Stroke in young and old patients: a retrospective study

Detalhes bibliográficos
Autor(a) principal: Valente, João
Data de Publicação: 1996
Outros Autores: Branco, Alcino, Pais, Fátima, Alves, Lídia, Botelho, Berta, Nora, Manuel
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://revista.spmi.pt/index.php/rpmi/article/view/2302
Resumo: Material and methods: We performed a retros­pective review of medical records of patients with a diagnosis of CVD between February 1989 and December 1993 at Internal Medicine Ward of a Hospital Center in area of Oporto. We analysed: age and sex; types of CVD and temporal profile; VRF (previous AVC, hypertension (HT), diabetes, dyslipidemia, heart disease, cigarette smoking and alcohol consumption); morbility and morta­ lity; blood pressure (BP), complete blood count, glucose and lipid analysis at admission. Patients: 65 patients were young adults (YA) and 309 were old (Od). Results: The CVD in YA represented 14% and in Od 66.7% of ali CVD admitted; male were more prevalent in YA (52.3%) and female in Od (58.3%). The most frequent type of CVD was ischemic (IS) (82.8% in YA and 82.1% in Od) with the lacunar sub-type more prevalent in YA (P-0.04) and the atherothrombotic in Od (P=0.004); TIA represen­ ted 8.3% of IS in YA and 3.3% in Od Previous stroke were reported in 20% YA and 32.7% Od (P=0.04). The dyslipidemia (43.1%), heavy alchool con­ sumption (24.6%) and cigarette smoking (12.3%) were more preval,ent in YA. There was heart dise­ase in 36.9% YA and 52.4% Od (P=0.02); the valvu­lar cardio-pathy was more prevalent in YA (18.5%). Infeccious complications were observed in 32.1% YA and 58.3% Od (P=0.001). The YA ha­ved a good improvement (slight deficits in 56.8% YA vs 28.3% Od - P=0.001). The mortality rate in YA was 12.3% and in Od 30.4% (P=0.003). Conclusions: The preval,ence of CVD in YA was 14 %. We observed more prevalence of female in olders. The IS was the more frequent stroke in both groups, the lacunar sub-type was more fre­quent in YA and the atherothrombotic in Od The HT was the more frequent VRF in both groups. The valvular cardiopathy was more frequent in YA and atrial fibrillation in Od The morbility and mortality was higher in older patients. ln admis­sion the mean level of dyastolic BP, total choleste­rol, LDL-C and triglycerides were significantly higher in YA.
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spelling Stroke in young and old patients: a retrospective studyEstudo comparativo do acidente vascular cerebral no adulto jovem e no idosoacidente vascular cerebra adul­to jovemidosofactores de risco vascularMaterial and methods: We performed a retros­pective review of medical records of patients with a diagnosis of CVD between February 1989 and December 1993 at Internal Medicine Ward of a Hospital Center in area of Oporto. We analysed: age and sex; types of CVD and temporal profile; VRF (previous AVC, hypertension (HT), diabetes, dyslipidemia, heart disease, cigarette smoking and alcohol consumption); morbility and morta­ lity; blood pressure (BP), complete blood count, glucose and lipid analysis at admission. Patients: 65 patients were young adults (YA) and 309 were old (Od). Results: The CVD in YA represented 14% and in Od 66.7% of ali CVD admitted; male were more prevalent in YA (52.3%) and female in Od (58.3%). The most frequent type of CVD was ischemic (IS) (82.8% in YA and 82.1% in Od) with the lacunar sub-type more prevalent in YA (P-0.04) and the atherothrombotic in Od (P=0.004); TIA represen­ ted 8.3% of IS in YA and 3.3% in Od Previous stroke were reported in 20% YA and 32.7% Od (P=0.04). The dyslipidemia (43.1%), heavy alchool con­ sumption (24.6%) and cigarette smoking (12.3%) were more preval,ent in YA. There was heart dise­ase in 36.9% YA and 52.4% Od (P=0.02); the valvu­lar cardio-pathy was more prevalent in YA (18.5%). Infeccious complications were observed in 32.1% YA and 58.3% Od (P=0.001). The YA ha­ved a good improvement (slight deficits in 56.8% YA vs 28.3% Od - P=0.001). The mortality rate in YA was 12.3% and in Od 30.4% (P=0.003). Conclusions: The preval,ence of CVD in YA was 14 %. We observed more prevalence of female in olders. The IS was the more frequent stroke in both groups, the lacunar sub-type was more fre­quent in YA and the atherothrombotic in Od The HT was the more frequent VRF in both groups. The valvular cardiopathy was more frequent in YA and atrial fibrillation in Od The morbility and mortality was higher in older patients. ln admis­sion the mean level of dyastolic BP, total choleste­rol, LDL-C and triglycerides were significantly higher in YA.Objectivo: Estudo comparativo do acidente vas­cular cerebral (AVC) e factores de risco vascular (FRV) em doentes com idade inferior ou igual a 55 anos (adultos jovens) e com idade superior ou igual a 65 anos (idosos). Material e métodos: Análise retrospectiva dos processos clínicos de doentes internados no Ser­viço de Medicina Interna de um hospital central da área metropolitana do Porto com o diagnósti­co de AVC, no período de Fevereiro de 1989 a De­zembro de 1993. Analisados os seguintes parâ­ metros: idade e sexo; tipo e perfil do AVC, FRV (AVC anterior, hipertensão arterial (HTA), dia­betes, dislipidemia, cardiopatia, tabaco, álcool); intercorrências infecciosas; défice na alta e mor­talidade; tensão arterial (TA), hemograma, glice­ mia e perfil lipídico na admissão. População: 65 adultos jovens ( AJ) e 309  idosos (Id). Resultados: O AVC no AJ representou 14% dos AVC internados e no Id 66,7%; o sexo masculino foi mais prevalente nos AJ (52,3%) e o feminino nos Id (58,3%). O tipo de AVC mais frequente foi o isquémico (AI) (82,8% nos AJ e 82,1% nos Id), sen­do o subtipo lacunar mais prevalente no AJ (P=0,04) e o aterotrombótico no /d (P=0,004),· o AIT representou 8,3% dos AI no AJ e 3,3% no Id Antecedentes de AVC em 20% dos AJ e em 32, 7% dos Id (P•0,04). A dislipidemia (43,1%), o álcool (24,6%) e o tabaco (12,3%) foram mais prevalen­ tes no AJ. Na cardiopatia, mais prevalente no Id (52,4% vs 36,9% - P=0,02), a doença valvular foi mais frequente no AJ (18,5%). As intercorrências infecciosas foram mais frequentes nos Id (58,3% vs 32,1% - P=0,001). À data da alta 56,8% dos AJ apresentavam défices ligeiros contra 28,3% dos Id (P=0,001). A taxa de mortalidade foi superior nos Id (30,4% VS 12,3% - P=0,003). Conclusões: A prevalência de AVC nos AJ foi de 14% e nos Id de 66,7%. Contrariamente ao descri­to, verificamos um predomínio do AVC no sexo feminino na população idosa. O AI foi o tipo de AVC que  predominou em ambos os grupos, sendo o lacunar mais frequente nos AJ e o aterotrombó­ tico nos Id. A HTA foi o FRV mais frequente em ambos os grupos. A doença cardíaca valvular foi mais frequente nos AJ e a fibrilação auricular nos Id. O AVC nos AJ apresenta menor morbilidade e mortalidade. Na admissão, o valor médio da TA diastólica, do colesterol tota  das LDL-colesterol e dos triglicerídeos foi significativamente mais elevado nos AJ.Sociedade Portuguesa de Medicina Interna1996-12-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spmi.pt/index.php/rpmi/article/view/2302Internal Medicine; Vol. 3 No. 4 (1996): Outubro/ Dezembro; 216-220Medicina Interna; Vol. 3 N.º 4 (1996): Outubro/ Dezembro; 216-2202183-99800872-671Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spmi.pt/index.php/rpmi/article/view/2302https://revista.spmi.pt/index.php/rpmi/article/view/2302/1668Valente, JoãoBranco, AlcinoPais, FátimaAlves, LídiaBotelho, BertaNora, Manuelinfo:eu-repo/semantics/openAccess2023-08-19T06:11:54Zoai:oai.revista.spmi.pt:article/2302Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:27:21.869396Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Stroke in young and old patients: a retrospective study
Estudo comparativo do acidente vascular cerebral no adulto jovem e no idoso
title Stroke in young and old patients: a retrospective study
spellingShingle Stroke in young and old patients: a retrospective study
Valente, João
acidente vascular cerebra adul­to jovem
idoso
factores de risco vascular
title_short Stroke in young and old patients: a retrospective study
title_full Stroke in young and old patients: a retrospective study
title_fullStr Stroke in young and old patients: a retrospective study
title_full_unstemmed Stroke in young and old patients: a retrospective study
title_sort Stroke in young and old patients: a retrospective study
author Valente, João
author_facet Valente, João
Branco, Alcino
Pais, Fátima
Alves, Lídia
Botelho, Berta
Nora, Manuel
author_role author
author2 Branco, Alcino
Pais, Fátima
Alves, Lídia
Botelho, Berta
Nora, Manuel
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Valente, João
Branco, Alcino
Pais, Fátima
Alves, Lídia
Botelho, Berta
Nora, Manuel
dc.subject.por.fl_str_mv acidente vascular cerebra adul­to jovem
idoso
factores de risco vascular
topic acidente vascular cerebra adul­to jovem
idoso
factores de risco vascular
description Material and methods: We performed a retros­pective review of medical records of patients with a diagnosis of CVD between February 1989 and December 1993 at Internal Medicine Ward of a Hospital Center in area of Oporto. We analysed: age and sex; types of CVD and temporal profile; VRF (previous AVC, hypertension (HT), diabetes, dyslipidemia, heart disease, cigarette smoking and alcohol consumption); morbility and morta­ lity; blood pressure (BP), complete blood count, glucose and lipid analysis at admission. Patients: 65 patients were young adults (YA) and 309 were old (Od). Results: The CVD in YA represented 14% and in Od 66.7% of ali CVD admitted; male were more prevalent in YA (52.3%) and female in Od (58.3%). The most frequent type of CVD was ischemic (IS) (82.8% in YA and 82.1% in Od) with the lacunar sub-type more prevalent in YA (P-0.04) and the atherothrombotic in Od (P=0.004); TIA represen­ ted 8.3% of IS in YA and 3.3% in Od Previous stroke were reported in 20% YA and 32.7% Od (P=0.04). The dyslipidemia (43.1%), heavy alchool con­ sumption (24.6%) and cigarette smoking (12.3%) were more preval,ent in YA. There was heart dise­ase in 36.9% YA and 52.4% Od (P=0.02); the valvu­lar cardio-pathy was more prevalent in YA (18.5%). Infeccious complications were observed in 32.1% YA and 58.3% Od (P=0.001). The YA ha­ved a good improvement (slight deficits in 56.8% YA vs 28.3% Od - P=0.001). The mortality rate in YA was 12.3% and in Od 30.4% (P=0.003). Conclusions: The preval,ence of CVD in YA was 14 %. We observed more prevalence of female in olders. The IS was the more frequent stroke in both groups, the lacunar sub-type was more fre­quent in YA and the atherothrombotic in Od The HT was the more frequent VRF in both groups. The valvular cardiopathy was more frequent in YA and atrial fibrillation in Od The morbility and mortality was higher in older patients. ln admis­sion the mean level of dyastolic BP, total choleste­rol, LDL-C and triglycerides were significantly higher in YA.
publishDate 1996
dc.date.none.fl_str_mv 1996-12-31
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dc.identifier.uri.fl_str_mv https://revista.spmi.pt/index.php/rpmi/article/view/2302
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dc.relation.none.fl_str_mv https://revista.spmi.pt/index.php/rpmi/article/view/2302
https://revista.spmi.pt/index.php/rpmi/article/view/2302/1668
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dc.publisher.none.fl_str_mv Sociedade Portuguesa de Medicina Interna
publisher.none.fl_str_mv Sociedade Portuguesa de Medicina Interna
dc.source.none.fl_str_mv Internal Medicine; Vol. 3 No. 4 (1996): Outubro/ Dezembro; 216-220
Medicina Interna; Vol. 3 N.º 4 (1996): Outubro/ Dezembro; 216-220
2183-9980
0872-671X
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