阿曼马斯喀特省脑卒中亚型的季节性和昼夜变化

A. A. Hashmi, S. Aaron, Ahmed Al Sinani, S. Jose
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摘要

气候、天气条件和昼夜节律变化对脑血管疾病的影响已在许多研究中得到评估。然而,研究结果一直存在争议。本研究旨在确定马斯喀特省昼夜节律和年际气候模式之间的关系及其对中风及其亚型的影响。2016年1月至2019年12月,对中心卒中病房收治的所有确诊急性卒中病例进行回顾性研究。只包括阿曼病人。数据是通过计算机化的医疗记录系统收集的。共有836名阿曼患者参与了这项研究。缺血性脑卒中731例(87.4%),脑出血105例(12.6%)。62.7%的总样本量由男性组成。不同天数间缺血性脑卒中、脑出血发生率差异有统计学意义(似然比,P = 0.010)。大多数缺血性中风(62.2%)发生在早上6点至下午6点(白天),大多数脑出血(54%)发生在下午6点至早上6点(夜间)。缺血性脑卒中(52.9%)和脑出血(61.9%)主要发生在冬季。这两种类型的中风大多发生在早晨和冬季。这些发现可能有助于更好地组织急性中风护理。进一步分析这些发现可能有助于制定更好的初级预防战略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Seasonal and Circadian Variations in Stroke Subtypes in the Muscat Governorate of the Sultanate of Oman
The influence of climatic, weather conditions, and circadian variations on cerebrovascular diseases has been evaluated in many studies. However, the results have been controversial. This study aims at identifying the relationship between the circadian and circannual climatic patterns in the Governorate of Muscat and their impact on stroke and its subtype. From January 2016 to December 2019, a retrospective study of all confirmed acute stroke cases admitted to the central stroke unit was conducted. Only Omani Patients were included. The data was collected through a computerized medical record system. A total of 836 Omani patients were involved in the study. Ischemic stroke accounted for 731 cases (87.4%), while intracerebral hemorrhage (ICH) accounted for 105 (12.6%). 62.7% of the overall sample size was made up of men. Between different days times, there was a statistically significant difference in the occurrence of ischemic stroke and ICH (likelihood ratio, P = .010). The majority of ischemic strokes (62.2%) occurred between 6 am and 6 pm (daytime), and the majority of ICH (54%) occurred between 6 pm and 6 am (nighttime). The majority of ischemic strokes (52.9%) and ICH (61.9%) occurred during the winter months. The majority of both stroke subtypes were found to occur in the morning hours and during winter months. These findings might aid in the better organization of acute stroke care. Further analysis of these findings could aid in the development of better primary prevention strategies.
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