[The disorder of cerebral circulation in patients of able-bodied age]
| Autor: | T. N. Proklova, A. Iu. Svistunova, N. S. Brynza, D. I. Lebedeva, S. M. Dyachkov, I. V. Elfimova |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Multivariate analysis business.industry Incidence (epidemiology) Medical record General Medicine medicine.disease Stroke Cerebral circulation Risk Factors Internal medicine Cerebrovascular Circulation Hypertension Risk of mortality medicine Humans In patient Hospital Mortality Risk factor business Aged |
| Zdroj: | Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny. 28(5) |
| ISSN: | 0869-866X |
| Popis: | The study was organized to evaluate influence of risk factors on hospital mortality in patients with acute stroke because incidence of stroke in patients of able-bodied age is increasing. All cases of in-patient care of patients of able-bodied age with acute stroke (n=4118) in the Tyumen Oblast clinical hospital № 2 during 2010-2018 were analyzed. The study was based on sampling data from hospital medical records. During the analyzed period, decreasing of in-patient lethality up to 34.9% in patients of able-bodied age was observed. During the period of “therapeutic window” 60% of patients of able-bodied age admitted died. The multivariate analysis was applied to assess influence of different factors on in-patient mortality. The presence of coronary heart disease increases risk of mortality up to 47.5%, Exp(Beta)=1.475, employment - up to 66.8%, Exp(Beta)=1.668 as compared to baseline risk. The presence of arterial hypertension and remoteness of symptom onset in ln (hours) (hospital admission) decreases mortality risk up to approximately 39.7%, Exp (Beta)=0.603 and up to 24.0%, Exp (Beta)=0.760, respectively (specificity - 75.86%, sensitivity - 72.18%; overall diagnostic accuracy - 75.23%). In patients of working age the presence of coronary heart disease and elder age are risk factors of stroke. The presence of coronary heart disease and employment are risk factors of in-patient mortality. Whereas presence of hypertension and employment decreases risk of lethal outcome. |
| Databáze: | OpenAIRE |
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