Stroke in young versus elderly clinical characteristic and in hospital mortality a retrospective cross-sectional study

Abstract

Background and purpose About 10-15%of all ischemic strokes occur in young adults ,limited researches have specifically addressed stroke in the young, also, the etiology of ischemic stroke in the young are heterogeneous and can be relatively uncommon the purpose is to identify different risk factors of stroke in young and elderly and predictors of in hospital mortality patient and method: consecutive 197 patient with acute ischemic stroke admitted to neurology department, Sohag university hospital subdivided into two groups according to the age and the cut of point between young and elderly is 50-year, clinical characteristics, risk factors and hospital mortality was compared in both groups Results: The prevalence of Rheumatic heart disease is common in ischemic stroke in young adult than elderly while hypertension is the most prevalence vascular risk factor, Charlson comorbidity index is independent predictor of hospital mortality of ischemic stroke in elderly Conclusion: Rheumatic heart disease still prevalent in young adult in a sample of Egyptian population, hypertension is the most important modifiable risk factor Charlson comorbidity index and Scandinavian stroke scale on admission are predictors of hospital mortality in elderly and young adult respectively

Stroke in the very old: A study from the Philippine Neurological Association One Database

“…Traditional risk factors, that is, hypertension, diabetes and atrial fibrillation, were more prevalent in our very old stroke patients, similar to other studies 6,7,9,10 . The presence of such co‐morbidities may make management of stroke particularly more difficult.…”

“…3 Traditional risk factors, that is, hypertension, diabetes and atrial fibrillation, were more prevalent in our very old stroke patients, similar to other studies. 6,7,9,10 The presence of such co-morbidities may make management of stroke particularly more difficult. In contrast, however, a previous cohort study reported hypertension, diabetes and smoking as having a relatively higher association with younger age, while risk from atrial fibrillation appeared to remain constant across age group.…”