Multicenter survey of the diagnosis and management of stroke in young adults: Strategies against Stroke Study for Young Adults in Japan (SASSY-Japan)

一夫, 峰松; 正弘, 矢坂; 敏郎, 米原; 晶子, 西野; 明文, 鈴木; 久, 岡田; 正浩, 鴨打

doi:10.3995/jstroke.26.331

Cited by 14 publications

(5 citation statements)

References 5 publications

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“…A nationwide study of Japanese EOD prevalence in 1997 also reported a higher prevalence of VaD (43.9%) than AD (16.8%) . The Strategies against Stroke Study for Young Adults in Japan (SASSY‐Japan) used data from 7245 stroke patients from 18 centers and compared the salient features of stroke in younger (<50 years old) and older groups (<51 years old) . The SASSY‐Japan study reported that male sex was a risk factor for the younger group.…”

Section: Discussionmentioning

confidence: 99%

Multicenter population‐based study on the prevalence of early onset dementia in Japan: Vascular dementia as its prominent cause

Ikejima

Ikeda

Hashimoto

et al. 2013

Psychiatry Clin Neurosci

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Aim:In Japan, the government and media have become aware of the issues of early onset dementia (EOD), but policies for EOD have not yet been established and support systems are inadequate. To provide practical data about EOD, a two-step postal survey was performed.Methods: A questionnaire requesting information on EOD cases was sent to target institutions in five catchment areas in Japan. According to the answers from the institutions, we estimated the prevalence of EOD using census data and determined the illnesses causing EOD. As a quality control study, the authors reviewed every diagnosis in a quarter of the reported cases using the medical and psychiatric records and neuroimaging data. This study was conducted from 2006 to 2007. Results:Information from 2469 patients was collected from 12 747 institutions, and 2059 subjects with EOD were identified. The estimated prevalence of EOD was 47.6 per 100 000 (95% confidence interval, 47.1-48.1) for all of Japan. Of the illnesses causing EOD, vascular dementia (VaD) was the most frequent (39.8%), followed by Alzheimer's disease. Conclusions:The prevalence of EOD in Japan appeared to be similar to that in Western countries. However, unlike previously reported international experience, VaD was the most frequent cause of EOD in all catchment areas in Japan.

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Section: Discussionmentioning

confidence: 99%

Multicenter population‐based study on the prevalence of early onset dementia in Japan: Vascular dementia as its prominent cause

Ikejima

Ikeda

Hashimoto

et al. 2013

Psychiatry Clin Neurosci

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“…In Japan, 8.9% of all strokes occur in adults aged less than 50 years. In these patients, the most frequent type of stroke is "stroke with other determined etiology," accounting for 36% of all cases (10). Awareness of the association between IDA and ischemic stroke is important for the treatment of ischemic stroke in young adults and for the prevention of stroke recurrence.…”

Section: Discussionmentioning

confidence: 99%

Two Cases of Acute Ischemic Stroke Associated with Iron Deficiency Anemia due to Bleeding from Uterine Fibroids in Middle-aged Women

et al. 2014

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We herein report two cases of acute ischemic stroke associated with iron deficiency anemia (IDA) due to bleeding from uterine fibroids. Anemia is not generally recognized as a risk factor for stroke. The physiological mechanisms that may factor in the development of ischemic stroke in patients with IDA include thrombocytosis, hypercoagulable state, and anemic hypoxia. In our two cases, IDA was considered to be the cause of ischemic stroke because all other known causes of stroke were ruled out. In patients with ischemic stroke due to anemia, early treatment of the anemia is important to prevent stroke recurrence.

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“…In Japan, of those in school, 94.7% were able to return to school, and of those in employment, 68.5% were able to return to their original job, and 3.9% were able to change jobs. 1 In Australia, the United Kingdom, and Southeast Asia, 57% of the respondents returned to work. 2 In young patients with stroke, independence in ADL and discharge from home, schooling, and employment may be desirable.…”

Section: Discussionmentioning

confidence: 99%

“…According to the Strategies Against Stroke Study for Young Adults in Japan, young patients aged <40 years with stroke account for only 2.2% of all patients; however,26.0% of them had a modified Rankin Scale (mRS) score of 3-5 at the time of hospital discharge. 1 The post-hoc descriptive exploration from A Very Early Rehabilitation Trial after stroke showed that 30% of working-age stroke survivors ([? ]65 years) had a poor outcome with mRS [?…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of rehabilitation for young patients with extensive right hemisphere cerebral infarction: A report of two cases

Nakamura,

Kurosaki,

Baba

et al. 2024

Preprint

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Multicenter survey of the diagnosis and management of stroke in young adults: Strategies against Stroke Study for Young Adults in Japan (SASSY-Japan)

Cited by 14 publications

References 5 publications

Multicenter population‐based study on the prevalence of early onset dementia in Japan: Vascular dementia as its prominent cause

Multicenter population‐based study on the prevalence of early onset dementia in Japan: Vascular dementia as its prominent cause

Two Cases of Acute Ischemic Stroke Associated with Iron Deficiency Anemia due to Bleeding from Uterine Fibroids in Middle-aged Women

Effectiveness of rehabilitation for young patients with extensive right hemisphere cerebral infarction: A report of two cases

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