Stroke in young and old patients: a retrospective study
Autor(a) principal: | |
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Data de Publicação: | 1996 |
Outros Autores: | , , , , |
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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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 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/2302 |
url |
https://revista.spmi.pt/index.php/rpmi/article/view/2302 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
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 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799133541815025664 |