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Stroke Risk Factors, Subtype, and Outcomes in a Multi-Ethnic Stroke Population.

J Finnegan1, S Mello2, N Cogan2

  • 1Tallaght University Hospital, Dublin, Ireland.

Irish Medical Journal
|March 13, 2022
PubMed
Summary
This summary is machine-generated.

Stroke patients not of Irish ethnicity (ONIE) are younger, more commonly male, and experience higher rates of intracranial hemorrhage (ICH) compared to presumed native Irish (PNI) stroke patients. These findings highlight ethnic differences in stroke profiles within Ireland.

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Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Stroke is a leading cause of death and disability globally.
  • Understanding ethnic variations in stroke is crucial for targeted prevention and treatment.
  • Previous research has not extensively detailed stroke characteristics in Ireland's multi-ethnic population.

Purpose of the Study:

  • To compare stroke risk factors, subtypes, and outcomes between patients not of Irish ethnicity (ONIE) and presumed native Irish (PNI) patients.
  • To identify prevalent stroke risk factors and subtypes within different ethnic groups in Ireland.
  • To inform targeted stroke prevention strategies for diverse populations.

Main Methods:

  • Retrospective analysis of acute stroke unit admissions between 2016-2018.
  • Identification of ONIE patients (N=44) via surname recognition, with country of origin confirmed.
  • Comparison with a PNI cohort (N=437), collecting data on stroke subtype, comorbidities, outcomes, and socioeconomic factors.

Main Results:

  • ONIE patients constituted 9.1% of all stroke admissions.
  • ONIE patients were significantly younger (mean age 57.5 vs 69.6 years) and more frequently male (75% vs 57.4%).
  • Higher rates of intracranial hemorrhage (ICH) were observed in ONIE patients (34.1% vs 11.7%).

Conclusions:

  • Stroke patients not of Irish ethnicity in Ireland exhibit distinct demographic and clinical profiles compared to the presumed native Irish population.
  • ONIE patients present with younger age, male predominance, and increased incidence of ICH.
  • These differences underscore the need for culturally sensitive and ethnically tailored stroke care and prevention strategies.