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- IRMS - Nicolae Testemitanu SUMPh
- REVISTE MEDICALE NEINSTITUȚIONALE
- The Moldovan Medical Journal
- The Moldovan Medical Journal
- The Moldovan Medical Journal 2021
- The Moldovan Medical Journal, Vol. 64, No 1, March 2021
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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