Acil Servise Başvuran Akut İskemik İnmeli 124 Hastanın Geriye Yönelik Bir Yıllık İncelenmesi

Abstract

AIM:We aimed to intend to contribute to our countries database for acute stroke patients with identifying etiological, epidemiological, demographic and clinical features of those patients. METHODS:This is a retrospective descriptive study. Patients' charts are identified with help of ICD-10 coding system. 124 patients were enrolled to the study. RESULTS:Patients in male gender were 56.5 % (n: 70) and mean age of the study group was 67.5 ± 11.8. Average time of the onset of the symptoms was found to be 13.0 ± 18.5 hours. Only twenty five patients (20.5 %) were attended to the emergency department (ED) with in the there hours of symptoms onset.In patients past medical history, 58.8 % (n: 73) patients are hypertensive, 35.0 % (n: 43) are diabetic, 25.0 % (n: 31) of them have coronary artery disease, 20.1 % (n: 25) have a previously known stroke attack.Hundred patients (80.6 %) have a normal head CT. Mortality and morbidity rate was found to be 0.8 % and 6.5 % respectively in patients who were observed in the ED. Average observation time in the ED was 21.5 ± 30.5 hours (1-168). Fifty one patients (41.1 %) were admitted to intensive care unit and six patients were admitted to the neurology ward. CONCLUSION:Acute ischemic stroke is common in old male patients. Most important risk factors are hypertension and diabetes. Patients mostly attend to the hospitals lately. Observation periods of those patients are very long in the ED.

Evaluation of acute stroke patients applying to a university emergency service in terms of risk factors

“…Of the studies made with different age groups which suffer from stroke, the rate was found higher between the ages of 60-70 [13,14]. In the study by Kıyan et al [15], the incidence of stroke below the age of 45 was found 5 % and it was found 6,1 % in the study by Şahin et al [16]. In our study, compatible with the literature, the rate of stroke increases with age.…”

“…Similar results were found in the studies made in the Middle East and Asian countries [28][29][30]. There are also studies showing that the patients already have hypertensive findings at the time of applying to the emergency service among the researches related to tension values of the patients with stroke [14,15,23]. In the study by Efstathiou et al [25], it was found that the mean of systolic blood pressure (SBP) in the patients with ischemic stroke was 161,7±21,5 mmHg and 165,4±15,3 mmHg for the patients with hemorrhagic stroke.…”

“…It is stated in the studies that HT is available at the rate of 75 % with ischemic strokes where it is available in the rate of 72-81 % with hemorrhagic strokes [26,27]. In many studies made in our country, those risk factors have also been determined as the most common ones [15,21,23]. Similar results were found in the studies made in the Middle East and Asian countries [28][29][30].…”

“…In the literature researches, it has been revealed that gender is one of the important factors in the etiology of stroke and the rate of male patients is more than the rate of female patients [17,18]. In many studies made in our country, for all of the age groups, it has been found that acute stroke is seen more common inmen [14,15,[19][20][21][22]. Accompanying and cardiovascular diseases in men might cause early deaths.…”

Sekonder Başağrılarının Acil Servise Başvuru Zamanıyla İlişkisi

“…Kıyan et al studied 124 stroke patients and observed that 60.5% of them contacted emergency services during the night (18:00-08:00) (19). This may be due to an increase in CO2 levels at night, which leads to vasodilatation and causes a secondary headache to develop.…”