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논문KCI 등재

90대 뇌졸중 환자의 임상적 특성

Clinical Characteristics of Nonagenarian Stroke

장대일|박기정|서경화|안태범|허성혁|부선희|윤성상|정경천|이상범|강명찬
대한신경과학회 (Korean Neurological Association)|2007.05|대한신경과학회지 (Journal of the Korean Neurological Association)|제25권 제2호|pp. 137-142

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키워드

StrokeHemorrhagicNonagenarianIschemic
주제분류신경과학

초록

Background: As the elderly population is fast growing, the incidence of stroke is also increasing. We studied the clinical characteristics of nonagenarian stroke compared to a population of patients under the age of ninety. Methods: Subjects included 44 nonagenarian stroke patients and 22,227 control patients aged under ninety. Clinical characteristics including age, sex, risk factors, stroke subtype, and outcome (one-year prognosis, evaluated by a modified Rankin scale) were analyzed. Results: The proportion of nonagenarian stroke accounted for 0.2% of all cases of stroke. Ischemic stroke was more common than hemorrhagic stroke in the nonagenarian group. In addition, the female gender was more frequent (p<0.01). As the patients were older, their admission period was shorter, the discharge against medical advice was increased, and the mortality was higher. Hypertension and atrial fibrillation were significantly higher (p<0.05, p<0.001, respectively) in the nonagenarian ischemic stroke patients. Conclusions: Nonagenarian stroke patients have unique clinical characteristics compared with stroke patients under the age of ninety.

Abstract

Background: As the elderly population is fast growing, the incidence of stroke is also increasing. We studied the clinical characteristics of nonagenarian stroke compared to a population of patients under the age of ninety. Methods: Subjects included 44 nonagenarian stroke patients and 22,227 control patients aged under ninety. Clinical characteristics including age, sex, risk factors, stroke subtype, and outcome (one-year prognosis, evaluated by a modified Rankin scale) were analyzed. Results: The proportion of nonagenarian stroke accounted for 0.2% of all cases of stroke. Ischemic stroke was more common than hemorrhagic stroke in the nonagenarian group. In addition, the female gender was more frequent (p<0.01). As the patients were older, their admission period was shorter, the discharge against medical advice was increased, and the mortality was higher. Hypertension and atrial fibrillation were significantly higher (p<0.05, p<0.001, respectively) in the nonagenarian ischemic stroke patients. Conclusions: Nonagenarian stroke patients have unique clinical characteristics compared with stroke patients under the age of ninety.

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