Rostohar Bijelić Bibijana, Petek Marta, Kadojić Mira, Bijelić Nikola, Kadojić Dragutin
Scientific Research Unit, Osijek University Hospital Centre, Osijek, Croatia.
University Department of Neurology, Osijek University Hospital Centre, Osijek, Croatia.
Acta Clin Croat. 2018 Mar;57(1):103-109. doi: 10.20471/acc.2018.57.01.12.
The aim of this study was to determine the distribution of risk factors according to age, gender, subtypes and recurrence of stroke in eastern Croatia. The study included 250 acute stroke patients admitted to University Department of Neurology, Osijek University Hospital Centre in 2011. Patients were grouped according to age, gender, subtypes and recurrence of stroke. The study showed significant differences in the distribution of cigarette smoking, diabetes, cardiomyopathy and hyperuricemia according to patient age. According to gender, male patients had a significantly higher prevalence of smoking and alcohol abuse, whereas in female patients the prevalence of arterial hypertension, atrial fibrillation and hyperuricemia was significantly higher. Regarding stroke subtypes, significant differences were noticed in the prevalence of arterial hypertension, atrial fibrillation, cardiomyopathy and cerebral blood vessel stenosis. Atrial fibrillation was significantly more common in first-ever than in recurrent stroke. Study results identified the groups of patients requiring special attention regarding particular risk factors in eastern Croatia and emphasized the need of developing regional strategies of screening, prevention and holistic care for stroke patients.
本研究的目的是确定克罗地亚东部地区中风风险因素按年龄、性别、亚型和复发情况的分布。该研究纳入了2011年在奥西耶克大学医院中心大学神经科收治的250例急性中风患者。患者根据年龄、性别、亚型和中风复发情况进行分组。研究表明,根据患者年龄,吸烟、糖尿病、心肌病和高尿酸血症的分布存在显著差异。按性别划分,男性患者吸烟和酗酒的患病率显著更高,而女性患者动脉高血压、心房颤动和高尿酸血症的患病率显著更高。关于中风亚型,动脉高血压、心房颤动、心肌病和脑血管狭窄的患病率存在显著差异。心房颤动在首次中风中比复发性中风中明显更常见。研究结果确定了克罗地亚东部地区在特定风险因素方面需要特别关注的患者群体,并强调了制定中风患者筛查、预防和整体护理区域策略的必要性。