卒中单元收治的年轻成年患者的临床和功能特征

M. Makhoul, I. Maso, Maiana Monteiro, I. Rosa, L. Vasconcelos, L. Mascarenhas, P. Jesus, E. Pinto
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引用次数: 2

摘要

摘要背景:以前被认为在年轻人中罕见,在巴西,在过去的五年中发现的频率接近30%的年轻人之间曾遭受过中风。目的:了解年轻成人患者的社会人口学、临床和功能特征。方法:这是一项横断面研究,在2014年8月至2015年4月期间,在卒中单位协助诊断为缺血性或出血性卒中的个体,年龄18-50岁。采用美国国立卫生研究院卒中量表(NIHSS)和改良Rankin量表(mRS)。结果:研究人群共47例,女性28例(59.6%),平均年龄39.2 (DP±8.3)岁,棕色皮肤21例(44.7%)。他们接受了8、9年的教育。28例(59.6%)患者被诊断为缺血性卒中,30例(63.8%)受累于前循环,23例(48.9%)受累于左半球。26例(55,3%)患有高血压,36例(76,6%)久坐不动。卒中严重程度中位数为7(0-23)分,患者功能能力为Rakin量表5.30(63.7%)。男性出血性卒中高血压病因学差异有统计学意义(p= 0.047),女性右半球卒中发生差异有统计学意义(p= 0.032)。结论:来自某脑卒中单元的年轻成人患者主要为女性,棕色皮肤,从事社会经济活动,中度脑卒中严重程度和严重功能障碍
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CLINICAL AND FUNCTIONAL CHARACTERISTICS OF YOUNG ADULT PATIENTS ADMITTED IN A STROKE UNIT
ABSTRACT BACKGROUND: Previously referred to as rare in the population of young adults, in Brazil in the last five years a frequency found approaching 30 % of young adults between those who have suffered a stroke. OBJECTIVE: To identify the sociodemographic, clinical and functional characteristics of young adult patients. METHODS: It was a cross-sectional study, conducted with individuals assisted in a stroke unit with ischemic or hemorrhagic stroke diagnosis and age of 18-50 years old between August 2014 to April 2015. It was used the National Institutes of Health Stroke Scale (NIHSS), and the modified Rankin Scale (mRS). RESULTS: The study population consisted of 47 individuals, 28 (59,6%) were female, Average age 39,2 (DP±8,3) years old, brown skin color, 21 (44,7%). They had time in education of 8,9 years. With 28 (59,6%) patients were diagnosed with ischemic stroke, 30 (63,8%) had involvement of the anterior circulation, 23 (48,9%) the left hemisphere. 26 (55,3%) patients having Hypertension and was sedentary, 36 (76,6%).The stroke severity had a median of 7 ( 0-23 ) points and the functional capacity of patients was Rakin Scale 5, 30 (63,7%) . It was found a statistically significant difference for hypertensive etiology of hemorrhagic stroke in men ( p = 0.047) when compared with gender and the stroke of occurrence of the right hemisphere in women (p=0,032). CONCLUSION: The profile of the young adult patients from a stroke unit are females , of brown skin color, in socio economic activity with moderate stroke severity and severe functional disability
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