DISTRIBUTION OF STROKE BY AGE GROUPS – EXPERIENCES OF A STROKE CENTER IN ISTANBUL
Journal Title: Kocatepe Medical Journal - Year 2024, Vol 25, Issue 2
Abstract
OBJECTIVE: Stroke is a disease that can occur at any age. Advanced age is an irreversible risk factor for both hemorrhagic stroke and ischemic stroke, and the increased risk becomes evident with advancing decades. This study was aimed to reveal the differences between the age groups of acute stroke patients according to gender, stroke etiology, acute ischemia treatments, ischemia localization, and causes. MATERIAL AND METHODS: A retrospective evaluation of 3665 consecutive inpatients with a diagnosis of cerebrovascular event between September 2017 and September 2020 was performed, including data on age, gender, stroke type, treatment of acute ischemic stroke, and etiologic classification. RESULTS: Of the patients, 3299 patients (90%) were diagnosed with a transient ischemic attack (TIA)/ischemic stroke, 302 (8.24%) with hematoma, 51 (1.39%) with subarachnoid hemorrhage (SAH), 13 (0,35%) with cerebral venous thrombosis (CVT). The incidence of stroke in women increased over the age of 65 years. The intracerebral hematoma was most common in the age range of 65-84 years, 55.3% of them were male. SAH was most common in the 45-54 age group, 62.7% were women, all SVT patients were under the age of 75, and 31.2% were women. Diagnosis of TIA/ischemic stroke was most common in the 75-84 age group, 54.4% were male. Acute ischemic stroke treatments were mostly applied to the stroke group younger than 45 years of age (31.2%) and at least to the group over 95 years of age (19.4%). Anterior system involvement was present in 67.4% of the patients. Involvement of the anterior and posterior systems (5.5%) was most common over the age of 95. Despite etiological investigations, the cause of stroke could not be determined in 1385 (41.9%) patients. Cardioembolic strokes increased linearly with age. CONCLUSIONS: This study shows the distribution of stroke center patients by age groups. It is noteworthy that the risk of stroke increases with age in women and the rate of ischemic stroke, the cause of which cannot be determined, despite advanced etiological studies.
Authors and Affiliations
Işıl KALYONCU ASLAN, Leyla RAMAZANOĞLU, Irmak SALT, Pelin DOĞAN AK
Keywords
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- EP ID EP740624
- DOI https://doi.org/10.18229/kocatepetip.1159106
- Views 28
- Downloads 0
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