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Original Research

Dusunen Adam. 2010; 23(1): 38-43


Risk factors that affect recurrence in strokes

Sema Demirci, Betül Z. Yalçıner, Göksel Bakaç, Cengiz Dayan, Fikret Aysal, Sevim Baybaş.




Abstract

Introduction: Recurrent stroke is defined as a new cerebrovascular event which occurs after the stabilization of the previous stroke. Recurrence of stroke increases likelihood of disability-mortality associated with stroke. Systematic evaluation of stroke cases can help to reduce the risk of recurrence. Objective: In order to predict strokes which carry the risk of recurrence, we aimed to compare data related to risk factors, stroke type, etiology and disability-mortality rates associated with stroke. Material And Method: Patients with stroke who referred to Bakırkoy Neurological and Psychiatric Diseases Training and Research State Hospital between June 1, 2002 and February 28, 2003 were recorded into the stroke database in a consecutive and prospective manner. Strokes were classified as ischemic/hemorrhagic and first/recurrent. For recurrent strokes, information about previous strokes was also recorded. Risk factors were classified as hypertension (HT), diabetes mellitus (DM), hyperlipidemia, atrial fibrillation (AF), coronary artery disease (CAD), migraine, transient ischemic accident (TIA), family history of cerebrovascular accident (CVA), oral contraceptive use, PAD, congestive heart failure (CHF), other heart diseases, smoking cigarette and alcohol consumption. Disability-mortality rates associated with stroke were evaluated. All data were compared for first and recurrent strokes. Results: In our study, 631 patients were evaluated, 52.3% of whom were female and 47.7% male. Frequency of stroke was statistically high (p

Key words: Stroke, recurrent stroke, risk factors






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