The comparison of risk factor between the young adult and elderly onset of ischemic stroke

Abstract

Background: Young adults are likely to distinguish risk factor from elderly concerning ischemic stroke. Aims and Objective: Measure the comparison of risk factor between the young adult and elderly onset of ischemic stroke. Material and Methods: This was a cross sectional study using secondary data from electronic medical record and electronic stroke registry of Bethesda Hospital Yogyakarta Indonesia. The stroke was diagnosed with standard way by well-trained neurologist and confirmed with CT Scan. The risk factors were defined systematically. We used OpenEpi sample size calculation and Statistical Package for Social Sciences version 20 with significance level 0,05. Results: The data of 200 subjects consisted of 100 patients aged under 50 years and 100 patients aged above 50 years. Patients in the elderly group more frequently had atrial fibrillation (92,3% vs 7,6%, p= 0.001). On the other hand, the elderly group more often dyslipidemia (52,1% vs 47,9%) and ischemic heart disease (75% vs 25%). Diabetes and hypertension are more common in young onset compare the old one (57,1% vs 42,9% and 57,6% vs 42,4%). There was not a significantly different risk’s factor include dyslipidemia, ischemic heart disease, diabetes and hypertension both of the group. Conclusion: Atrial fibrillation is the leading risk factor for ischemic stroke, particularly in elderly patients. These findings suggest specializing stroke care to secondary prevention in patient with risk factors.

Keywords

• ichemic stroke
• age group
• risk factors