Associated Factors of Stroke Severity Among Young Adult Stroke Patients in Malaysia from National Neurology Registry 2014 - 2018

Autor: JUSOH Fara Waheda Jusoh, YAACOB Najib Majdi, GHAZALI Anis Kausar, SIDEK Norsima Nazifah, ABDUL AZIZ Zariah
Jazyk: angličtina
Rok vydání: 2021
Předmět:
DOI: 10.5281/zenodo.5348487
Popis: Introduction Incidence of stroke in Malaysian young adult is rising. The aims of this study were to estimate the proportion of stroke severity and to determine the factors associated with the stroke severity among young adult stroke patients. Method This was a cross-sectional study of young stroke patients aged between 18-49 years old. Data of patients registered from January 2014 to December 2018 with the first stroke event including socio demographic characteristics, stroke subtype classification, comorbidities characteristics, and other risk factors were retrieved from the National Neurology Registry (NNeur). The stroke severity outcome was measured with NIH stroke scale (NIHSS) and categorized as mild, moderate, or severe. Ordinal logistic regression was used to analyze and quantify the odds ratio and 95% confidence interval. Results A total of 1,421 patients with a mean age of 41±7.64 years old were analysed. The overall proportion of young adult stroke patients was 6.22% and predominantly by male with a ratio of 1.7 to 1. The proportion of mild, moderate and severe were 50.4% (95% CI:0.48,0.54), 41.2% (95% CI:0.38,0.44) and 8.7% (95% CI:0.07,0.10), respectively. In multivariable analysis, ischaemic stroke (OR=2.15, 95% CI:1.43,3.23), atrial fibrillation (OR=3.94, 95% CI:2.08,7.47) and alcohol drinking (OR=1.93, 95% CI:1.06,3.50) were factors that influenced higher odds of having a more severe stroke. Conclusion Of total, about 50% of young adult patient was categorized as mild stroke. Stroke classification, atrial fibrillation and alcohol drinking were factors that influenced in having a more severe stroke. [Disclaimer: Abstract text might vary slightly from what is displayed in the e-poster]
This poster was submitted to the 14th National Conference for Clinical Research (NCCR) in August 18-20, 2021. https://nccrconference.com.my/ This poster is also shortlisted for 14th Dr Wu Lien-Teh Youth Investigator Awards. Following are the links for the presentation slides on Zenodo Repository and Slideshare: Zenodo Repository : https://zenodo.org/record/5348488 Slideshare : https://www.slideshare.net/ICRInstituteForClini/associated-factors-of-stroke-severity-among-young-adult-stroke-patients-in-malaysia-from-national-neurology-registry-2014-2018
Databáze: OpenAIRE
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