Prevalence and Clinical Characteristics of Lacunar Stroke: A Hospital-Based Study
Lacunar stroke (LS) is responsible for one-quarter of the overall number of ischemic strokes with long-term complications and carries health and economic issues for patients and health care systems. Therefore, we aimed to investigate lacunar versus non-lacunar strokes in a tertiary academic center....
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-11-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/11/11/1466 |
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| author | Mohammed A. Aldriweesh Waleed A. Alluhidan Bayan A. Al Bdah Muath A. Alhasson Sultan A. Alsaif Abrar A. Alajlani Faisal M. Almutairi Mohammed A. Alskaini Naser Alotaibi Ali M. Al Khathaami |
| author_facet | Mohammed A. Aldriweesh Waleed A. Alluhidan Bayan A. Al Bdah Muath A. Alhasson Sultan A. Alsaif Abrar A. Alajlani Faisal M. Almutairi Mohammed A. Alskaini Naser Alotaibi Ali M. Al Khathaami |
| author_sort | Mohammed A. Aldriweesh |
| collection | DOAJ |
| description | Lacunar stroke (LS) is responsible for one-quarter of the overall number of ischemic strokes with long-term complications and carries health and economic issues for patients and health care systems. Therefore, we aimed to investigate lacunar versus non-lacunar strokes in a tertiary academic center. From February 2016 to July 2019, all patients admitted to the stroke unit were retrospectively reviewed. We included LS patients and compared them to other TOAST subtypes. Hemorrhagic stroke and conditions mimicking stroke were excluded. Regression analysis was done to determine LS predictors and outcomes. A 35.5% rate of LS among 989 ischemic stroke patients was found. Most patients (71.9%) were males. Lower National Institutes of Health Stroke Scale (NIHSS) scores at admission and negative history for cardiac diseases were predictors for LS in our population. At discharge, LS patients had low NIHSS scores and shorter hospitalization periods compared to non-LS patients. In conclusion, LS was prevalent among ischemic stroke patients in our cohort. Future studies are highly needed with long follow-up intervals to identify the stroke recurrence, complications, and outcomes. |
| first_indexed | 2024-03-10T05:39:48Z |
| format | Article |
| id | doaj.art-e6ec72e946124ac5b03e23225123875d |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-10T05:39:48Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-e6ec72e946124ac5b03e23225123875d2023-11-22T22:38:06ZengMDPI AGBrain Sciences2076-34252021-11-011111146610.3390/brainsci11111466Prevalence and Clinical Characteristics of Lacunar Stroke: A Hospital-Based StudyMohammed A. Aldriweesh0Waleed A. Alluhidan1Bayan A. Al Bdah2Muath A. Alhasson3Sultan A. Alsaif4Abrar A. Alajlani5Faisal M. Almutairi6Mohammed A. Alskaini7Naser Alotaibi8Ali M. Al Khathaami9College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 14611, Saudi ArabiaCollege of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11564, Saudi ArabiaKing Abdullah International Medical Research Center, Riyadh 11481, Saudi ArabiaUnaizah College of Medicine, Qassim University, Buraydah 56219, Saudi ArabiaCollege of Medicine, Almaarefa University, Riyadh 13713, Saudi ArabiaCollege of Medicine, Almaarefa University, Riyadh 13713, Saudi ArabiaCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 14611, Saudi ArabiaDepartment of Neurology, Prince Sultan Military Medical City, Riyadh 12233, Saudi ArabiaCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 14611, Saudi ArabiaCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 14611, Saudi ArabiaLacunar stroke (LS) is responsible for one-quarter of the overall number of ischemic strokes with long-term complications and carries health and economic issues for patients and health care systems. Therefore, we aimed to investigate lacunar versus non-lacunar strokes in a tertiary academic center. From February 2016 to July 2019, all patients admitted to the stroke unit were retrospectively reviewed. We included LS patients and compared them to other TOAST subtypes. Hemorrhagic stroke and conditions mimicking stroke were excluded. Regression analysis was done to determine LS predictors and outcomes. A 35.5% rate of LS among 989 ischemic stroke patients was found. Most patients (71.9%) were males. Lower National Institutes of Health Stroke Scale (NIHSS) scores at admission and negative history for cardiac diseases were predictors for LS in our population. At discharge, LS patients had low NIHSS scores and shorter hospitalization periods compared to non-LS patients. In conclusion, LS was prevalent among ischemic stroke patients in our cohort. Future studies are highly needed with long follow-up intervals to identify the stroke recurrence, complications, and outcomes.https://www.mdpi.com/2076-3425/11/11/1466ischemic strokelacunarcerebral small-vessel diseaseprevalence |
| spellingShingle | Mohammed A. Aldriweesh Waleed A. Alluhidan Bayan A. Al Bdah Muath A. Alhasson Sultan A. Alsaif Abrar A. Alajlani Faisal M. Almutairi Mohammed A. Alskaini Naser Alotaibi Ali M. Al Khathaami Prevalence and Clinical Characteristics of Lacunar Stroke: A Hospital-Based Study Brain Sciences ischemic stroke lacunar cerebral small-vessel disease prevalence |
| title | Prevalence and Clinical Characteristics of Lacunar Stroke: A Hospital-Based Study |
| title_full | Prevalence and Clinical Characteristics of Lacunar Stroke: A Hospital-Based Study |
| title_fullStr | Prevalence and Clinical Characteristics of Lacunar Stroke: A Hospital-Based Study |
| title_full_unstemmed | Prevalence and Clinical Characteristics of Lacunar Stroke: A Hospital-Based Study |
| title_short | Prevalence and Clinical Characteristics of Lacunar Stroke: A Hospital-Based Study |
| title_sort | prevalence and clinical characteristics of lacunar stroke a hospital based study |
| topic | ischemic stroke lacunar cerebral small-vessel disease prevalence |
| url | https://www.mdpi.com/2076-3425/11/11/1466 |
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