年轻人的缺血性和出血性中风:功能结果和中风后返回工作的比较
Sarah Ming Li Tan1, Shi Hui Ong2, Tseng Tsai Yeo3
1Division of Neurology, Department of Medicine, National University Health System, Singapore.
Clinical neurology and neurosurgery
|September 17, 2023
概括
患有缺血性中风 (IS) 的年轻人比自发性内出血 (SICH) 的年轻人有更好的功能结果和恢复工作率 (RTW). 然而,许多年轻的中风幸存者尽管功能恢复良好,但并没有进行RTW.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 功能恢复和恢复工作 (RTW) 是中风后的关键目标,显著影响生活质量.
- 有限且不一致的数据存在于功能性结局和RTW,比较年轻成年人的缺血性中风 (IS) 和出血性中风 (HS).
- 这项研究针对IS与初级自发性内出血 (SICH) 的年轻成年人的功能结果和RTW.
研究的目的:
- 为了比较IS和SICH的年轻成年人之间的功能结果.
- 评估IS和SICH的年轻成年人中中风后3个月恢复工作率 (RTW).
- 确定影响年轻中风幸存者的RTW因素.
主要方法:
- 包含患有IS或SICH的年轻成年人 (18-50岁).
- 评估修改的兰金尺度 (mRS) 在放电和3个月的功能性结果.
- 在中风后3个月评估RTW状态;良好的结果被定义为mRS 0-2.
主要成果:
- 分析了459名患者 (49.2%IS,50.8%SICH);SICH患者在出院和3个月后的功能结果 (mRS) 较差.
- 与SICH患者相比,缺血性中风患者获得了更好的功能结果 (80.2%对51.8%) 和更高的RTW率 (54.4%对36.3%).
- 三分之一的中风幸存者具有良好的功能结果没有RTW;更长的住院时间和更高的NIHSS分数预测了较低的RTW率.
结论:
- 与SICH患者相比,缺血性中风患者返回工作的可能性更高.
- 显著比例的年轻中风患者没有RTW,即使有良好的功能结果.
- 需要进一步的研究来了解预后差异,并确定年轻成人中风幸存者的RTW预测因子.
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