open access

Vol 52, No 1 (2018)
Review Article
Submitted: 2017-09-17
Published online: 2017-11-16
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Importance rating of risk factors of ischemic stroke in patients over 85 years old in the polish population

Żanna Pastuszak1, Ewa Koźniewska1, Adam Stępień2, Anna Piusińska-Macoch2, Zbigniew Czernicki3, Waldemar Koszewski3
DOI: 10.1016/j.pjnns.2017.11.007
·
Neurol Neurochir Pol 2018;52(1):88-93.
Affiliations
  1. Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Warsaw, Poland
  2. Department of Neurology, Military Institute of Medicine, Warsaw, Poland
  3. Department of Neurosurgery, Second Faculty of the Medical University of Warsaw, ul. Cegłowska 80, 01-809 Warsaw, Poland

open access

Vol 52, No 1 (2018)
Review articles
Submitted: 2017-09-17
Published online: 2017-11-16

Abstract

Introduction

The European population is aging and the number of elderly patients suffering from ischemic brain stroke increases. A better knowledge of the correlation between the risk factors and the course of the disease in old people may be useful for planning medical care and prophylactic strategies.

Aim

This prospective study aimed to perform a demographic and clinical analysis of the etiology of ischemic stroke, survival rate and severity of post-stroke disability in patients who developed ischemic stroke at the age of over 85 years in the Polish population.

Method

The study group consisted of 159 patients over 85 years old with ischemic stroke. The prevalence of risk factors such as sex, hypertension, hyperlipidemia, atrial fibrillation, heart failure and diabetes was evaluated. The outcome was assessed using the Barthel scale and the National Institutes of Health Stroke Scale.

Results

The most common risk factors of ischemic stroke were hypertension and atrial fibrillation. Patients with atrial fibrillation had a more severe course of ischemic stroke.

Conclusion

The course of brain stroke in the Polish population is more severe in patients over 85 years old than in younger ones. The key risk factor in this group is atrial fibrillation.

Abstract

Introduction

The European population is aging and the number of elderly patients suffering from ischemic brain stroke increases. A better knowledge of the correlation between the risk factors and the course of the disease in old people may be useful for planning medical care and prophylactic strategies.

Aim

This prospective study aimed to perform a demographic and clinical analysis of the etiology of ischemic stroke, survival rate and severity of post-stroke disability in patients who developed ischemic stroke at the age of over 85 years in the Polish population.

Method

The study group consisted of 159 patients over 85 years old with ischemic stroke. The prevalence of risk factors such as sex, hypertension, hyperlipidemia, atrial fibrillation, heart failure and diabetes was evaluated. The outcome was assessed using the Barthel scale and the National Institutes of Health Stroke Scale.

Results

The most common risk factors of ischemic stroke were hypertension and atrial fibrillation. Patients with atrial fibrillation had a more severe course of ischemic stroke.

Conclusion

The course of brain stroke in the Polish population is more severe in patients over 85 years old than in younger ones. The key risk factor in this group is atrial fibrillation.

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Keywords

Ischemic stroke, People over 85 years old, Atrial fibrillation, Hyperlipidemia, Anticoagulants

About this article
Title

Importance rating of risk factors of ischemic stroke in patients over 85 years old in the polish population

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 52, No 1 (2018)

Article type

Review Article

Pages

88-93

Published online

2017-11-16

Page views

379

Article views/downloads

639

DOI

10.1016/j.pjnns.2017.11.007

Bibliographic record

Neurol Neurochir Pol 2018;52(1):88-93.

Keywords

Ischemic stroke
People over 85 years old
Atrial fibrillation
Hyperlipidemia
Anticoagulants

Authors

Żanna Pastuszak
Ewa Koźniewska
Adam Stępień
Anna Piusińska-Macoch
Zbigniew Czernicki
Waldemar Koszewski

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