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Importance rating of risk factors of ischemic stroke in patients over 85 years old in the polish population
- Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Warsaw, Poland
- Department of Neurology, Military Institute of Medicine, Warsaw, Poland
- Department of Neurosurgery, Second Faculty of the Medical University of Warsaw, ul. Cegłowska 80, 01-809 Warsaw, Poland
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Abstract
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.
AimThis 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.
MethodThe 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.
ResultsThe most common risk factors of ischemic stroke were hypertension and atrial fibrillation. Patients with atrial fibrillation had a more severe course of ischemic stroke.
ConclusionThe 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
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.
AimThis 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.
MethodThe 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.
ResultsThe most common risk factors of ischemic stroke were hypertension and atrial fibrillation. Patients with atrial fibrillation had a more severe course of ischemic stroke.
ConclusionThe 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.
Keywords
Ischemic stroke, People over 85 years old, Atrial fibrillation, Hyperlipidemia, Anticoagulants
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
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