Study of the Patterns and Predictors of Recurrent Stroke among Patients with Initial Ischemic Stroke_West China Medical Journal

Authors：

 ZHANGLi-lin , YANGCheng-rong , BAILiang

Department of Neurology, Ya'an People's Hospital, Ya'an, Sichuan 625000, P. R. China;

Corresponding author：

Keywords：

Initial ischemic stroke; Recurrent stroke; Pattern; Risk factor

DOI：

10.7507/1002-0179.20150460

Video：

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Objective To analyze the patterns of recurrent strokes among patients with initial ischemic stroke and investigate the possible predictors of recurrent ischemic stroke. Method Patients with recurrent strokes after initial ischemic strokes hospitalized in our hospital between January 2008 and December 2012 were included in the study, and the data of general demographic information, life history, past medical history and laboratory test results were all retrospectively analyzed. The patterns of recurrent strokes in patients with initial ischemic stroke were analyzed, and multivariate logistic regression analysis was used to investigate the independent risk factors for recurrent ischemic stroke. Results A total of 237 patients were included in this study, including 198 patients with recurrent ischemic stroke and 39 patients with recurrent hemorrhagic stroke. Among patients with recurrent ischemic stroke, there were 137 patients with anterior circulation stroke, 52 with posterior circulation stroke and 9 with multiple infarction. Multivariate logistic regression analysis showed that older age at initial stroke onset[OR=1.968, 95%CI (1.533, 2.152), P=0.009], frequent mood swings[OR=1.345, 95%CI (1.121, 1.783), P=0.011], hyperlipidemia[OR=1.436, 95%CI (1.216, 1.732), P=0.018] and atrial fibrillation[OR=3.417, 95%CI (2.927, 4.897), P=0.005] were independent risk factors for recurrent ischemic stroke. Conclusions Ischemic stroke is the most common pattern of recurrent strokes; and aging, frequent mood swings, hyperlipidemia and atrial fibrillation are possible predictors of recurrent ischemic stroke after the initial ischemic stroke.

Citation： ZHANGLi-lin, YANGCheng-rong, BAILiang. Study of the Patterns and Predictors of Recurrent Stroke among Patients with Initial Ischemic Stroke. West China Medical Journal, 2015, 30(9): 1601-1604. doi: 10.7507/1002-0179.20150460 Copy

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16.	于庆海, 董彦慧. 老年脑卒中患者复发的危险因素临床分析[J]. 河北医学, 2015, 21(11):1880-1883.
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18.	王红彦, 程勇, 王培昌. 北京地区脑卒中高危人群血糖、血脂水平调查[J]. 河北医药, 2014, 36(10):1480-1481.
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1. 庄育, 宣董强, 方堃. 缺血性脑卒中再发风险预测的现况[J]. 中华脑血管病杂志:电子版, 2013, 7(1):398-403.
2. 翟青, 童晓欣. 青年缺血性脑卒中112例危险因素分析[J]. 卒中与神经疾病, 2013(3):162-165.
3. 吴建霞, 郭秀君, 杨复君, 等. 缺血性脑卒中复发危险因素的研究进展[J]. 中华现代护理杂志, 2011, 17(31):3829-3832.
4. 冯社军, 刘鸣, 李卫征, 等. 脑卒中患者复发及其影响因素研究[J]. 南方医科大学学报, 2009, 29(5):983-985.
5. 王丹. 缺血性脑卒中患者临床治疗对预后影响的临床研究[J]. 中国医药指南, 2013, 11(8):149-150.
6. 林晶倩, 张爱娟, 杨丽芳, 等. 复发性脑卒中临床及影像学研究[J]. 中国实用神经疾病杂志, 2013, 16(8):6-8.
7. 黄志萍, 苏娅, 陈秀红, 等. 脑卒中患者日常生活活动能力及其影响因素[J]. 中国老年学杂志, 2015, 35(10):2663-2665.
8. 张填, 王埮, 王淑荣. 老年缺血性脑卒中患者近期预后的影响因素[J]. 中国老年学杂志, 2014, 34(7):1754-1755.
9. 姚小英, 林岩, 耿介立, 等. 首发缺血性卒中后再发不同类型卒中预测因素的回归性分析[J]. 中华神经科杂志, 2012, 45(11):769-773.
10. 郑龙, 梅元武. 心房颤动所致缺血性卒中与抗凝治疗的研究现状[J]. 现代医药卫生, 2011, 27(7):1027-1028.
11. 许洁, 吴毅, 路微波, 等. 老年人缺血性脑卒中复发相关影响因素研究[J]. 中华全科医师杂志, 2012, 11(3):215-216.
12. Bonita R. Epidemiology of stroke[J]. Lancet, 1992, 339(8789):342-344.
13. 王银霞, 赵世刚, 张春雨, 等. 合并2型糖尿病的缺血性脑梗死复发危险因素研究[J]. 中西医结合心脑血管病杂志, 2012, 10(9):1064-1066.
14. 陈茁, 王俊雄, 鲁旭阳, 等. 脑梗死中医证型与血脂、血清Hcy水平表达的临床研究[J]. 湖南中医杂志, 2015, 31(6):4-6.
15. 刘国荣, 王大力, 张文丽, 等. 颈动脉易损斑块与缺血性脑卒中复发的相关性研究[J]. 中华老年心脑血管病杂志, 2012, 14(10):1067-1070.
16. 于庆海, 董彦慧. 老年脑卒中患者复发的危险因素临床分析[J]. 河北医学, 2015, 21(11):1880-1883.
17. 马丽苹, 王晓鹏, 高义. 老年缺血性脑卒中危险因素与药物干预研究进展[J]. 临床误诊误治, 2015, 28(7):112-115.
18. 王红彦, 程勇, 王培昌. 北京地区脑卒中高危人群血糖、血脂水平调查[J]. 河北医药, 2014, 36(10):1480-1481.
19. Vemmos KN, Takis CE, Georgilis K, et al. The Athens stroke registry:results of a five-year hospital-based study[J]. Cerebrovasc Dis, 2000, 10(2):133-141.

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Study of the Patterns and Predictors of Recurrent Stroke among Patients with Initial Ischemic Stroke

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