Risk Factors, Etiology, and Outcome of Acute Stroke in Young Adults in a Tertiary Care Centre
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
.INTRODUCTION: Strokes in young are reported as being uncommon, comprising 10%–15% of all strokes1 . However it has a major impact on the quality of life for the individual and society .we aimed to evaluate risk factors, etiology, and morbidity at the time of discharge in patients with stroke under the age of 45 years. METHODS It is a hospital-based prospective observational study of 60 stroke patients Patients with Acute CVA aged 15–45 over 1 year were included in the study. Risk factors like smoking, alcohol, hyper coagulable states, heart diseases, dyslipidemia ,DM, hypertension, Vasculitis and AV malformations were analysed and documented.Morbidity was assessed with MRS scoring during admission and at discharge. Data was analysed using appropriate statistical tools. RESULTS Although male patients predominate in our study , females outnumber males significantly at ages under 30. Alcoholism(65%) and smoking(60%) were the most frequent risk factor followed by hypertension(53%) and diabetes mellitus(45%). Cardioembolism caused 13.4% of all strokes. No definite etiology was found in 16%, whereas other causes of stroke, including dissection (6.7%), were documented. At the time of discharge, the disability scoring (MRS) was done.Most patients (90% of survivors) were independent.Out of 60,16 had succummed to the illness 27 had moderate to severe disability and the rest had mild disability at the time of dischargeThe outcome was largely dependent on the eitiologysnd the extent of CNS damage. CONCLUSION There are gender and age-related differences regarding risk factors and causes of stroke in young patients.With appropriate treatment and intense rehabilitation,survival and outcome is generally favorable in this study group.
Authors and Affiliations
Aqila Babu Abdullah, Prof. Sarala G, Shunmugasundaram K, Prof. Lakshminarasimhan R
Keywords
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- EP ID EP377192
- DOI 10.9790/0853-1707028486.
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