非常老年人的中风:菲律宾神经学会的一项研究 一个数据库
Maria Teresa Cañete1, Sofia Im1, Jose Leonard Pascual2
1Section of Neurology, Department of Internal Medicine, Chong Hua Hospital, Cebu City, Philippines.
Australasian journal on ageing
|January 13, 2024
概括
老年中风患者 (80岁以上) 有更多的风险因素,但与年轻患者相比,医院内死亡率相似. 管理应该专注于降低风险和功能恢复.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 老年人群经历了不同的中风风险因素和并发症.
- 了解老年人中风概况对于有针对性的干预至关重要.
研究的目的:
- 为了比较80岁及以上患者的中风亚型,风险因素和结果,与年轻的中风患者相比.
- 为了分析菲律宾神经学会的一次中风数据库 (PNA1DB-Stroke) 的数据.
主要方法:
- 使用了PNA1DB-Stroke注册表,这是一个多中心的前数据库.
- 包括因过渡性缺血性发作或急性中风而住院的患者在11个机构.
- 80岁以上的患者 (n=463) 与年轻的中风患者 (n=5851) 的特征和结果的比较.
主要成果:
- 非常老的患者 (80岁以上) 患高血压,糖尿病,以前的中风和心房动的比率更高.
- 目前的吸烟和过度饮酒在老年人中不太常见.
- 住院死亡率是可比的;然而,非常老的经历了更长的住院时间,更多的医疗并发症,并在出院时更大的功能依赖.
结论:
- 80岁及以上的中风患者具有较高的传统风险因素负担.
- 虽然在医院死亡率相似,但非常老的患者需要更密集的治疗来治疗并发症和功能恢复.
- 策略应强调风险因素修改,并发症预防和优化老年中风患者的功能恢复.
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