Stroke in young adults: Incidence rate, risk factors, treatment and prognosis

González-Gómez, F.J.; Pérez-Torre, Paula; DeFelipe, Alicia; Vera, Rocío; Matute, Consuelo; Cruz-Culebras, A; Álvarez-Velasco, Rodrigo; Masjuán, Jaime

doi:10.1016/j.rceng.2016.05.002

Cited by 18 publications

(15 citation statements)

References 29 publications

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“…La presencia de ACV isquémico como el hemorrágico fue más frecuente en el sexo masculino, tanto en estudios realizados a nivel nacional y regional. En España encontraron también predominio del (8,9,16,17) sexo masculino en los pacientes con ACV .…”

Section: Discussionunclassified

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Cardiovascular risk factors in patients with stroke

Galeano

Balmaceda

Flores

2020

Rev. virtual Soc. Parag. Med. Int

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Introducción: la enfermedad cerebro vascular es causa de discapacidad y de muerte en las personas. Se presenta cada vez más en la población de adultos jóvenes. Objetivo: determinar los factores de riesgo cardiovascular en pacientes con accidente cerebro vascular ingresados en el Hospital de Clínicas (San Lorenzo, Paraguay). Material y método: diseño observacional, descriptivo, retrospectivo de corte transversal, que incluyó a pacientes adultos con diagnóstico de accidente cerebro vascular en la Unidad de ictus del Servicio de Urgencias del Hospital de Clínicas desde enero 2015 a marzo 2018. Se determinaron las variables demográficas, diagnóstico de accidente cerebro vascular, antecedentes de ictus previo, presencia de factores de riesgo cardiovascular (hipertensión arterial, diabetes mellitus, consumo de tabaco y fibrilación auricular). Resultados: se incluyeron 618 pacientes con diagnóstico de accidente cerebro vascular, de los cuales 119 pacientes (19,3%) fueron menores de 50 años, de los cuales 75 (63%) fueron de tipo isquémico. Los factores de riesgo cardiovascular más frecuentes fueron la hipertensión arterial (47,9%) y la diabetes mellitus (9,2%). Conclusión: el tipo más frecuente de accidente cerebro vascular fue el isquémico. Los factores de riesgo cardiovascular más frecuentes en los adultos jóvenes con accidente cerebro vascular fueron la hipertensión arterial y la diabetes mellitus.

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Section: Discussionunclassified

“…El ACV tipo isquémico fue el más frecuente encontrado en este estudio. En el mundo el tipo de ACV más frecuente es el isquémico, probablemente porque los factores de riesgo como la HTA, DM2 están (16,18) presentes en los pacientes y la aparición cada vez mayor de la FA .…”

Section: Discussionunclassified

Cardiovascular risk factors in patients with stroke

Galeano

Balmaceda

Flores

2020

Rev. virtual Soc. Parag. Med. Int

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“…Also, the incidence rate observed in 55 y.o. and younger people was relatively high (13.3%), and the most common risk factors in this group were smoking, hypertension, dyslipidemia, obesity and diabetes [7].…”

Section: Introductionmentioning

confidence: 89%

Co-incidence of selected effects of stroke – preliminary findings

Mikołajewska

2016

MBS

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S u m m a r y B a c k g r o u n d . Spasticity, contractures, pusher syndrome, unilateral neglect and heterotopic ossifications are one of the most commonly observed effects in patients after stroke. There is still a need for research on predictors and early identification of such changes in order to minimize their incidence and negative influence to the recovery process.O b j e c t i v e . To evaluate the incidence and relationship between the selected complications of stroke spasticity, contractures, pusher syndrome, unilateral neglect and heterotopic ossifications. R e s u l t s . Among the 141 patients involved in the study, the results were as follows: spasticity was observed in 35.46%, contracture in 42.55%, pusher syndrome in 8.51%, hemispatial neglect in 4.26% and heterotopic ossifications were observed in 5.67%.C o n c l u s i o n s . Our findings confirm presented relatively new and important basic and clinical information extending existing studies, especially co-occurrence of selected stroke results and factors influencing their incidence. S t r e s z c z e n i e T ł o . Spastyczność, przykurcze, zespół odpychania, zespół zaniedbywania jednostronnego oraz skostnienia heterotopowe są jednymi z najczęściej spotykanych zmian w grupie pacjentów po udarze. Istnieje potrzeba badań nad predykatorami i wczesną identyfikacją ww. zmian, aby zminimalizować ich częstość występowania oraz negatywny wpływ na proces zdrowienia. C e l . Ocenić występowania oraz powiązania pomiędzy wybranymi następstwami udaru: spastycznością, przykurczami, zespołem odpychania, zespołem zaniedbywania jednostronnego oraz skotanieniami heterotopowymi. R e s u l t s . Wśród 141 pacjentów włączonych do badania spastyczność została zaobserwowana u 35,46%, przykurcze u 42,55%, zespół odpychania u 8,51%, zespół zaniedbywania jednostronnego u 4,26%, a skostnienia heterotopowe u 5,67%.W n i o s k i . Wyniki badania potwierdzają stosunkowo nowe i ważne podstawowe i kliniczne dane rozszerzające wiedzę z wcześniejszych badań, szczególnie w obszarze współ-występowania badanej grupy następstw udaru oraz czynników wpływających na ich wystąpienie.

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“…Sum scores range from 0 to 58, the latter corresponding to no deficits. Stroke severity was classified according to the Scandinavian Stroke Scale score as mild (≥ 45), moderate (30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44), severe (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29) and very severe (≤14).…”

Section: Covariatesmentioning

confidence: 99%

“…Although cardiovascular risk factors contribute to stroke in young patients [30] stroke etiology is often diverse and more often classified as cryptogenic in patients under 55 years of age [31]. Hence, the tendency to choose the young patients with less comorbidity might reflect a clinical selection for cECG based on the presence of cryptogenic stroke [32] whereas an early documentation of probable stroke causes or risk factors could deter clinicians from further evaluation.…”

Section: Patient Selection For Continuous Electrocardiography Versus mentioning

confidence: 99%

Time trends and patient selection in the use of continuous electrocardiography for detecting atrial fibrillation after stroke: a nationwide cohort study

Lyckhage

Hansen

Butt

et al. 2020

Euro J of Neurology

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Background and purpose: Clinical use of continuous electrocardiography (cECG) for detecting atrial fibrillation (AF) after stroke is unclear. In a Danish nationwide cohort, we described post-stroke time trends in outpatient cECG usage and AF incidence and characterized factors associated with cECG use. Methods: Patients without AF discharged after their first ischaemic stroke between 2010 and 2016 were identified from Danish nationwide registries. cECG included Holter or event recording within 120 days from discharge. Cumulative incidence analysis and multivariable adjusted logistic regression were used to assess time trends and factors associated with cECG usage and AF. Results: The study population comprised 39 641 patients. Cumulative use of cECG increased threefold from 3.3% [95% confidence intervals (CI), 2.8-3.8] in 2010 to 10.5% (95% CI, 9.7-11.3) in 2016. Correspondingly, cumulative incidence of post-stroke AF increased from 1.9% (95% CI, 1.5-2.3) to 2.8% (95% CI, 2.4-3.2). Of all cECG-evaluated patients, 6.3% received an AF diagnosis versus 2.2% of the unevaluated. Receiving cECG was associated with increased odds of AF (odds ratio, 3.4; 95% CI, 2.8-4.0). Lower age, milder strokes and less comorbidity were associated with increased odds of receiving cECG. In contrast, risk factors for AF were increasing age and more comorbidity. Conclusions: Post-stroke outpatient cECG use and AF incidence have increased over time, but screening rates were low. cECG use was associated with tripled odds of detecting AF. There was a disparity between factors associated with cECG use and risk factors of AF. This raise questions as to the appropriateness of the current clinical approach to post-stoke AF detection.

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Stroke in young adults: Incidence rate, risk factors, treatment and prognosis

Cited by 18 publications

References 29 publications

Cardiovascular risk factors in patients with stroke

Cardiovascular risk factors in patients with stroke

Co-incidence of selected effects of stroke – preliminary findings

Time trends and patient selection in the use of continuous electrocardiography for detecting atrial fibrillation after stroke: a nationwide cohort study

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