缺血性脑卒中患者的年龄和预后

B. Gajurel, R. Karn, R. Rajbhandari, R. Ojha
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引用次数: 0

摘要

背景:年龄是缺血性脑卒中最重要的预后因素。本研究在缺血性脑卒中患者中进行,以描述患者在出现时和三个月时中风严重程度与年龄的关系。材料和方法:回顾性收集医院记录的数据,我们使用社会科学统计软件包(SPSS)第26版重新分析。年龄按标准定义分为低龄(≤50岁)和老年(≥50岁)。根据《尼泊尔老年公民法》,年龄也分为较年轻(< 60岁)和较年长(≥60岁)。采用卡方检验分析相关性。结果:153例患者纳入研究。患者平均年龄60.9岁。基线中风严重程度与两种方法定义的年龄组之间没有统计学上的显著关联。更年轻的患者预后良好(≤50岁患者中44.4%预后良好vs 25.6%预后不良,p= 0.03;在< 60岁的患者中,52.8%的患者预后良好,31.6%的患者预后不良,p=0.02)。老年患者预后较差的患者较多(0 ~ 50岁患者中74.4%的预后较差,55.6%的预后较好,p = 0.03;≥60岁患者的不良结局为68.4%,良好结局为47.2%,p= 0.02)。结论:年轻和老年患者与基线脑卒中严重程度无显著相关性;然而,在三个月时,与老年患者相比,更多的年轻患者有良好的结果,差异是显著的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient Age and Outcome in Ischemic Stroke
Background: Age is the most important prognostic factor in ischemic stroke. Thisstudy was carried out in patients with ischemic stroke to describe the association of age of the patients with stroke severity at presentation and at three months. Materials and Methods: The data, which were collected retrospectively from hospital records, we reanalyzed by using the Statistical Package for the Social Sciences (SPSS) version 26. Age was divided into younger (≤ 50 years) and older (> 50 years) based on standard definition. Age was also divided into younger (< 60 years) and older (≥ 60 years) based on the Senior Citizens Act of Nepal. The associations were analyzed by using Chi-square test. Results: One hundred and fifty-three patients were included in the study. The mean age of the patients was 60.9 years. There was no statistically significant association between baseline stroke severity and the age groups defined both ways. More younger patients had good outcomes (44.4% good outcome vs 25.6% poor outcome in patients ≤ 50 years, p= 0.03; 52.8% good outcome vs 31.6% poor outcome in patients < 60 years, p=0.02). More older patients had poor outcomes (74.4% poor outcome vs 55.6% good outcome in patients > 50 years, p = 0.03; 68.4% poor outcome vs 47.2% good outcome in patients ≥ 60 years, p= 0.02). Conclusion: There was no significant association between young and old patients and the baseline stroke severity; however, more younger patients had good outcomes compared to older patients at three months, the differences being significant.
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