Kumral E, Ozkaya B, Sagduyu A, Sirin H, Vardarli E, Pehlivan M
Department of Neurology, Ege University Faculty of Medicine, Izmir, Turkey.
Cerebrovasc Dis. 1998 Sep-Oct;8(5):278-88. doi: 10.1159/000015866.
We present the profile of risk factors, etiologic and clinical data of 2,000 consecutive patients with first-ever-in-a-lifetime stroke (cerebral infarction, cerebral hemorrhage and subarachnoid hemorrhage), admitted to the Ege University Hospital between January 1, 1991, and September 31, 1995. This hospital-based registry is the first systematic epidemiologic report on the stroke profile of Turkish people The Ege University Stroke Unit is the only tertiary medical care facility which is organized for patients with different stroke subtypes in Izmir, Turkey. A prospective hospital-based registry using systematic computer coding of data of all stroke patients has been used since January 1991. All patients were evaluated by clinical examination, CT and/or MRI, color duplex and specific cardiac investigations. They were followed up for at least 6 months. The mean age was 62.3 +/- 12 years, and 44.4% were females. Ischemic stroke was found in 77%, primary intracerebral hemorrhage in 19% and subarachnoid hemorrhage in 4%. The major risk factor of ischemic stroke was hypertension (63%), followed by hypercholesterolemia (37%), diabetes mellitus (35%), ischemic heart disease (23%), atrial fibrillation (20%) and smoking (17%). The main cause of primary intracerebral hemorrhage was hypertension (88%), and the principal localization was the thalamus (38%), followed by putamen (28%), lobar(16%), pons(6%), cerebellar(4%), primary intraventricular hemorrhage (4%) and multiple hemorrhages (2%). The over- all 30-day case-fatality rate was 19.7% and the higher mortality rate was found in patients with primary intracerebral hemorrhage (29%) than in those with ischemic stroke (17%). The Ege Stroke Registry allows to estimate the stroke-related problems in patients admitted to a stroke unit and to evaluate the risk factors, etiology and clinical manifestations of stroke in Turkey.
我们呈现了1991年1月1日至1995年9月31日期间入住伊兹密尔艾杰大学医院的2000例首次发生卒中（脑梗死、脑出血和蛛网膜下腔出血）患者的危险因素、病因及临床资料。这个基于医院的登记系统是关于土耳其人群卒中情况的首份系统性流行病学报告。艾杰大学卒中单元是土耳其伊兹密尔唯一一家为不同卒中亚型患者设立的三级医疗护理机构。自1991年1月起，我们采用了一个基于医院的前瞻性登记系统，对所有卒中患者的数据进行系统的计算机编码。所有患者均接受了临床检查、CT和/或MRI、彩色双功超声及特定的心脏检查。他们至少接受了6个月的随访。患者的平均年龄为62.3±12岁，女性占44.4%。缺血性卒中占77%，原发性脑出血占19%，蛛网膜下腔出血占4%。缺血性卒中的主要危险因素是高血压（63%），其次是高胆固醇血症（37%）、糖尿病（35%）、缺血性心脏病（23%）、心房颤动（20%）和吸烟（17%）。原发性脑出血的主要病因是高血压（88%），主要出血部位是丘脑（38%），其次是壳核（28%）、脑叶（16%）、脑桥（6%）、小脑（4%）、原发性脑室内出血（4%）和多发性出血（2%）。总体30天病死率为19.7%，原发性脑出血患者的死亡率（29%）高于缺血性卒中患者（17%）。艾杰卒中登记系统有助于评估入住卒中单元患者的卒中相关问题，并评估土耳其卒中的危险因素、病因及临床表现。
