
      <Issn>2383-4196</Issn>
      <Volume>7</Volume>
      <Issue>3</Issue>
      <PubDate PubStatus="epublish">
        <Year>2021</Year>
        <Month>10</Month>
        <Day>23</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Survival Analysis of Patients with Brain Stroke in the Presence of Competing Risks: A  Weibull Parametric Model</title>
    <FirstPage>235</FirstPage>
    <LastPage>243</LastPage>
    <AuthorList>
      <Author>
        <FirstName>Solmaz</FirstName>
        <LastName>Norouzi</LastName>
        <affiliation locale="en_US">Department of Statistics and Epidemiology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Ramazan</FirstName>
        <LastName>Fallah</LastName>
        <affiliation locale="en_US">Department of Statistics and Epidemiology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Seyed Morteza</FirstName>
        <LastName>Shamshirgaran</LastName>
        <affiliation locale="en_US">Department of Statistics and Epidemiology, School of Health Sciences, University of Neyshabur, Neyshabur, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Farshid</FirstName>
        <LastName>Farzipoor</LastName>
        <affiliation locale="en_US">Department of Health Education and Promotion, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Mohammad</FirstName>
        <LastName>Asghari Jafarabadi</LastName>
        <affiliation locale="en_US">Department of Statistics and Epidemiology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran , Center for the Development of Interdisciplinary Research in Islamic Sciences, and Health Sciences Tabriz University of Medical Sciences, Tabriz, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2021</Year>
        <Month>04</Month>
        <Day>09</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2021</Year>
        <Month>07</Month>
        <Day>24</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Introduction: This study aimed to assess the association between the survival of patients and outcomes in&#xA0;Brain Stroke (BS) in the presence of competing risks utilizing a Weibull parametric model.&#xA0;
&#xD;

Methods: In this longitudinal study, 332 patients with BS were attended from Imam Khomeini Hospital&#xA0;in Ardabil, Iran. The stroke was diagnosed according to the medical history, current symptoms, and brain&#xA0;imaging during June 2008 and 2018. The survival of the patients, as the primary outcome, was modeled&#xA0;utilizing the best-chosen Weibull model in the presence of competing risks, including stroke and other factors (heart disease, blood pressure, etc.).&#xA0;
&#xD;

Results: Older age at diagnosis (59-68 years: hazard ratio [HR]=2.27; 90% confidence interval [CI]: 1.65 to&#xA0;3.12; 69-75 years: HR=4.79; 95% CI: 3.56 to 6.44; &#x2265;76 years: HR, 4.92; 95% CI: 3.55 to 6.80), being a male (HR, 1.39; 95% CI: 1.11 to 1.75), being unemployed (HR, 1.44; 95% CI: 1.39 to 1.82), having heart disease (HR, 1.68; 95% CI: 1.38 to 2.06), and hemorrhagic stroke (HR, 2.21; 95% CI: 1.378to 2.75) were directly&#xA0;related to death from BS. Older age at diagnosis (59-68 years: HR, 18.01; 90% CI, 5.33 to 64.92; 75-69 years:&#xA0;HR, 18.56; 95% CI: 6.97 to 86.57; &#x2265;76 years: HR, 28.90; 95% CI: 15.77 to 218.49), and urban residence (HR,&#xA0;0.46; 90% CI, 0.28 to 0.77) were directly related to death from other causes.
&#xD;

Conclusion: The recognition of the influential factors on the mortality of BS patients can allow increasing their survival.&#xA0;</abstract>
    <web_url>https://jbe.tums.ac.ir/index.php/jbe/article/view/472</web_url>
  </Article>
</Articles>
