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Varna Medical Forum

Study on the risk profile of patients with acute stroke hospitalized in the Second Clinic of Neurology, St. Marina University Hospital

Mihael Emilov Tsalta-Mladenov, Vladina Kirilova Dimitrova, Darina Georgieva, Silva Andonova

Abstract

Stroke is a socially significant disease associated with high mortality rate and disability, with increasing incidence in elderly patients with more severe comorbidity. There are many risk factors for cerebrovascular disease - non-modifiable and modifiable, with the latter group being presented by arterial hypertension, rhythm and conduction disorders, dyslipidemia and diabetes mellitus. Individual factors, as well as the combination of these, lead to increased risk of acute brain circulation disruption.

            The aim of the study was to assess the frequency, gender and age distribution of the main modifiable risk factors and their relationship with the severity of stroke in a retrospective study involving hospitalized patients with acute stroke in a one-year period in the Second Clinic of Neurology with ICU and Stroke unit in St. Marina University Hospital, Varna.

            The results obtained in our study show a high incidence of major risk factors associated with cerebrovascular pathology, which highlights the need for early diagnosis and follow-up of these diseases in order to prevent stroke. A leading risk factor for all age groups is arterial hypertension followed by dyslipidemia. In the higher age groups, diabetes mellitus and rhythm and conduction disorders have increasedsignificance. With the increasing number of risk factors and advancing age, the neurological deficit is getting more severe, which is leading to higher disability and poor quality of life for this patients. The results of the study are emphasizing the need of establishing a registry for patients with stroke or using the available international registries, such as the SITS International Registry (Safe Implementation of Treatments in Stroke), to optimize the medical care for patients with stroke and to improve their quality of life.

Stroke is a socially significant disease associated with high mortality rate and disability, with increasing incidence in elderly patients with more severe comorbidity. There are many risk factors for cerebrovascular disease - non-modifiable and modifiable, with the latter group being presented by arterial hypertension, rhythm and conduction disorders, dyslipidemia and diabetes mellitus. Individual factors, as well as the combination of these, lead to increased risk of acute brain circulation disruption.

            The aim of the study was to assess the frequency, gender and age distribution of the main modifiable risk factors and their relationship with the severity of stroke in a retrospective study involving hospitalized patients with acute stroke in a one-year period in the Second Clinic of Neurology with ICU and Stroke unit in St. Marina University Hospital, Varna.

            The results obtained in our study show a high incidence of major risk factors associated with cerebrovascular pathology, which highlights the need for early diagnosis and follow-up of these diseases in order to prevent stroke. A leading risk factor for all age groups is arterial hypertension followed by dyslipidemia. In the higher age groups, diabetes mellitus and rhythm and conduction disorders have increasedsignificance. With the increasing number of risk factors and advancing age, the neurological deficit is getting more severe, which is leading to higher disability and poor quality of life for this patients. The results of the study are emphasizing the need of establishing a registry for patients with stroke or using the available international registries, such as the SITS International Registry (Safe Implementation of Treatments in Stroke), to optimize the medical care for patients with stroke and to improve their quality of life.

Keywords

risk factors, stroke, prevention, quality of life

Full Text


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DOI: http://dx.doi.org/10.14748/vmf.v8i1.5809

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