Etiologies des accidents vasculaires cérébraux ischémiques chez les jeunes: apport de l’interniste

Allaoui, Abire; Echchilali, K.; Moudatir, M.; Alaoui, Fatim Zohra; Elkabli, H.

doi:10.11604/pamj.2018.30.114.13879

Cited by 5 publications

(13 citation statements)

References 23 publications

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“…Concerning IS in early adulthood, four studies (n=4) included patients aged between 15 and 45 years old. The first was the study by Mbagui (2009) internal medicine under the age of 45 [39][40][41][42][43].…”

Section: Mean Age and Sex Ratio Of Patients With Ischemic Stroke In Mmentioning

confidence: 99%

“…According to the studies of IS in young people, the average age ranged from 28.3 ± 4.2 to 39 years old (Extremes: 16-45 years old) [39][40][41][42][43].…”

Section: Mean Age and Sex Ratio Of Patients With Ischemic Stroke In Mmentioning

confidence: 99%

“…Concerning the sex-ratio of IS in young cases, (n=2) studies reported values less than 1. The first is the one by Ibouajbane (2014) with a clear female predominance (sex -ratio of 0.4) [39], and the second one was performed by Allaoui et al (2018) showing a slight female predominance with a sex ratio of 0.7 [43].…”

Section: Mean Age and Sex Ratio Of Patients With Ischemic Stroke In Mmentioning

confidence: 99%

“…Concerning the young population, the reported risk factors were smoking in (n = 4) studies (5-40.6%) [39][40][41][42], HBP in (n = 4) studies (8% -49.2%) [39][40][41][42][43], oral contraception in (n = 4) studies (12-31.2%) [39][40][41][42][43], cardiac diseases only by Chraa et al (2014) with a percentage of 17.9% [40], diabetes in (n = 4) studies (7.5-13.2%) [39][40][41][42][43], migraine in (n = 4) studies (1.5-24%) [39][40][41][42][43], dyslipidemia in (n = 3) studies (0-15.3%) [39,40,42], alcoholism in (n = 3) studies (5-8%) [39,40,42] and has observed a modest risk of IS with CC and C alleles. In addition, the same study explored also the risk of IS related to SG13S114 ALOX5AP showed a significant association with TT and T alleles.…”

Section: Risk Factors For Ischemic Stroke In Morocco According To Thementioning

confidence: 99%

“…The third by Ibouajbane (2014), 55% of all cases were linked to undetermined causes [39]. Finally, Allaoui et al (2018) reported a percentage of 24% [43].…”

Section: Toast Etiological Classification Of Ischemic Stroke In Morocmentioning

confidence: 99%

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Ischemic stroke in Morocco: A systematic review

Kharbach

Obtel

Lahlou

et al. 2019

Preprint

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Background: The aim of this systematic review is to determine; the epidemiological and etiological profiles, the influential factors of the prehospital delay, thrombolysis management, the acute and 3-month mortality rate and the genetic aspect of ischemic stroke in Morocco.Methods: The present work is a systematic review that was conducted according to the recommendations of the "Preferred reporting items for systematic reviews and meta-analysis". We used Pubmed, Sciencedirect, Scopus, Clinicalkey, and Google scholar databases for the raking of the gray literature during the period between 2009 and 2018. The protocol of the review was registered in the PROSPERO register (CRD42018115206). These studies were analyzed based on: Age, sex ratio, risk factors, etiological profile according to Trial of ORG classification 10172 in Acute Stroke Treatment, prehospital delay average and it’s influential factors, thrombolyzed patients proportion, acute and 3-month mortality and the genetic factors of ischemic stroke in Morocco. Results: Twenty-nine (n = 29) studies were selected. The average age ranged from 49±15.2 to 67.3 ± 9.9 years old. Moreover, we reported male predominance within all ages in 13 studies. High blood pressure, diabetes, smoking and heart disease were the four identified main risk factors by these studies. Atherosclerosis and cardioembolic were the main described etiologies of cerebral ischemia, and the average prehospital time ranged from 26 to 61.9 hours. The proportion of thrombolysed patients ranged from 1.8% to 2.9%, the mortality rate varied in the acute phase from 3 to 13%, and the 3-month mortality ranged from 4.3 to 32.5%. It is also important to highlight that most of these studies have a reduced sample size, conducted in hospital environment, and no confidence interval was reported. Conclusions: Ischemic stroke is affecting more likely the young population with male predominance. Moreover, the long prehospital delay and the low proportion of thrombolysed patients are alarming. Indicating, thus, the need to investigate in depth the key factors influencing the access to care for Moroccan patients in order to improve the management of this neurologic deficit in Morocco. Key words: Ischemic stroke, Trial of ORG classification 10172 in Acute Stroke Treatment classification, prehospital delay, thrombolysis, Morocco.

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Section: Mean Age and Sex Ratio Of Patients With Ischemic Stroke In Mmentioning

confidence: 99%

“…According to the studies of IS in young people, the average age ranged from 28.3 ± 4.2 to 39 years old (Extremes: 16-45 years old) [39][40][41][42][43].…”

Section: Mean Age and Sex Ratio Of Patients With Ischemic Stroke In Mmentioning

confidence: 99%

Section: Mean Age and Sex Ratio Of Patients With Ischemic Stroke In Mmentioning

confidence: 99%

Section: Risk Factors For Ischemic Stroke In Morocco According To Thementioning

confidence: 99%

“…The third by Ibouajbane (2014), 55% of all cases were linked to undetermined causes [39]. Finally, Allaoui et al (2018) reported a percentage of 24% [43].…”

Section: Toast Etiological Classification Of Ischemic Stroke In Morocmentioning

confidence: 99%

See 3 more Smart Citations

Ischemic stroke in Morocco: A systematic review

Kharbach

Obtel

Lahlou

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

Ischemic stroke in Morocco: a systematic review

et al. 2019

View full text Add to dashboard Cite

BackgroundThe aim of this systematic review is to determine the epidemiological and etiological profiles, the influential factors of the prehospital delay, thrombolysis management, the acute and 3-month mortality rate and the genetic aspect of ischemic stroke in Morocco.MethodsThe present work is a systematic review that was conducted according to the recommendations of the “Preferred reporting items for systematic reviews and meta-analysis”. We used Pubmed, Sciencedirect, Scopus, Clinicalkey, and Google scholar databases for the raking of the gray literature during the time frame 2009 and 2018. The protocol of the review was registered in the PROSPERO register (CRD42018115206).These studies were analyzed based on: Age, sex ratio, risk factors, etiological profile according to Trial of ORG classification 10,172 in Acute Stroke Treatment, prehospital delay average and its influential factors, thrombolyzed patients’ proportion, acute and 3-month mortality and the genetic factors of ischemic stroke in Morocco.ResultsTwenty-nine (n = 29) studies were selected. The average age ranged from 49 ± 15.2 to 67.3 ± 9.9 years old. Moreover, we reported male predominance within all ages in 13 studies. High blood pressure, diabetes, smoking and heart disease were the four identified main risk factors by the prementioned studies. Atherosclerosis and cardioembolic were the main described etiologies of cerebral ischemia, and the average prehospital time ranged from 26 to 61.9 h. The proportion of thrombolysed patients ranged from 1.8% to 2.9%, the mortality rate varied in the acute phase from 3 to 13%, and the 3-month mortality ranged from 4.3 to 32.5%. It is also important to highlight that most of these studies, which were conducted in hospital environment, have a reduced sample size and no confidence interval.ConclusionsIschemic stroke is affecting more likely the young population with male predominance. Moreover, the long prehospital delay and the low proportion of thrombolysed patients are alarming. This indicates the need to investigate in depth the key factors influencing the access to care for Moroccan patients in order to improve the management of this neurologic deficit in Morocco.

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Nurse strategy in the prevention of acute cerebrovascular accident in young adult population

Astasio-Picado¹

2021

MOJGG

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Strokes in young users generate a high number of deaths, and a high rate of disability in this population, causing a demand for care and attention that influence both the affected person and their family. The health professional has to carry out a crucial task in the early identification of risk factors, as well as developing effective prevention measures to solve this problem. For this reason, the objective of this narrative review is to analyze the preventive measures carried out by nursing professionals in the care of young patients susceptible to having a stroke, due to the high increase in its incidence. The search for the articles was carried out in various scientific databases with the help of a search string, which combined the keywords and Boolean operators. Twenty-four studies were selected, which indicated that most preventive measures focus on factors such as hypertension, without taking into account its predictive factors, such as substance abuse. Using the ASCO etiologic classification helps establish a more accurate etiologic diagnosis. Nursing plays a fundamental role in maintaining secondary prevention measures, since 40 and 50% of patients abandon treatment after two or three years.

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Etiologies des accidents vasculaires cérébraux ischémiques chez les jeunes: apport de l’interniste

Cited by 5 publications

References 23 publications

Ischemic stroke in Morocco: A systematic review

Ischemic stroke in Morocco: A systematic review

Ischemic stroke in Morocco: a systematic review

Nurse strategy in the prevention of acute cerebrovascular accident in young adult population

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