Comparison of Epidemiology, Emergency Care, and Outcomes of Acute Ischemic Stroke between Young Adults and Elderly in Korean Population: A Multicenter Observational Study

Park, Won Bin; Cho, Jin Seong; Shin, Sang Do; Kong, So Yeon; Kim, Jin Joo; Lim, Yong Su; Yang, Hyuk Jun; Lee, Gun

doi:10.3346/jkms.2014.29.7.985

Cited by 7 publications

(7 citation statements)

References 19 publications

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“…In this study the majority of patients at the time of admission showed a moderate stroke severity according to the NIHSS, which is in consonance with Rena et al 9 2014, a study conducted on a stroke unit in Italy, which evaluated 150 patients young adults. When compared the types of stroke, the greater frequency of ischemic stroke in this study corroborates to what has been described in the literature 3,4,18,19,22 , in particular, the proportion of patients diagnosed with hemorrhagic stroke were mostly of hypertensive etiology, reasoning with the findings of previous studies 3,4 . There was a statistically significant difference when comparing female and male with hypertensive etiology of hemorrhagic stroke: the most hypertensive were men, presenting higher frequency of hemorrhagic stroke.…”

supporting

confidence: 82%

“…Most of the population of this study was in full socioeconomic activity, corroborating the studies of Park et al 19 , 2014, conducted by 29 Korea Information emergency system with 1,431 young adults which identified 74% of individuals evaluated in work activity. Stroke is a disabling disease 7 and the involvement of this active population will bring losses to social security, reaching a rate of 40% of early retirement 8 with a range of 40 to 93% of patients not returning to previous activity, requiring permanent removal from professional activities 11.27 28 .…”

supporting

confidence: 78%

“…In studies conducted in developed countries, who consider the young adult population between 18 and 45 years old 4,19,20 the incidence ranges from 5 to 10%. The greater control of modifiable risk factors in these countries may explain this difference.…”

Section: Discussionmentioning

confidence: 99%

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Clinical and Functional Characteristics of Young Adult Patients Admitted in a Stroke Unit

Makhoul

Maso²,

Monteiro

et al. 2016

BJMHH

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A B S T R A C T BACKGROUND:Previously referred to as rare among young adults, in the last five years was found a frequency approaching 30 % of young adults between those who have suffered a stroke in Brazil. OBJECTIVE: To identify the sociodemographic, clinical and functional characteristics of young adult patients. METHODS: It was a cross-sectional study, conducted with individuals assisted in a stroke unit with ischemic or hemorrhagic stroke diagnosis and age of 18-50 years old between August 2014 to April 2015. It was used the National Institutes of Health Stroke Scale (NIHSS), and the modified Rankin Scale (mRS). RESULTS: The study population consisted of 47 individuals, in which 28 (59,6%) were female, with an average age of 39,2 (DP±8,3) years, and brown skin color 21 (44,7%). They presented 8,9 years of formal education. 28 (59,6%) patients were diagnosed with ischemic stroke, 30 (63,8%) had involvement of the anterior circulation, and 23 (48,9%) of the left hemisphere. 26 (55,3%) patients presented hypertension and 36 (76,6%) were sedentary. The stroke severity had a median of 7 ( 0-23 ) points and 30 (63,7%) of patients the functional was capacity 5 in the Rakin Scale. It was found a statistically significant difference for hypertensive etiology of hemorrhagic stroke in men ( p = 0,047) when compared with gender and the occurrence of stroke in the right hemisphere in women (p=0,032). CONCLUSION: The profile of the young adult patients from a stroke unit consists of female, of brown skin color, economically active with moderate stroke severity and severe functional disability. According to the World Health Organization, the stroke is the second leading cause of death in the world, after ischemic heart disease¹. In Brazil and other Latin America countries it is the leading cause of death². The age group most commonly affected by stroke is between 70-80 years old due to the aging of nervous and cardiovascular system³ associated with risk factors such as diabetes, hypertension, smoking, physical inactivity, dyslipidemia, heart diseases², among others. Previously referenced as a rare condition among the young adults, with an incidence of 5 to 10% 4.5 , in Brazil, In the last five years have identified a frequency which is close to 40% of young adults between those who had stroke 6 . In addition to the high mortality rate, it is considered as the most disabling of long-term diseases, impacting not only the patient but also their families 7, and the social security and public system 8 . The growing number of young adults affected by stroke has increased the cost of disability benefits, greatly burdening the public health budget and being responsible for 40% of early retirements 8 . Furthermore, the great etiology diversity for stroke in the younger population, diverging from the elderly population in relation to the most important risk factors, topography and most affected vascular territories 9 justifies the need to extend studies on this population. The studies carried out in stroke units are not specific...

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supporting

confidence: 82%

supporting

confidence: 78%

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Clinical and Functional Characteristics of Young Adult Patients Admitted in a Stroke Unit

Makhoul

Maso²,

Monteiro

et al. 2016

BJMHH

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“…18,19 Previous Korean studies had a male preponderance, as in our study. 20,21 Higher prevalence rates of hypertension and smoking and a higher BMI in males seem to be the reasons for this difference. A previous multicenter study of IS in young Korean adults (aged between 15 and 45 years) from 2007 to 2010 found hypertension in 18.0%, DM in 7.8%, and dyslipidemia in 2.6% of the enrolled patients.…”

Section: Jcnmentioning

confidence: 99%

Causes, Risk Factors, and Clinical Outcomes of Stroke in Korean Young Adults: Systemic Lupus Erythematosus is Associated with Unfavorable Outcomes

et al. 2020

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Background and Purpose The incidence of ischemic stroke (IS) in young adults is increasing, and the associated large socioeconomic impact makes understanding IS in young adults important. We investigated the causes of and risk factors for IS in young adults, and their impact on outcomes. Methods The Stroke in Korean Young Adults (SKY) study is a standardized multicenter prospective study involving eight medical centers of the Republic of Korea. First-ever IS patients aged 18 years to 44 years were prospectively included in this study within 7 days of stroke onset. Their outcomes at 3 months were analyzed. Results This study enrolled 270 patients from April 2014 to December 2018, most (67.8%) of whom were male. About 41.5% of the patients had one or more vascular risk factors from among hypertension, diabetes mellitus, and dyslipidemia. However, only half of them had received regular treatment. Arterial dissection was more common in males, and systemic lupus erythematosus (SLE) and Moyamoya disease were more common in females. The outcome was favorable (modified Rankin Scale score of 0 or 1) in 81.9% of the patients at 3 months after stroke onset. More severe initial symptoms, higher initial glucose level, and SLE as a comorbidity were associated with unfavorable outcomes. Conclusions Young adult IS patients in Korea exhibit low awareness and poor management of their risk factors. Although the short-term outcome was relatively favorable in those patients, having SLE was associated with unfavorable outcomes. More attention needs to be paid for improving awareness and controlling risk factors in this population.

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“…According to Table 1, one could deduce that the highest group was the retired and the employees. In Korea, the respondents were catagorized into two groups , education and occupation [22][23][24] . Similarly in Indonesia, stroke is common among low and middle class.…”

Section: Occupationmentioning

confidence: 99%

The Potentials of Spring Water in Brintik Indonesia as the Stroke Therapy Medium

Ningrum¹,

Kushartanti²

2018

Proceedings of the 2nd Yogyakarta International Seminar on Health, Physical Education, and Sport Science (YISHPESS 2018) and 1s

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Umbul Brintik (Brintik Spring Water), located at Central Java Indonesia has a therapy pool mainly for sick people. There's this long age myth about the existence of a big tree near the pool said or believed to have magical effects for heal sick people. This has attracted many people to the pool. However, the fact still remains that the pool is maximally oxygenated by the photosynthesis process that occur on the leaves of the big tree. This research work was conducted in Umbul Brintik from March to April 2018. 45 persons at the pool were randomly chosen as samples. The research used a nonparametric statistical analysis test with SPSS. The interview reveals that there are 32.5% stroke patients, 27.3% diabetic patients, 13% HNP patients, 6.4% asthmatic people, and 20.3% others. These research made use of a protocol study based on observations, interviews, and documentation. There was a therapist with 6 years' experience who trained the local people. There was one main pool that was used for therapy, two whirlpools, and two recreational pools. The facilities includes a parking lot, lockers, and canteen serving traditional food. This study concludes that Umbul Brintik is a highly potential stroke therapy center.

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Comparison of Epidemiology, Emergency Care, and Outcomes of Acute Ischemic Stroke between Young Adults and Elderly in Korean Population: A Multicenter Observational Study

Cited by 7 publications

References 19 publications

Clinical and Functional Characteristics of Young Adult Patients Admitted in a Stroke Unit

Clinical and Functional Characteristics of Young Adult Patients Admitted in a Stroke Unit

Causes, Risk Factors, and Clinical Outcomes of Stroke in Korean Young Adults: Systemic Lupus Erythematosus is Associated with Unfavorable Outcomes

The Potentials of Spring Water in Brintik Indonesia as the Stroke Therapy Medium

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