scholarly journals Corrigendum to “Potential Factors for Psychological Symptoms at Three Months in Patients with Young Ischemic Stroke”

2021 ◽  
Vol 2021 ◽  
pp. 1-2
Author(s):  
Dongjuan Xu ◽  
Xi Chu ◽  
Kun Wang ◽  
Lianyan Wei ◽  
Yunyun Xu ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Psychological Symptoms ◽  
Young Ischemic Stroke ◽  
Potential Factors

scholarly journals Potential Factors for Psychological Symptoms at Three Months in Patients with Young Ischemic Stroke

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Dongjuan Xu ◽  
Xi Chu ◽  
Kun Wang ◽  
Lianyan Wei ◽  
Yunyun Xu ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Infarct Size ◽  
Psychological Symptoms ◽  
Family Dysfunction ◽  
Psychological Status ◽  
Regression Analyses ◽  
Stroke Patients ◽  
Psychological Variables ◽  
The Family ◽  
Young Ischemic Stroke

Objective. Psychological status plays a vital role in the recovery in young ischemic stroke patients. However, few reports on the psychological symptoms in Chinese young ischemic stroke patients have been published. In the present study, we aimed to outline the psychological status of young ischemic stroke patients and its risk factors at three months after their stroke. Methods. 364 patients with young ischemic stroke and 384 age-matched healthy controls were consecutively recruited from our study hospitals of the mainland of China between June 2018 and November 2020. Social demographic and clinical data were collected from all enrolled participants in the acute stage of their stroke, and their psychological variables were assessed via the Symptom Checklist 90 Revised (SCL-90-R) at three-month timepoint after their stroke. Multivariable logistic regression analyses were run to identify the independent factors for psychological variables in patients. Results. Compared with healthy controls, patients with young ischemic stroke had significantly higher total score of SCL-90-R and all subscale total scores ( p < 0.01 or 0.05). 22.3% (81/364 cases) in young ischemic stroke patients had psychological abnormalities. Compared with young ischemic stroke patients without psychological symptoms ( n = 283 ), patients with psychological symptoms ( n = 81 ) had higher rate of married status ( p = 0.03 ), rate of hypertension ( p = 0.01 ), infarct size ( p = 0.01 ), and the family dysfunction ( p < 0.01 ). Multivariate logistic regression analyses revealed that the family dysfunction (odds ratio [OR], 2.50, 95% confidence interval [CI]: 1.71 to 3.54, p < 0.01 ), having hypertension (OR, 3.27, 95% CI: 1.92 to 4.27, p = 0.02 ), and ≥20mm3 infarct size (OR, 2.39, 95% CI: 1.53 to 3.45, p < 0.01 ) were independent factors for having psychological abnormalities in patients with young ischemic stroke at three months after their stroke. Single (OR, 1.23, 95% CI: 1.03 to 1.54, p = 0.01 ), poor family function (OR, 1.21, 95% CI: 1.05 to 1.45, p = 0.03 ), and ≥20mm3 infarct size (OR, 1.74, 95% CI: 1.14 to 3.13, p = 0.02 ) were independent factors for having depression in patents with psychological symptoms. The family dysfunction (OR, 2.32, 95% CI: 1.51 to 2.80, p < 0.01 ) and hypertension (OR, 2.41, 95% CI: 1.54 to 3.46, p = 0.03 ) were independent factors for emerging somatization and anxiety in patients with psychological symptoms, respectively. Conclusions. At three months after their stroke, young ischemic stroke patients had psychological problems and risk factors for developing them.

scholarly journals Conversion disorder is a diagnosis of exclusion: A young ischemic stroke patient

2021 ◽  
Vol 21 (2) ◽  
pp. 317-320
Author(s):  
Burak Emre Gilik ◽  
Çağdaş Yıldırım ◽  
Talat Cem Özdemir
Keyword(s):  
Ischemic Stroke ◽  
Stroke Patient ◽  
Conversion Disorder ◽  
Ischemic Stroke Patient ◽  
Young Ischemic Stroke

scholarly journals Risk of recurrent stroke and antiplatelet choice in breakthrough stroke while on aspirin

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Joon-Tae Kim ◽  
Beom Joon Kim ◽  
Jong-Moo Park ◽  
Soo Joo Lee ◽  
Jae-Kwan Cha ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Risk Score ◽  
Stroke Risk ◽  
Recurrent Stroke ◽  
Vascular Events ◽  
Factors Associated ◽  
Increased Risk ◽  
Potential Factors ◽  
Predictive Risk ◽  
Multicenter Registry

Abstract Uncertainty regarding an optimal antiplatelet regimen still exists in patients with breakthrough acute ischemic stroke (AIS) while on aspirin. This study provides an analysis of a prospective multicenter registry between April 2008 and April 2014. Eligible patients were on aspirin at the time of AIS and treated with antiplatelet regimens (aspirin, clopidogrel, or clopidogrel-aspirin). Potential factors associated with the choice of each antiplatelet regimen were explored and included a predictive risk score for future vascular events, the Essen Stroke Risk Score (ESRS). A total of 2348 patients (age, 69 ± 11 years; male, 57.7%) were analyzed, and 55.3%, 25.3% and 19.4% were treated with clopidogrel-aspirin, aspirin and clopidogrel, respectively. While the likelihood of choosing clopidogrel-aspirin increased as the ESRS increased, the likelihood of choosing aspirin decreased as the ESRS increased (Ptrend < 0.001). The ESRS category (0–1/2–3/ ≥ 4) modified the effect of antiplatelet regimens for 1-year vascular events (Pinteraction < 0.01). Among patients with ESRS ≥ 4, clopidogrel-aspirin (HR 0.47 [0.30–0.74]) and clopidogrel (HR 0.30 [0.15–0.60]) significantly reduced the risk of outcome events. Our study showed that more than half of the patients with aspirin failure were treated with clopidogrel-aspirin. In particular, a higher ESRS, which indicates an increased risk of recurrent stroke, was associated with the choice of clopidogrel-aspirin rather than aspirin.

scholarly journals A 10-Year Review of the Complications Caused by Ingested and Aspirated Dentures

2020 ◽  
pp. 014556132091752
Author(s):  
Jessica Daniels ◽  
Babatunde Oremule ◽  
William Tsang ◽  
Sadie Khwaja
Keyword(s):  
Complication Rate ◽  
Psychological Symptoms ◽  
Early Recognition ◽  
Case Reports ◽  
Pearson Correlation ◽  
Fistula Formation ◽  
Hollow Viscus ◽  
Duration Of Symptoms ◽  
United Kingdom Population ◽  
Potential Factors

Introduction: Dentures are worn by 20% of the United Kingdom population for both physical and psychological symptoms associated with tooth loss. However, significant morbidity and mortality can result if dentures are swallowed or aspirated. This 10-year review investigated the development of complications following denture aspiration or ingestion, and identified key learning points. Methods: The Medline database was searched for cases of denture ingestion or aspiration from October 1, 2009, to October 31, 2019. Search terms included “dental prosthesis, denture, dental plate, bridge and false teeth” and “swallow, ingest, eat, aspirate and inhale.” Potential factors influencing the development of complications were assessed (hollow viscus perforation, fistula formation, abscess, bowel obstruction, necrosis, hemorrhage, and airway obstruction). Statistical analysis was performed using χ2 and Pearson correlation tests in R Studio. No ethical approval was required. Results: Eighty-five patients were identified from 77 case reports. Fourteen articles were excluded due to insufficient information. Complications were documented in 37.6% (n = 32) of patients with 2 cases resulting in death. Duration of symptoms over 1 day ( P = .005) and delayed removal beyond 4 days post-ingestion ( P = .017) was significantly associated with increased rates of complications. There was no significant association between complication rate and patient age, denture type, level of impaction, or radiolucency. Conclusion: Denture aspiration or ingestion can have serious consequences. Factors impacting complication rate revolve around early recognition and treatment. Clinician awareness of the potential risks of dentures is paramount to early diagnosis. We recommend early intervention to reduce the morbidity associated with this unassuming device.

scholarly journals Factors Associated With Impaired Kidney Function and Its Impact on Long-Term Outcome in Young Ischemic Stroke

Stroke ◽  
2011 ◽  
Vol 42 (9) ◽  
pp. 2459-2464 ◽  
Author(s):  
Jukka Putaala ◽  
Elena Haapaniemi ◽  
Daniel Gordin ◽  
Ron Liebkind ◽  
Per-Henrik Groop ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Kidney Function ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Factors Associated ◽  
Young Ischemic Stroke

Long-term mortality among young ischemic stroke patients in western Norway

2007 ◽  
Vol 116 (3) ◽  
pp. 150-156 ◽  
Author(s):  
U. Waje-Andreassen ◽  
H. Naess ◽  
L. Thomassen ◽  
G. E. Eide ◽  
C. A. Vedeler
Keyword(s):  
Ischemic Stroke ◽  
Stroke Patients ◽  
Western Norway ◽  
Young Ischemic Stroke ◽  
Long Term Mortality

Young ischemic stroke in Tunisia: a multicentric study

2016 ◽  
Vol 127 (4) ◽  
pp. 314-319 ◽  
Author(s):  
Asma Kefi ◽  
Thara Larbi ◽  
Meya Abdallah ◽  
Amira El Ouni ◽  
Neil Bougacha ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Multicentric Study ◽  
Young Ischemic Stroke

scholarly journals Young Ischemic Stroke in South Asia: A review

2013 ◽  
Vol 2 (1) ◽  
pp. 27-33 ◽  
Author(s):  
Rajeev Ojha ◽  
Dongya Huang ◽  
Hedi An ◽  
Lian Zuo ◽  
Wenxia Zhu
Keyword(s):  
Risk Factors ◽  
Ischemic Stroke ◽  
South Asia ◽  
Rural Areas ◽  
Young Stroke ◽  
Stroke In Young Adults ◽  
Incidence Risk ◽  
Young Ischemic Stroke ◽  
Traditional Risk Factors ◽  
Undetermined Etiology

Stroke in young adults may have early impact on quality of life in survivors. Uncontrolled stroke risk factors, lack of treatment facilities and a dense population has made its special significance in South Asia. The main aim of this study is to evaluate incidence, risk factors, etiology and clinical characteristics of young ischemic stroke in South Asia. Incidence of young stroke is more common in South Asian countries than developed western countries and has higher prevalence in rural areas. Traditional risk factors, such as hypertension, smoking, hyperlipidemia and diabetes are associated with majority of cases. Cardioembolism and undetermined etiology contribute to a large proportion of stroke etiology. Appropriate stepwise investigations are suggested to diagnose stroke of other determined etiology. Regular intake of drugs to control risk factors, cessation of smoking, and promote physical activity is suggested to reduce the burden of young stroke. Journal of Advances in Internal Medicine 2013;02(01):27-33 DOI: http://dx.doi.org/10.3126/jaim.v2i1.7636

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