Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department

Özcan YAVAŞİ, (Recep Tayyip Erdoğan Eğitim ve Araştırma Hastanesi, Acil Tıp Bölümü, Rize, Türkiye)
Ömer Lütf GÜNDOĞDU (Recep Tayyip Erdoğan Eğitim ve Araştırma Hastanesi, Acil Tıp Bölümü, Rize, Türkiye)
Bozok Tıp Dergisi
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Yıl: 2019 Cilt: 9 Sayı: 3 Sayfa Aralığı: 70 - 75 Metin Dili: İngilizce DOI: 10.16919/bozokti.538702 İndeks Tarihi: 25-10-2020

Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department

Öz:
Objectie: Ischemic stroke in young adults constiutes about 10-15% of all strokes. It is also a serioussocioeconomic burden since it leaves these young adults disabled at their most productie years. For thisreason, it is necessary to investiate underlying causes in order to identiy and prevent the disease. Thepurpose of our study was to compare causes and outcomes of ischemic stroke at young age with the resultsavailable in the literature.Methods: The study retrospectiely covers patints aged 18 to 50 diagnosed with ischemic stroke between2014 and 2017 years. Age, gender, emergency department complaints, neurological fidings detected onphysical examinatin, and comorbid diseases which were risk factors for stroke were recorded for all patints.Trial of Org 10172 in Acute Stroke Treatment (TOAST) classifiatin was used for identiiatin of strokesubtypes. Hospital outcomes were assessed by the modifid Rankin Scale (mRS). Pearson Chi-square test wasused to compare the groups. p <0.05 was assumed for statitial signifiance.Results: A total of 87 patints who satifid inclusion criteria, 34 female (39.1%) and 53 male (60.9%), wereincluded in the study. Mean age of the patints was 44.41 ± 6.96 (range 18-50). The highest risk factorswere hypertension (55.2%) and dyslipidemia (52.9). When assessed according to TOAST criteria, the mostfrequently detected subtype was cardioembolic (28.7%). When we looked at the mRS scores, 54% of thepatints were completely cured.Conclusion: Since it threatens youngs and productie populatin, identiiatin of etilogies and takingprecautins before stroke development is the most effctie way to fiht the disease. Racial diffrencesrequire every natin to conduct a detailed research
Anahtar Kelime:

ACİL SERVİSE BAŞVURAN İSKEMİK İNMELİ GENÇ ERİŞKİN HASTALARIN KLİNİK OLARAK DEĞERLENDİRİLMESİ

Öz:
Amaç: Genç erişkinlerde görülen iskemik inmeler, tüm inmelerin % 10-15’ini oluşturmaktadır. Bu genç erişkinleri hayatlarının en üretken oldukları dönemde engelli bıraktıından aynı zamanda ciddi bir sosyoekonomik yüktür. Bu nedenle hastalığı tanıma ve önleme için altt yatan nedenleri araştımak gerekmektedir. Çalışmamızın amacı, genç yaşlarda görülen iskemik inmelerin neden ve sonlanımlarını güncel literatür sonuçlarıyla karşılaştımaktı. Gereç ve Yöntem: Çalışma retrospekti olarak, 2014-2017 yılları arasında iskemik inme tanısı almış, 18-50 yaş arasındaki hastaları kapsamaktadır. Yaş, cinsiyet, acil servis şikayetleri, fiik muayenedeki nörolojik bulgular ve iskemik inme için birlikte bulunan hastalıklar her hasta için kayıt altıa alındı. İnme alt tilerini belirlemek için Trial of Org 10172 in Acute Stroke Treatment (TOAST) sınıflması kullanıldı. Hastane sonlanımları modifie Rankin Skalası (mRS) ile değerlendirildi. Grupların karşılaştımasında Pearson Ki-kare test kullanıldı. p <0.05 olması istatitisel olarak anlamlı kabul edildi. Bulgular: Dahil etme kriterini karşılayan 34 (%39.1)’ü kadın, 53 (60.9)’ü erkek toplam 87 hasta çalışmaya alındı. Hastaların yaş ortalaması 44.41 ± 6.96 (değişim aralığı; 18-50) idi. En sık görülen risk faktörleri hipertansiyon (% 55.2) ve dislipidemi (% 52.9) idi. TOAST kriterine göre değerlendirildiğinde en sık alt ti kardiyoembolik (% 28.7) bulundu. mRS skoruna baktıımızda hastaların % 54’ünün tamamen iyileştiini görmekteyiz. Sonuç: Genç ve üretken popülasyonu tehdit ettinden, nedenlerinin tespit edilmesi ve inme gelişmeden önce tedbir almak, hastalıkla mücadele etmenin en etkili yolu gibi görünmektedir. Irksal farklılıklar her milleti detaylı bir araştıma yapmasını gerektimektedir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA YAVASI O, Gündoğdu Ö (2019). Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department. , 70 - 75. 10.16919/bozokti.538702
Chicago YAVASI OZCAN,Gündoğdu Ömer Lütfi Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department. (2019): 70 - 75. 10.16919/bozokti.538702
MLA YAVASI OZCAN,Gündoğdu Ömer Lütfi Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department. , 2019, ss.70 - 75. 10.16919/bozokti.538702
AMA YAVASI O,Gündoğdu Ö Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department. . 2019; 70 - 75. 10.16919/bozokti.538702
Vancouver YAVASI O,Gündoğdu Ö Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department. . 2019; 70 - 75. 10.16919/bozokti.538702
IEEE YAVASI O,Gündoğdu Ö "Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department." , ss.70 - 75, 2019. 10.16919/bozokti.538702
ISNAD YAVASI, OZCAN - Gündoğdu, Ömer Lütfi. "Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department". (2019), 70-75. https://doi.org/10.16919/bozokti.538702
APA YAVASI O, Gündoğdu Ö (2019). Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department. Bozok Tıp Dergisi, 9(3), 70 - 75. 10.16919/bozokti.538702
Chicago YAVASI OZCAN,Gündoğdu Ömer Lütfi Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department. Bozok Tıp Dergisi 9, no.3 (2019): 70 - 75. 10.16919/bozokti.538702
MLA YAVASI OZCAN,Gündoğdu Ömer Lütfi Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department. Bozok Tıp Dergisi, vol.9, no.3, 2019, ss.70 - 75. 10.16919/bozokti.538702
AMA YAVASI O,Gündoğdu Ö Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department. Bozok Tıp Dergisi. 2019; 9(3): 70 - 75. 10.16919/bozokti.538702
Vancouver YAVASI O,Gündoğdu Ö Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department. Bozok Tıp Dergisi. 2019; 9(3): 70 - 75. 10.16919/bozokti.538702
IEEE YAVASI O,Gündoğdu Ö "Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department." Bozok Tıp Dergisi, 9, ss.70 - 75, 2019. 10.16919/bozokti.538702
ISNAD YAVASI, OZCAN - Gündoğdu, Ömer Lütfi. "Clinical Evaluatin of Young Adult Patints With Ischemic Stroke Applying To Emergency Department". Bozok Tıp Dergisi 9/3 (2019), 70-75. https://doi.org/10.16919/bozokti.538702
Sayfa Oluşturulma Tarihi
23-04-2024 14:23

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