뇌졸중 재발자와 비재발자의 뇌졸중 재발 위험 요인의 비교 분석: 일개 병원의 뇌졸중 환자 코호트를 기반으로
A Comparative Study on Risk Factors Related to Patient with Recurrent Stroke Between Recurrent Group and Non-recurrent Group: Single Hospital Based Cohort Study
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Purpose: This study was a comparative analysis of stroke-related factors between recurrent patients and non-recurrent patients. Methods: A retrospective cohort study design was used, and data were collected from March 2020 to April 2020 using electronic medical records. 244 patients (221 first-timers and 23 recurrent) were included in this study. Results: The stroke recurrence rate in 5 years was 9.4%, the readmission rate was 39.3%, and the mortality rate was 2.0%. The number of patients hospitalized for stroke was greater among men than among women. Of the patients, 60.7% had an underlying disease. With regard to daily life abilities, over 70% of participants needed more than moderate dependence and about 40% of participants had more than mild cognitive impairment. More than 50% were moved to wheelchairs or stretcher cars. The difference in the stroke readmission rate between recurrent and non-recurrent patients was statistically significant. Conclusions: Based on our findings, a program to prevent recurrence of stroke should be developed to considering age, ability of daily living, place of discharge, gait ability at discharge, and place of discharge.
Abstract
Purpose: This study was a comparative analysis of stroke-related factors between recurrent patients and non-recurrent patients. Methods: A retrospective cohort study design was used, and data were collected from March 2020 to April 2020 using electronic medical records. 244 patients (221 first-timers and 23 recurrent) were included in this study. Results: The stroke recurrence rate in 5 years was 9.4%, the readmission rate was 39.3%, and the mortality rate was 2.0%. The number of patients hospitalized for stroke was greater among men than among women. Of the patients, 60.7% had an underlying disease. With regard to daily life abilities, over 70% of participants needed more than moderate dependence and about 40% of participants had more than mild cognitive impairment. More than 50% were moved to wheelchairs or stretcher cars. The difference in the stroke readmission rate between recurrent and non-recurrent patients was statistically significant. Conclusions: Based on our findings, a program to prevent recurrence of stroke should be developed to considering age, ability of daily living, place of discharge, gait ability at discharge, and place of discharge.
참고문헌 (24)
- "Type of stroke" (2020)[URL]
- "Clinical practice guidelines for stroke" (2015)[URL]
- Dhamoon, M. S., "Recurrent stroke and cardiac risks after first ischemic stroke : The Northern Manhattan Study", Neurology, 66(5), pp.641~646 (2006)[DOI]
- Hardie, K., "Ten-year risk of first recurrent stroke and disability after first-ever stroke in the Perth Community stroke study", Stroke, 35, pp.731~735 (2004)[DOI]
- Kang, H. Y., "Estimating the lifetime economic burden of stroke according to the age of onset in South Korea : A cost of illness study", BMC Public Health, 11(1), pp.646~ (2011)[DOI]
- 강연욱, "K-MMSE(Korean-Mini Mental State Examination)의 노인 규준 연구", 한국심리학회지:일반, 25(2), pp.1~12 (2006), 한국심리학회
- 김철규, "뇌졸중 환자와 가족을 위한 웹 기반 뇌졸중 이차예방 교육 프로그램 개발 및 평가", Journal of Korean Academy of Nursing, 41(1), pp.47~60 (2011), 한국간호과학회
- 고영채, "일개 병원기반 코호트에서 관찰한 장기간의 뇌졸중 재발률", 대한신경과학회지, 27(2), pp.110~115 (2009), 대한신경과학회
- 2014 Ministry of Health and Welfare White Book, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~, pp.Issue Brief No. 11-1351000-000160-10 (2016)
- "Criteria for determining disability level" (2019)[URL]
- Korea Health Statistics 2018: Korea National Health and Nutrition Examination Survey (KNHANES VII-3), "Ministry of Health and Welfare", Ministry of Health and Welfare, ~, pp.Issue Brief No. 11-1351159-000027-10 (2020)
- 2019 Ministry of Health and Welfare White Book, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~, pp.Issue Brief No 11-1352000-000160-10 (2020)
- Modrego, P. J., "Recurrence and survival after first-ever stroke in the area of Bajo Aragon, Spain. A prospective cohort study", Journal of the Neurological Sciences, 224(1-2), pp.49~55 (2004)[DOI]
- Mohan, K. M., "Risk and cumulative risk of stroke recurrence : A systematic review and meta-analysis", Stroke, 42(5), pp.1489~1494 (2011)[DOI]
- Moon, S. H, "Comparison of recurrence and mortality in stroke patients using competing risk model", 석사, pp.2019
- Park, H. J, "Differences in health behaviors between the stroke recurrence group and non-recurrence group with ischemic stroke patients", 석사, pp.2018
- Petty, G. W., "Survival and recurrence after first cerebral infarction : A population-based study in Rochester, Minnesota, 1975 through 1989", Neurology, 50(1), pp.208~216 (1998)[DOI]
- Rahilly-Tierney, C. R., "Cardiovascular benefit of magnitude of low-density lipoprotein cholesterol reduction", Circulation, 120(15), pp.1491~1497 (2009)[DOI]
- Sacco, R. L., "Predictors of mortality and recurrence after hospitalized cerebral infarction in an urban community : The Northern Manhattan stroke study", Neurology, 44(4), pp.626~634 (1994)[DOI]
- 신대수, "재발된 뇌졸중의 중등도에 영향을 미치는 인자", 대한뇌졸중영문학회지, 4(1), pp.30~35 (2002), 대한뇌졸중학회
- Song, I. W., "Nonparametric statistics(using JMP)" (2007), Kyowoo
- 2019 Annual report on live births and deaths statistics (based on vital registration), "Statistics Korea", Statistics Korea, ~, pp.Issue Brief No. 11-1240000-000262-10 (2020)
- "Korean guidelines for the management of dyslipidemia" (2018)[URL]
- World Health Organization, "Stroke--1989. Recommendations on stroke prevention, diagnosis, and therapy. Report of the WHO task force on stroke and other cerebrovascular disorders", Stroke, 20(10), pp.1407~1431 (1989)[DOI]