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Factors for short-term outcomes in patients with a minor stroke: results from China National Stroke Registry

机译:轻度卒中患者短期预后的因素:中国国家卒中登记局的结果

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Stroke recurrence and disability in patients with a minor stroke is one of the most depressing medical situations. In this study, we aimed to identify which factors were associated with adverse outcomes of a minor stroke. The China National Stroke Registry (CNSR) is a nationwide prospective registry for patients presented to hospitals with acute cerebrovascular events between September 2007 and August 2008. The 3-month follow-up was completed in 4669 patients with a minor stroke defined as the initial neurological severity lower than 4 in the National Institutes of Health Stroke Scale (NIHSS). Multivariate model was used to determine the association between risk factors and clinical outcomes. Of 4669 patients with a minor stroke during 3-month follow-up, 459 (9.8?%) patients experienced recurrent stroke, 679 (14.5?%) had stroke disability and 168 (3.6?%) died. Multivariate model identified hypertension, diabetes mellitus, atrial fibrillation, coronary heart disease and previous stroke as independent predictors for the recurrent stroke. Age, diabetes mellitus, atrial fibrillation, previous stroke and time from onset to admission?
机译:轻度中风患者的中风复发和残疾是最令人沮丧的医疗情况之一。在这项研究中,我们旨在确定哪些因素与轻度卒中的不良后果有关。中国国家卒中登记中心(CNSR)是针对2007年9月至2008年8月期间就诊于急性脑血管事件医院的患者而设的全国性前瞻性登记系统。对4669例轻度卒中患者(定义为初始神经系统疾病)进行了为期3个月的随访严重程度低于美国国立卫生研究院卒中量表(NIHSS)中的4。使用多变量模型来确定危险因素与临床结果之间的关联。在3个月的随访中,有4669名轻度卒中患者中,有459例(9.8%)经历了复发性中风,其中679例(14.5%)患有中风残疾,而168例(3.6%)死亡。多元模型将高血压,糖尿病,心房纤颤,冠心病和先前的卒中确定为复发性卒中的独立预测因子。年龄,糖尿病,心房纤颤,先前的中风和从发病到入院的时间<24小时是独立的卒中残疾预测因素。全因死亡的独立预测因素是年龄,房颤和冠心病。中国轻度卒中患者临床预后不良的短期风险很大。因此,轻度中风患者应给予迅速评估和紧急积极干预。

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