Risk Factors Associated with Recurrent Strokes in Young and Elderly Patients: A Hospital-based Study
Background: Recurrent stroke is often devastating, and can cause severe disability or death. Risk factors associated with recurrent strokes unrelated to atrial fibrillation have been well identified; however, it remains to be further elucidated whether the risk factors for recurrent stroke are the s...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
2015-06-01
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| Series: | International Journal of Gerontology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1873959815000472 |
| _version_ | 1818936112844898304 |
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| author | Guang-Rong Fu Wei-Qiang Yuan Wan-Liang Du Zhong-Hua Yang Na Fu Hua-Guang Zheng Zi-Xiao Li Yu-Ming Huang Yu-Mmei Zhang Guang-Zheng Dai Hua-Bing Wang Jian-Mei Li Jing-Dong Yi Qing-Biao Yang Hong-Jun Tian Li-Nan He Geng-Yu Li Jia-Li Zhang Li-Mei Yang Yan Gao Zi-Wei Fu |
| author_facet | Guang-Rong Fu Wei-Qiang Yuan Wan-Liang Du Zhong-Hua Yang Na Fu Hua-Guang Zheng Zi-Xiao Li Yu-Ming Huang Yu-Mmei Zhang Guang-Zheng Dai Hua-Bing Wang Jian-Mei Li Jing-Dong Yi Qing-Biao Yang Hong-Jun Tian Li-Nan He Geng-Yu Li Jia-Li Zhang Li-Mei Yang Yan Gao Zi-Wei Fu |
| author_sort | Guang-Rong Fu |
| collection | DOAJ |
| description | Background: Recurrent stroke is often devastating, and can cause severe disability or death. Risk factors associated with recurrent strokes unrelated to atrial fibrillation have been well identified; however, it remains to be further elucidated whether the risk factors for recurrent stroke are the same in young as in older patients.
Methods: Data from 1017 stroke patients unrelated to atrial fibrillation were retrospectively reviewed. Risk factors analyzed included sex, smoking history, previous history of ischemic stroke or transient ischemic attack, hypertension, diabetes mellitus, coronary atherosclerotic heart disease, and previous myocardial infarction. All patients were followed up via telephone 1 year after their initial strokes. Logistic regression was used to assess the associations between the various factors and risk of recurrent stroke events.
Results: Predictive independent risk factors of recurrent stroke in older men included previous history of myocardial infarction [odds ratio (OR), 6.761; 95% confidence interval (CI), 1.030–44.371], ischemic stroke or transient ischemic attack (OR, 2.496; 95% CI, 1.567–3.976), diabetes mellitus (OR, 1.986; 95% CI, 1.223–3.227), and coronary atherosclerotic disease (OR, 1.733; 95% CI, 1.010–2.974). In young men, hypertension (OR, 1.709; 95% CI, 1.104–2.645), coronary atherosclerotic heart disease (OR, 1.812; 95% CI, 1.129–2.911), and previous history of ischemic stroke or transient ischemic attack (OR, 2.317; 95% CI, 1.580–3.397) were independent risk factors of recurrent strokes.
Conclusion: The predictive independent risk factors of recurrent stroke differ between young and older stroke patients. Our findings may help guide the prevention of recurrent strokes. |
| first_indexed | 2024-12-20T05:30:53Z |
| format | Article |
| id | doaj.art-21cfc2d2a46f4b00a3e00d64a98fc5e7 |
| institution | Directory Open Access Journal |
| issn | 1873-9598 |
| language | English |
| last_indexed | 2024-12-20T05:30:53Z |
| publishDate | 2015-06-01 |
| publisher | Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) |
| record_format | Article |
| series | International Journal of Gerontology |
| spelling | doaj.art-21cfc2d2a46f4b00a3e00d64a98fc5e72022-12-21T19:51:44ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982015-06-0192636610.1016/j.ijge.2015.02.004Risk Factors Associated with Recurrent Strokes in Young and Elderly Patients: A Hospital-based StudyGuang-Rong Fu0Wei-Qiang Yuan1Wan-Liang Du2Zhong-Hua Yang3Na Fu4Hua-Guang Zheng5Zi-Xiao Li6Yu-Ming Huang7Yu-Mmei Zhang8Guang-Zheng Dai9Hua-Bing Wang10Jian-Mei Li11Jing-Dong Yi12Qing-Biao Yang13Hong-Jun Tian14Li-Nan He15Geng-Yu Li16Jia-Li Zhang17Li-Mei Yang18Yan Gao19Zi-Wei Fu20Department of Neurology, People's of the Fifth Hospital of Hengshui City, Hengshui, ChinaDepartment of Neurology, People's of the Fifth Hospital of Hengshui City, Hengshui, ChinaDepartment of Neurology, Beijing Tiantan Hospital, Beijing, ChinaDepartment of Neurology, Beijing Tiantan Hospital, Beijing, ChinaDepartment of Digestion, The Third Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Neurology, Beijing Tiantan Hospital, Beijing, ChinaDepartment of Neurology, Beijing Tiantan Hospital, Beijing, ChinaDepartment of Neurology, Beijing Ditan Hospital, Beijing, ChinaDepartment of Neurology, Beijing Tiantan Hospital, Beijing, ChinaFudan University, Shanghai, ChinaDepartment of Neurology, Beijing Tiantan Hospital, Beijing, ChinaDepartment of Neurology, People's of the Fifth Hospital of Hengshui City, Hengshui, ChinaDepartment of Neurology, People's of the Fifth Hospital of Hengshui City, Hengshui, ChinaDepartment of Neurology, People's of the Fifth Hospital of Hengshui City, Hengshui, ChinaDepartment of Neurology, People's of the Fifth Hospital of Hengshui City, Hengshui, ChinaDepartment of Neurology, People's of the Fifth Hospital of Hengshui City, Hengshui, ChinaDepartment of Neurology, People's of the Fifth Hospital of Hengshui City, Hengshui, ChinaDepartment of Neurology, People's of the Fifth Hospital of Hengshui City, Hengshui, ChinaDepartment of Neurology, People's of the Fifth Hospital of Hengshui City, Hengshui, ChinaDepartment of Neurology, People's of the Fifth Hospital of Hengshui City, Hengshui, ChinaDepartment of Neurology, People's of the Fifth Hospital of Hengshui City, Hengshui, ChinaBackground: Recurrent stroke is often devastating, and can cause severe disability or death. Risk factors associated with recurrent strokes unrelated to atrial fibrillation have been well identified; however, it remains to be further elucidated whether the risk factors for recurrent stroke are the same in young as in older patients. Methods: Data from 1017 stroke patients unrelated to atrial fibrillation were retrospectively reviewed. Risk factors analyzed included sex, smoking history, previous history of ischemic stroke or transient ischemic attack, hypertension, diabetes mellitus, coronary atherosclerotic heart disease, and previous myocardial infarction. All patients were followed up via telephone 1 year after their initial strokes. Logistic regression was used to assess the associations between the various factors and risk of recurrent stroke events. Results: Predictive independent risk factors of recurrent stroke in older men included previous history of myocardial infarction [odds ratio (OR), 6.761; 95% confidence interval (CI), 1.030–44.371], ischemic stroke or transient ischemic attack (OR, 2.496; 95% CI, 1.567–3.976), diabetes mellitus (OR, 1.986; 95% CI, 1.223–3.227), and coronary atherosclerotic disease (OR, 1.733; 95% CI, 1.010–2.974). In young men, hypertension (OR, 1.709; 95% CI, 1.104–2.645), coronary atherosclerotic heart disease (OR, 1.812; 95% CI, 1.129–2.911), and previous history of ischemic stroke or transient ischemic attack (OR, 2.317; 95% CI, 1.580–3.397) were independent risk factors of recurrent strokes. Conclusion: The predictive independent risk factors of recurrent stroke differ between young and older stroke patients. Our findings may help guide the prevention of recurrent strokes.http://www.sciencedirect.com/science/article/pii/S1873959815000472myocardial infarctionrecurrent strokerisk factors of stroke |
| spellingShingle | Guang-Rong Fu Wei-Qiang Yuan Wan-Liang Du Zhong-Hua Yang Na Fu Hua-Guang Zheng Zi-Xiao Li Yu-Ming Huang Yu-Mmei Zhang Guang-Zheng Dai Hua-Bing Wang Jian-Mei Li Jing-Dong Yi Qing-Biao Yang Hong-Jun Tian Li-Nan He Geng-Yu Li Jia-Li Zhang Li-Mei Yang Yan Gao Zi-Wei Fu Risk Factors Associated with Recurrent Strokes in Young and Elderly Patients: A Hospital-based Study International Journal of Gerontology myocardial infarction recurrent stroke risk factors of stroke |
| title | Risk Factors Associated with Recurrent Strokes in Young and Elderly Patients: A Hospital-based Study |
| title_full | Risk Factors Associated with Recurrent Strokes in Young and Elderly Patients: A Hospital-based Study |
| title_fullStr | Risk Factors Associated with Recurrent Strokes in Young and Elderly Patients: A Hospital-based Study |
| title_full_unstemmed | Risk Factors Associated with Recurrent Strokes in Young and Elderly Patients: A Hospital-based Study |
| title_short | Risk Factors Associated with Recurrent Strokes in Young and Elderly Patients: A Hospital-based Study |
| title_sort | risk factors associated with recurrent strokes in young and elderly patients a hospital based study |
| topic | myocardial infarction recurrent stroke risk factors of stroke |
| url | http://www.sciencedirect.com/science/article/pii/S1873959815000472 |
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