Recurrence Status and Combined Risk Factors of Surviving Stroke Patients Aged Over 40 in Urban Areas
Background Stroke has become the 3rd leading cause of death among urban residents in China, and the combined rate ofrisk factorssuch as hypertension, diabetes, and dyslipidemia is high among urban high-risk groups. Liaoning Province is a high incidence area of stroke in China, however, there are a f...
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| Format: | Article |
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Chinese General Practice Publishing House Co., Ltd
2022-06-01
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| Series: | Zhongguo quanke yixue |
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| Online Access: | https://www.chinagp.net/fileup/1007-9572/PDF/sfg20220025.pdf |
| _version_ | 1797217151850905600 |
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| author | Yike JIAO, Li JING, Yuanmeng TIAN, Xinbin HAO, Weizhong WANG, Chengguang SONG, Qun SUN, Lei SHI, Jixu SUN, Xiaoxia AN, Liying XING, Zuosen YANG |
| author_facet | Yike JIAO, Li JING, Yuanmeng TIAN, Xinbin HAO, Weizhong WANG, Chengguang SONG, Qun SUN, Lei SHI, Jixu SUN, Xiaoxia AN, Liying XING, Zuosen YANG |
| author_sort | Yike JIAO, Li JING, Yuanmeng TIAN, Xinbin HAO, Weizhong WANG, Chengguang SONG, Qun SUN, Lei SHI, Jixu SUN, Xiaoxia AN, Liying XING, Zuosen YANG |
| collection | DOAJ |
| description | Background Stroke has become the 3rd leading cause of death among urban residents in China, and the combined rate ofrisk factorssuch as hypertension, diabetes, and dyslipidemia is high among urban high-risk groups. Liaoning Province is a high incidence area of stroke in China, however, there are a few studies on the recurrence of stroke and its combined risk factors in the northern urban areas. Objective To explore the recurrence status of surviving stroke patients aged over 40 and its combined risk factors in urban areas of Liaoning Province, in orderto provide a theoretical basis for formulating effective secondary prevention strategies. Methods From September 2018 to December 2020, 6 349 permanent urban residents aged over 40 in Liaoyang, Dandong, Benxi, and Chaoyang Cities of Liaoning Province were selected according to the economic and regional distribution using stratified cluster random samplingand investigated. A total of 488 surviving stroke patients were included and their recurrence rate and associated risk factors were analyzed in this study. Results There were 244 males and 244 females among the 488 surviving stroke patients, the average age was (65.8±7.5) years old and the proportion of patients aged 60-69 was the largest (43.7%) ; There were 352 (72.1%) first-onset stroke patients, 136 (27.9%) recurrent stroke patients, and a recurrence rate of 27.9% among surviving stroke patients; The recurrence rates of male and female surviving stroke patients were 29.5% (72 cases) and 26.2% (64 cases) , respectively, and the difference was not statistically significant (χ2=0.652, P=0.419) . The recurrence rate of stroke among people aged 40-49, 50-59, 60-69, 70-79 and ≥80 years old was 4/11, 23.4% (22/94) , 25.4% (54/213) , 35.9% (47/131) and 23.1% (9/39) , respectively, there was no significant difference in recurrence rate between male and female surviving stroke patients in different age groups (P>0.05) .The current drinking rate of the relapsed patients was lower than that of the first-onset stroke patients, and the awareness rate of hypertension, dyslipidemia, the treatment rate of dyslipidemia, and the control rate of dyslipidemia were higher than those of the first-onset stroke patients, and the difference was statistically significant (P<0.05) . Conclusion The recurrence rate of surviving stroke patients aged over 40 in urban areas of Liaoning Province is high, and patients with recurrence have higher rates of smoking, physical inactivity, overweight or obesity, and poor control of combined risk factors such as hypertension and diabetes mellitus, which require comprehensive and effective secondary prevention measures to reduce the risk of recurrence, disability and death in stroke patients. |
| first_indexed | 2024-04-24T11:57:18Z |
| format | Article |
| id | doaj.art-2b111a679c0841269fb30131ede1d9d1 |
| institution | Directory Open Access Journal |
| issn | 1007-9572 |
| language | zho |
| last_indexed | 2024-04-24T11:57:18Z |
| publishDate | 2022-06-01 |
| publisher | Chinese General Practice Publishing House Co., Ltd |
| record_format | Article |
| series | Zhongguo quanke yixue |
| spelling | doaj.art-2b111a679c0841269fb30131ede1d9d12024-04-09T03:29:20ZzhoChinese General Practice Publishing House Co., LtdZhongguo quanke yixue1007-95722022-06-0125182244224810.12114/j.issn.1007-9572.2022.0025Recurrence Status and Combined Risk Factors of Surviving Stroke Patients Aged Over 40 in Urban AreasYike JIAO, Li JING, Yuanmeng TIAN, Xinbin HAO, Weizhong WANG, Chengguang SONG, Qun SUN, Lei SHI, Jixu SUN, Xiaoxia AN, Liying XING, Zuosen YANG01. Institute of Preventive Medicine, China Medical University, Shenyang 110005, China;2. Chronic Non-communicable Disease Surveillance Institute, Liaoning Provincial Center for Disease Control and Prevention, Shenyang 110005, China;3. Department of Neurology, Liaoyang Central Hospital, Liaoyang 111000, China;4. Department of Neurology, Dandong Central Hospital, Dandong 118000, China;5. Department of Neurology, Benxi Central Hospital, Benxi 117000, China;6. Chronic Non-communicable Disease Prevention and Control Section, Chaoyang Center for Disease Control and Prevention, Chaoyang 122000, China;7. Chronic Non-communicable Disease Prevention and Control Section, Liaoyang Center for Disease Control and Prevention, Liaoyang 111000, China;8. Chronic Non-communicable Disease Prevention and Control Section, Dandong Center for Disease Control and Prevention, Dandong 118000, China;9. Chronic Non-communicable Disease Prevention and Control Section, Benxi Center for Disease Controland Prevention, Benxi 117000, ChinaBackground Stroke has become the 3rd leading cause of death among urban residents in China, and the combined rate ofrisk factorssuch as hypertension, diabetes, and dyslipidemia is high among urban high-risk groups. Liaoning Province is a high incidence area of stroke in China, however, there are a few studies on the recurrence of stroke and its combined risk factors in the northern urban areas. Objective To explore the recurrence status of surviving stroke patients aged over 40 and its combined risk factors in urban areas of Liaoning Province, in orderto provide a theoretical basis for formulating effective secondary prevention strategies. Methods From September 2018 to December 2020, 6 349 permanent urban residents aged over 40 in Liaoyang, Dandong, Benxi, and Chaoyang Cities of Liaoning Province were selected according to the economic and regional distribution using stratified cluster random samplingand investigated. A total of 488 surviving stroke patients were included and their recurrence rate and associated risk factors were analyzed in this study. Results There were 244 males and 244 females among the 488 surviving stroke patients, the average age was (65.8±7.5) years old and the proportion of patients aged 60-69 was the largest (43.7%) ; There were 352 (72.1%) first-onset stroke patients, 136 (27.9%) recurrent stroke patients, and a recurrence rate of 27.9% among surviving stroke patients; The recurrence rates of male and female surviving stroke patients were 29.5% (72 cases) and 26.2% (64 cases) , respectively, and the difference was not statistically significant (χ2=0.652, P=0.419) . The recurrence rate of stroke among people aged 40-49, 50-59, 60-69, 70-79 and ≥80 years old was 4/11, 23.4% (22/94) , 25.4% (54/213) , 35.9% (47/131) and 23.1% (9/39) , respectively, there was no significant difference in recurrence rate between male and female surviving stroke patients in different age groups (P>0.05) .The current drinking rate of the relapsed patients was lower than that of the first-onset stroke patients, and the awareness rate of hypertension, dyslipidemia, the treatment rate of dyslipidemia, and the control rate of dyslipidemia were higher than those of the first-onset stroke patients, and the difference was statistically significant (P<0.05) . Conclusion The recurrence rate of surviving stroke patients aged over 40 in urban areas of Liaoning Province is high, and patients with recurrence have higher rates of smoking, physical inactivity, overweight or obesity, and poor control of combined risk factors such as hypertension and diabetes mellitus, which require comprehensive and effective secondary prevention measures to reduce the risk of recurrence, disability and death in stroke patients.https://www.chinagp.net/fileup/1007-9572/PDF/sfg20220025.pdfstroke|recurrence|epidemiologic factors|risk factors|dyslipidemias|hypertension |
| spellingShingle | Yike JIAO, Li JING, Yuanmeng TIAN, Xinbin HAO, Weizhong WANG, Chengguang SONG, Qun SUN, Lei SHI, Jixu SUN, Xiaoxia AN, Liying XING, Zuosen YANG Recurrence Status and Combined Risk Factors of Surviving Stroke Patients Aged Over 40 in Urban Areas Zhongguo quanke yixue stroke|recurrence|epidemiologic factors|risk factors|dyslipidemias|hypertension |
| title | Recurrence Status and Combined Risk Factors of Surviving Stroke Patients Aged Over 40 in Urban Areas |
| title_full | Recurrence Status and Combined Risk Factors of Surviving Stroke Patients Aged Over 40 in Urban Areas |
| title_fullStr | Recurrence Status and Combined Risk Factors of Surviving Stroke Patients Aged Over 40 in Urban Areas |
| title_full_unstemmed | Recurrence Status and Combined Risk Factors of Surviving Stroke Patients Aged Over 40 in Urban Areas |
| title_short | Recurrence Status and Combined Risk Factors of Surviving Stroke Patients Aged Over 40 in Urban Areas |
| title_sort | recurrence status and combined risk factors of surviving stroke patients aged over 40 in urban areas |
| topic | stroke|recurrence|epidemiologic factors|risk factors|dyslipidemias|hypertension |
| url | https://www.chinagp.net/fileup/1007-9572/PDF/sfg20220025.pdf |
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