Clinical characteristic for stroke in plateau area with altitude of 4000 meters above: 103 cases report
<p><strong>Objective </strong>To summarize the clinical characteristic of stroke in the plateau area with altitude of 4000 m above, and to screen the risk factors of hemorrhagic stroke. <strong>Methods</strong> The clinical data of 103 stroke patients (including 71 hemo...
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| Format: | Article |
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Tianjin Huanhu Hospital
2023-09-01
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| Series: | Chinese Journal of Contemporary Neurology and Neurosurgery |
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| Online Access: | http://cjcnn.org/index.php/cjcnn/article/view/2762 |
| _version_ | 1827796310129901568 |
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| author | HE Zhong‑zheng LI Rui‑qian LIU Zhi‑yong LONG Qian‑fa YUE Shu‑yuan YANG Yan‑ping |
| author_facet | HE Zhong‑zheng LI Rui‑qian LIU Zhi‑yong LONG Qian‑fa YUE Shu‑yuan YANG Yan‑ping |
| author_sort | HE Zhong‑zheng |
| collection | DOAJ |
| description | <p><strong>Objective </strong>To summarize the clinical characteristic of stroke in the plateau area with altitude of 4000 m above, and to screen the risk factors of hemorrhagic stroke. <strong>Methods</strong> The clinical data of 103 stroke patients (including 71 hemorrhagic stroke and 32 ischemic stroke) admitted to Ngari Prefecture People's Hospital of Tibet Autonomous Region from January 2017 to December 2018 were retrospectively analyzed, and the clinical characteristic of hemorrhagic stroke and ischemic stroke were compared. Univariate and multivariate Logistic regression analyses were used to screen the risk factors of hemorrhagic stroke. <strong>Results </strong>The age of hemorrhagic stroke patients was lower than that of ischemic stroke patients [(57.48 ± 10.81) years vs. (64.03 ± 10.96) years; t = 2.836, P = 0.006], and the systolic blood pressure at admission [(171.92 ± 28.95) mm Hg vs. (141.81 ± 23.24) mm Hg; t = 5.174, P = 0.000], diastolic blood pressure [(107.58 ± 18.76) mm Hg vs. (93.44 ± 14.94) mm Hg; t = 3.757, P = 0.000], hemoglobin [(189.54 ± 28.12) g/L vs. (165.35 ± 25.42) g/L; t = 4.111, P = 0.000] and total cholesterol [(4.60 ± 0.88) mmol/L vs. (4.04 ± 0.82) mmol/L; t = 3.118, P = 0.002] were higher than those of ischemic stroke patients. Logistic regression analysis showed that systolic blood pressure on admission (OR = 1.048, 95%CI: 1.024-1.073; P = 0.000) and hemoglobin (OR = 1.043, 95%CI: 1.015-1.072; P = 0.002) elevation were risk factors of hemorrhagic stroke. <strong>Conclusions </strong>Hemorrhagic stroke is the main type of stroke in the plateau area with altitude of 4000 m above. Patients with high systolic blood pressure on admission and hemoglobin are more likely to have hemorrhagic stroke. |
| first_indexed | 2024-03-11T19:05:22Z |
| format | Article |
| id | doaj.art-7416b51ba3b347a6bc01ba5a42f60ba8 |
| institution | Directory Open Access Journal |
| issn | 1672-6731 |
| language | English |
| last_indexed | 2024-03-11T19:05:22Z |
| publishDate | 2023-09-01 |
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| series | Chinese Journal of Contemporary Neurology and Neurosurgery |
| spelling | doaj.art-7416b51ba3b347a6bc01ba5a42f60ba82023-10-10T08:36:17ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312023-09-0123985986310.3969/j.issn.1672⁃6731.2023.09.0152716Clinical characteristic for stroke in plateau area with altitude of 4000 meters above: 103 cases reportHE Zhong‑zheng0LI Rui‑qian1LIU Zhi‑yong2LONG Qian‑fa3YUE Shu‑yuan4YANG Yan‑ping5Department of Neurosurgery, Xi'an Central Hospital, Xi'an 710003, Shaanxi, ChinaDepartment of Internal Medicine, Ngari Prefecture People's Hospital, Ngari 859000, Tibet, ChinaDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an 710003, Shaanxi, ChinaDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an 710003, Shaanxi, ChinaDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin 300052, ChinaDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an 710003, Shaanxi, China<p><strong>Objective </strong>To summarize the clinical characteristic of stroke in the plateau area with altitude of 4000 m above, and to screen the risk factors of hemorrhagic stroke. <strong>Methods</strong> The clinical data of 103 stroke patients (including 71 hemorrhagic stroke and 32 ischemic stroke) admitted to Ngari Prefecture People's Hospital of Tibet Autonomous Region from January 2017 to December 2018 were retrospectively analyzed, and the clinical characteristic of hemorrhagic stroke and ischemic stroke were compared. Univariate and multivariate Logistic regression analyses were used to screen the risk factors of hemorrhagic stroke. <strong>Results </strong>The age of hemorrhagic stroke patients was lower than that of ischemic stroke patients [(57.48 ± 10.81) years vs. (64.03 ± 10.96) years; t = 2.836, P = 0.006], and the systolic blood pressure at admission [(171.92 ± 28.95) mm Hg vs. (141.81 ± 23.24) mm Hg; t = 5.174, P = 0.000], diastolic blood pressure [(107.58 ± 18.76) mm Hg vs. (93.44 ± 14.94) mm Hg; t = 3.757, P = 0.000], hemoglobin [(189.54 ± 28.12) g/L vs. (165.35 ± 25.42) g/L; t = 4.111, P = 0.000] and total cholesterol [(4.60 ± 0.88) mmol/L vs. (4.04 ± 0.82) mmol/L; t = 3.118, P = 0.002] were higher than those of ischemic stroke patients. Logistic regression analysis showed that systolic blood pressure on admission (OR = 1.048, 95%CI: 1.024-1.073; P = 0.000) and hemoglobin (OR = 1.043, 95%CI: 1.015-1.072; P = 0.002) elevation were risk factors of hemorrhagic stroke. <strong>Conclusions </strong>Hemorrhagic stroke is the main type of stroke in the plateau area with altitude of 4000 m above. Patients with high systolic blood pressure on admission and hemoglobin are more likely to have hemorrhagic stroke.http://cjcnn.org/index.php/cjcnn/article/view/2762strokealtituderisk factorslogistic models |
| spellingShingle | HE Zhong‑zheng LI Rui‑qian LIU Zhi‑yong LONG Qian‑fa YUE Shu‑yuan YANG Yan‑ping Clinical characteristic for stroke in plateau area with altitude of 4000 meters above: 103 cases report Chinese Journal of Contemporary Neurology and Neurosurgery stroke altitude risk factors logistic models |
| title | Clinical characteristic for stroke in plateau area with altitude of 4000 meters above: 103 cases report |
| title_full | Clinical characteristic for stroke in plateau area with altitude of 4000 meters above: 103 cases report |
| title_fullStr | Clinical characteristic for stroke in plateau area with altitude of 4000 meters above: 103 cases report |
| title_full_unstemmed | Clinical characteristic for stroke in plateau area with altitude of 4000 meters above: 103 cases report |
| title_short | Clinical characteristic for stroke in plateau area with altitude of 4000 meters above: 103 cases report |
| title_sort | clinical characteristic for stroke in plateau area with altitude of 4000 meters above 103 cases report |
| topic | stroke altitude risk factors logistic models |
| url | http://cjcnn.org/index.php/cjcnn/article/view/2762 |
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