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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/15883
Title: The clinical pattern of patients with recurrent stroke
Authors: Manole, Elena
Chitoroaga, Mihaela
Keywords: recurrent stroke;predictive factors;clinical pattern
Issue Date: 2021
Publisher: The Scientific Medical Association of the Republic of Moldova
Citation: MANOLE, Elena, CHITOROAGA, Mihaela. The clinical pattern of patients with recurrent stroke. In: The Moldovan Medical Journal. 2021, vol. 64, no 1, pp. 25-28. ISSN 2537-6381. DOI: 10.5281/zenodo.4527062
Abstract: Abstract. Background: Recurrent strokes account for about 25% of all strokes that occur annually. Studies show varying recurrence rates, ranging from 7% – 20% at 1 year to 16% – 35% at 5 years. Establishing a clinical pattern of patients with recurrent stroke could optimize the management strategy of this pathology. Material and methods: A retrospective observational study was conducted that included 60 patients with primary stroke (n=30) and recurrent stroke (n=30). The severity of stroke was assessed using the National Institute of Health Stroke Scale scale and the degree of neurological disability – using the mRS scale. Predictive factors, post-stroke infectious complications, and compliance with primary and secondary prophylaxis measures were also investigated. For the statistical analysis of the data, the Student’s t-test was performed for two independent samples. Results: In the primary stroke group the mean age was 63.7±2.0 years, whereas in the recurrent stroke group it was 68.8±1.42 years. Statistically significant differences between groups were recorded for age (p=0.043), dyslipidemia (p=0.020), post-stroke infectious complications (p=0.032), cerebellar deficit (p=0.029), cognitive deficit (p=0.020) and neurological disability (p=0.003). Also, 93.33% of patients with atrial fibrillation following anticoagulant treatment as secondary prophylaxis were under coagulated. Conclusions: Elderly patients with poor-risk factors control will be prone to experience a stroke of moderate severity, which will involve a moderate-severe degree of post-stroke disability, expressed by motor, sensitivity, verbal, cerebellar, and cognitive deficit, as well as post-stroke infectious complications of the respiratory and urinary tract.
metadata.dc.relation.ispartof: The Moldovan Medical Journal
URI: http://moldmedjournal.md/wp-content/uploads/2021/02/64-1-Mold-Med-Journal-version-3.pdf
http://repository.usmf.md/handle/20.500.12710/15883
ISSN: 2537-6381
2537-6373
Appears in Collections:The Moldovan Medical Journal, Vol. 64, No 1, March 2021

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