DISTRIBUTION OF STROKE BY AGE GROUPS – EXPERIENCES OF A STROKE CENTER IN ISTANBUL

Yıl 2024, Cilt: 25 Sayı: 2, 135 - 142, 29.04.2024

Işıl Kalyoncu Aslan , Leyla Ramazanoglu , Irmak Salt , Pelin Doğan Ak

https://doi.org/10.18229/kocatepetip.1159106

Öz

OBJECTIVE: Stroke is a disease that can occur at any age. Advanced age is an irreversible risk factor for both hemorrhagic stroke and ischemic stroke, and the increased risk becomes evident with advancing decades. This study was aimed to reveal the differences between the age groups of acute stroke patients according to gender, stroke etiology, acute ischemia treatments, ischemia localization, and causes.
MATERIAL AND METHODS: A retrospective evaluation of 3665 consecutive inpatients with a diagnosis of cerebrovascular event between September 2017 and September 2020 was performed, including data on age, gender, stroke type, treatment of acute ischemic stroke, and etiologic classification.
RESULTS: Of the patients, 3299 patients (90%) were diagnosed with a transient ischemic attack (TIA)/ischemic stroke, 302 (8.24%) with hematoma, 51 (1.39%) with subarachnoid hemorrhage (SAH), 13 (0,35%) with cerebral venous thrombosis (CVT). The incidence of stroke in women increased over the age of 65 years. The intracerebral hematoma was most common in the age range of 65-84 years, 55.3% of them were male. SAH was most common in the 45-54 age group, 62.7% were women, all SVT patients were under the age of 75, and 31.2% were women. Diagnosis of TIA/ischemic stroke was most common in the 75-84 age group, 54.4% were male. Acute ischemic stroke treatments were mostly applied to the stroke group younger than 45 years of age (31.2%) and at least to the group over 95 years of age (19.4%). Anterior system involvement was present in 67.4% of the patients. Involvement of the anterior and posterior systems (5.5%) was most common over the age of 95. Despite etiological investigations, the cause of stroke could not be determined in 1385 (41.9%) patients. Cardioembolic strokes increased linearly with age.
CONCLUSIONS: This study shows the distribution of stroke center patients by age groups. It is noteworthy that the risk of stroke increases with age in women and the rate of ischemic stroke, the cause of which cannot be determined, despite advanced etiological studies.

Anahtar Kelimeler

Stroke, Age groups, Demographics

İNMENİN YAŞ GRUPLARINA GÖRE DAĞILIMI - İSTANBUL'DA BİR İNME MERKEZİNİN DENEYİMLERİ

Öz

AMAÇ: İnme her yaşta görülebilen bir hastalıktır. İleri yaş hem hemorajik inme hem de iskemik inme için değiştirilemez risk faktörüdür ve ilerleyen on yıllarla birlikte risk artışı belirginleşir. Bu çalışmada akut inme hastalarının yaş gruplarına göre cinsiyet, inme etiyolojisi, uygulanan akut iskemi tedavileri, iskemi lokalizasyonu ve nedenleri arasındaki farklılıkların ortaya konulması amaçlandı.
GEREÇ VE YÖNTEM: Eylül 2017 - Eylül 2020 arasında serebrovasküler olay tanısı ile yatarak tedavi gören ardışık 3665 hastanın yaş, cinsiyet, inme tipi, akut iskemik inme tedavisi ve etiyolojik sınıflamasına ait bilgileri retrospektif olarak değerlendirildi.
BULGULAR: Hastaların 302’si hematom (%8,24), 51’i (%1,39) subaraknoid kanama (SAK), 13’ü (%0,35) serebral venöz tromboz (SVT), 3299’u (%90) geçici iskemik atak (GİA)/iskemik inme tanısı aldı. Kadınlarda inme sıklığı 65 yaş üzerinde artmaktaydı. İntraserebral hematom en sık 65-84 yaş aralığındaydı, %55,3’ü erkekti. SAK en sık 45-54 yaş grubunda saptandı, %62,7’si kadındı, SVT hastalarının hepsi 75 yaş altındaydı, %31,2’si kadındı. GİA/iskemik inme tanısı en sık 75-84 yaş grubundaydı, %54,4’ü erkekti. Akut iskemik inme tedavileri en çok 45 yaş altı inme grubuna (%31,2), en az 95 yaş üzerindeki gruba (%19,4) uygulanmıştı. Hastaların %67,4’ünde ön sistem tutulumu vardı. Ön ve arka sistem birlikte tutulumu (%5,5) en çok 95 yaş üzerinde görüldü. Etiyolojik araştırmalara rağmen 1385 (%41,9) hastada inme nedeni belirlenemedi. Kardiyoembolik inmeler yaş ile birlikte lineer olarak artış gösterdi.
SONUÇ: Bu çalışma; inme merkezi hastalarının yaş gruplarına göre dağılımını göstermektedir. Kadınlarda yaş ile inme riskinin artması ve ileri etiyolojik araştırmalara rağmen nedeni belirlenemeyen iskemik inme oranı yüksekliği dikkat çekmektedir.

Anahtar Kelimeler

İnme, Yaş grupları, Demografi

Kaynakça

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