engleski

Stroke characteristics and risk factors in the osijek area

Aim: To determine the characteristics of stroke in Osijek area and the share of classic risk factors (RF) in a group of examinees and in certain subtypes of stroke. Patients and methods: The study comprises 250 patients admitted to the Neurology clinic of University Hospital Centre Osijek in 2011. Average age of patients was 71.6 years, and distribution according to gender was similar (52% males and 48% females). Results: 88.4% of patients suffered from ischemic stroke, and 11.6% from hemorrhagic stroke. The most frequent type of stroke was small vessel stroke (SVS) (42.4%), followed by large vessel stroke (23.6%), cardioembolic stroke (CES) (12.4%), stroke of undetermined etiology (9.6%), typical intracerebral hemorrhage (ICHt) (8.8%), atypical ICH (1.6%), subarachnoid hemorrhage (1.2%) and other etiology stroke (0.4%). The most frequent risk factors were: arterial hypertension (AH) (82.4%), carotid artery stenosis (CS) (36.4%), hyperuricemia (27.6%), diabetes mellitus (26.8%), elevated cholesterol level (24.8%), simultaneously elevated cholesterol and triglycerides level (24.4%), cardiomyopathy (CMP) (24.4%) and atrial fibrillation (AF) (16.4%). The share of AH was especially high in CES (96.8%), ICHt (90.9%) and SVS (84.9%). As expected, the highest frequency of AF was found in CES (77.4%), and a surprisingly high share of hyperuricemia was found in all subtypes of stroke. Statistically significant difference (p<0.05) was determined in distribution of AH, AF, CMP and CS in different subtypes of stroke. Conclusion: This research showed that SVS and ICHt are the most frequent subtypes of stroke in Osijek area, which is directly connected to a high share of AH and other classic RF for stroke associated with unhealthy lifestyle. The results point to a need for further education, raising awareness about the early detection and modification of RF, as well as adopting a healthy lifestyle as the most efficient preventive measure for stroke.

Stroke; Risk Factors; Classification

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