Predictors for the prognosis and recurrence of ischaemic stroke among young Chinese patients: a cohort study

OBJECTIVE: To identify predictors of young Chinese patients with ischaemic stroke outcome and recurrence of stroke. DESIGN: Through considered the risk factors, neuroimaging findings, distribution, vascular stenosis, and the post-stroke treatment of young Chinese patients with ischemic stroke. SETTI...

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Autores principales: Wang, Lijuan, Ge, Jiaojiao, Chen, Ying, Liu, Ying, Li, Cong, Dong, Yanan, Liu, Li, Xing, Yingqi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9062810/
https://www.ncbi.nlm.nih.gov/pubmed/35501080
http://dx.doi.org/10.1136/bmjopen-2021-052289
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author Wang, Lijuan
Ge, Jiaojiao
Chen, Ying
Liu, Ying
Li, Cong
Dong, Yanan
Liu, Li
Xing, Yingqi
author_facet Wang, Lijuan
Ge, Jiaojiao
Chen, Ying
Liu, Ying
Li, Cong
Dong, Yanan
Liu, Li
Xing, Yingqi
author_sort Wang, Lijuan
collection PubMed
description OBJECTIVE: To identify predictors of young Chinese patients with ischaemic stroke outcome and recurrence of stroke. DESIGN: Through considered the risk factors, neuroimaging findings, distribution, vascular stenosis, and the post-stroke treatment of young Chinese patients with ischemic stroke. SETTING: The First Hospital of Jilin University. PARTICIPANTS: We enrolled 579 patients (median age 45 years, range 15–49, men 81.0%) treated for the first occurrence of ischaemic stroke between January 2014 and December 2017. MAIN OUTCOME MEASURES: We assessed stroke outcome based on the modified Rankin Scale (mRS) scores and recurrence of cerebrovascular events at 12 months. Multivariate logistic regression was used to identify the independent predictors of unfavourable outcomes (mRS score ≥2) and recurrence. RESULTS: We observed stenosis in 295 patients (50.9%)—middle cerebral artery stenosis was the most common (18.1%). Of all 579 included patients, normal or mild, moderate and severe stenoses or occlusions were observed in 51.8%, 6.0% and 42.1% of patients, respectively. Unfavourable outcomes were observed in 91 patients (15.7%), including 10 patients (1.7%) who died. The rate of stroke recurrence was 7.9%. Independent predictors of unfavourable outcomes included a high National Institutes of Health Stroke Scale score (OR 1.151, 95% CI 1.094 to 1.210; p<0.001) and severe vascular stenosis or occlusion (OR 1.867, 95% CI 1.181 to 2.952; p=0.008). Predictors of recurrence included age of ≥45 years (OR 2.072, 95% CI 1.066 to 4.025; p=0.032) and atrial fibrillation (OR 15.207, 95% CI 4.273 to 54.120; p<0.001). CONCLUSIONS: Our research shows that when developing prevention strategies for young people, measures that focus on mitigating risk factors should be considered. In addition, vascular screening of young populations is also of vital importance for stroke prevention and poor prognosis prediction.
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spelling pubmed-90628102022-05-12 Predictors for the prognosis and recurrence of ischaemic stroke among young Chinese patients: a cohort study Wang, Lijuan Ge, Jiaojiao Chen, Ying Liu, Ying Li, Cong Dong, Yanan Liu, Li Xing, Yingqi BMJ Open Neurology OBJECTIVE: To identify predictors of young Chinese patients with ischaemic stroke outcome and recurrence of stroke. DESIGN: Through considered the risk factors, neuroimaging findings, distribution, vascular stenosis, and the post-stroke treatment of young Chinese patients with ischemic stroke. SETTING: The First Hospital of Jilin University. PARTICIPANTS: We enrolled 579 patients (median age 45 years, range 15–49, men 81.0%) treated for the first occurrence of ischaemic stroke between January 2014 and December 2017. MAIN OUTCOME MEASURES: We assessed stroke outcome based on the modified Rankin Scale (mRS) scores and recurrence of cerebrovascular events at 12 months. Multivariate logistic regression was used to identify the independent predictors of unfavourable outcomes (mRS score ≥2) and recurrence. RESULTS: We observed stenosis in 295 patients (50.9%)—middle cerebral artery stenosis was the most common (18.1%). Of all 579 included patients, normal or mild, moderate and severe stenoses or occlusions were observed in 51.8%, 6.0% and 42.1% of patients, respectively. Unfavourable outcomes were observed in 91 patients (15.7%), including 10 patients (1.7%) who died. The rate of stroke recurrence was 7.9%. Independent predictors of unfavourable outcomes included a high National Institutes of Health Stroke Scale score (OR 1.151, 95% CI 1.094 to 1.210; p<0.001) and severe vascular stenosis or occlusion (OR 1.867, 95% CI 1.181 to 2.952; p=0.008). Predictors of recurrence included age of ≥45 years (OR 2.072, 95% CI 1.066 to 4.025; p=0.032) and atrial fibrillation (OR 15.207, 95% CI 4.273 to 54.120; p<0.001). CONCLUSIONS: Our research shows that when developing prevention strategies for young people, measures that focus on mitigating risk factors should be considered. In addition, vascular screening of young populations is also of vital importance for stroke prevention and poor prognosis prediction. BMJ Publishing Group 2022-05-02 /pmc/articles/PMC9062810/ /pubmed/35501080 http://dx.doi.org/10.1136/bmjopen-2021-052289 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Neurology
Wang, Lijuan
Ge, Jiaojiao
Chen, Ying
Liu, Ying
Li, Cong
Dong, Yanan
Liu, Li
Xing, Yingqi
Predictors for the prognosis and recurrence of ischaemic stroke among young Chinese patients: a cohort study
title Predictors for the prognosis and recurrence of ischaemic stroke among young Chinese patients: a cohort study
title_full Predictors for the prognosis and recurrence of ischaemic stroke among young Chinese patients: a cohort study
title_fullStr Predictors for the prognosis and recurrence of ischaemic stroke among young Chinese patients: a cohort study
title_full_unstemmed Predictors for the prognosis and recurrence of ischaemic stroke among young Chinese patients: a cohort study
title_short Predictors for the prognosis and recurrence of ischaemic stroke among young Chinese patients: a cohort study
title_sort predictors for the prognosis and recurrence of ischaemic stroke among young chinese patients: a cohort study
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9062810/
https://www.ncbi.nlm.nih.gov/pubmed/35501080
http://dx.doi.org/10.1136/bmjopen-2021-052289
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