Factors associated with poor prognosis of ischemic stroke
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Accession number;06A0105074
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| Title;Factors associated with poor prognosis of ischemic stroke |
| Author;
ISHIBASHI AKIRA
(Yokokura Hospital, Miike-gun, Jpn)
YOKOKURA YOSHITAKE
(Kurume Univ. School Of Medicine, Kurume, Jpn)
ADACHI HISASHI
(Yokokura Hospital, Miike-gun, Jpn)
ADACHI HISASHI
(Kurume Univ. School Of Medicine, Kurume, Jpn)
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Journal Title;Med Postgrad
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Journal Code:X0599A
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ISSN:0285-4716
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VOL.44;NO.1;PAGE.87-94(2006)
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| Figure&Table&Reference;FIG.13, TBL.2, REF.13 |
| Pub. Country;Japan |
| Language;English |
| Abstract;The purpose of this study is to investigate factors associated with the incidence of ischemic stroke at the time of hospital discharge. We enrolled 491 consecutive patients (239 men and 252 women: 75.2 .+-. 11.8 years old) with ischemic stroke who were admitted to our institution within 48 hours after onset in the past 5 years. Subtypes of stroke were lacunar infarction (LI) in 175 patients (35.6%), atherothrombotic infarction (ATCI) in 130 (26.5%), cardioembolic infarction (CEI) in 101 (20.6%), transient ischemic attacks (TIA) in 76 (15.5%), and unknown in 9 (1.8%). There were patients with hypertension (HT) (n=205), non-valvular atrial fibrillation (NV-AF) (n=118), diabetes mellitus (DM) (n=94), hyperlipidemia (HLP) (n=61), and heart disease (n=52). As to vascular territory, 245 patients had carotid artery (CA) territory, and their subtypes were LI in 71 (20.0%), ATCI in 83 (33.9%), CEI in 82 (33.5%), and TIA in 9 (3.7%). There were 173 patients with vertebro-basilar artery (VA-BA) territory, and their subtypes were LI in 99 (57.2%), ATCI in 37 (21.4%), CEI in 18 (10.4%), and TIA in 19 (11.0%). With Univariate analysis showed that age, presence of NV-AF, and CA territory were significantly related to poor prognosis. By the use of multiple logistic regression analysis after adjustments for age and sex, significanct differences were found between the presence and absence of NV-AF (Odds ratio: 3.84; 95%CI: 2.30-6.43) and between CA territory and VA-BA territory (Odds ratio: 2.98; 95%CI: 1.64-5.42). Thus, CA territory and the presence of NV-AF were significant factors associated with poor prognosis of ischemic stroke, irrespective of stroke subtypes. (author abst.) |
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