کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6006566 | 1184737 | 2013 | 6 صفحه PDF | دانلود رایگان |
ObjectiveTo comprehensively examine the relationship of vascular risk factors to stroke type in native black Africans.MethodsWe explored 34 candidate demographic, clinical, and laboratory variables in 282 consecutive adult stroke patients with brain imaging.ResultsIschemic stroke (IS) was found in 61.7% (174). Gender, alcohol, cigarette, homocysteine, C-reactive peptide, anthropometry, and carotid parameters were not significantly associated with stroke type (p > 0.05). Patients with IS had relatively lower BP, were significantly older, and more frequently had diabetes mellitus, cardiac disease, or previous transient ischemic attack than patients with hemorrhagic stroke (HS). However, in multivariate regression model predicting 69% of stroke type correctly, age â¥Â 62 years (OR: 4.0, 95% CI: 2.0-7.9), previous TIA (OR: 4.3, 95% CI: 1.2-15.7) and systolic BP â¥Â 140 mmHg (OR: 0.4, 95% CI: 0.2-0.9) were the only independent significant predictors of IS.ConclusionsWith increasing proportion of the population over 61 years and better BP control, the proportion of IS is expected to rise in black African countries currently undergoing epidemiological transition (changing lifestyle/disease pattern). Therefore, relevant components of the stroke intervention quadrangle (stroke surveillance, acute care, preventive and rehabilitation services) should be tailored toward this need.
Journal: Clinical Neurology and Neurosurgery - Volume 115, Issue 10, October 2013, Pages 2069-2074