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© 1986 Oxford University Press

research-article

Retinopathy as an Independent Indicator of All-Causes Mortality

G SCHOUTEN EVERT*, JAN P VANDENBROUCKE**, CORNELIA VAN DER HEIDE-WESSEL and ROELOF M VAN DER HEIDE{dagger}

*Department of Environmental and Tropical Health. Agricultural University General Foulkesweg 43, 6703 BM Wa The Netherlands
**Department of Epidemiology, Erasmus University Rotterdam, The Netherlands
{dagger}The Academic Hospital, University of Amsterdam The Netherlands

The association between retinopathy and mortality in hypertensive patients is well established. At the same level of blood pressure the prognosis gets worse with increasing seriousness of retinopathy. To assess the prognostic value of retino pathy for all-causes mortality, we studied the data from a general health survey of 1583 men and 1508 women after 15 and 25 years of follow up. Among the men a clear association was found in the first 15 years. Among the womenweaker association was found only after 25 years of follow-up.

This association was independent of hypertension or other cardiovascular risk indicators, such as obesity, sewm cholesterol, smoking or proteinuria.

Revised 1 October 1985


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