Hội chứng dễ bị tổn thương và mối liên quan đến người bệnh cao tuổi mắc đột quỵ nhồi máu não cấp=Frailty syndrome and relationship to elderly patients suffering from acute ischemic stroke

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Quang Toàn Lê, Thắng Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.332-339

Bộ sưu tập: Báo, Tạp chí

ID: 477905

Thêm vào giỏ

Nhận xét hội chứng dề bị tổn thương ở người bệnh cao tuổi mắc đột quỵ nhồi máu não cấp và đánh giá mối liên quan giữa hội chứng này với nhóm đối tượng trên và một số biến cố trong thời gian nằm viện. Đối tượng và phương pháp: Gồm 120 bệnh nhân ≥ 60 tuổi bị đột quỵ nhồi máu não cấp, với thời gian từ khi xuất hiện triệu chứng đến khi nhập viện trong vòng 24 giờ, điều trị tại Bệnh viện Hữu Nghị đa khoa (HNĐK) Nghệ An
theo phương pháp mô tả, tiến cứu có theo dõi dọc. Kết quả và kết luận: tuổi trung bình 72,37 tuổi, Nam (56,7%)
Hội chứng dễ bị tổn thương (HCDBTT): (32,5%). HCDBTT ảnh hưởng bởi tuổi và ảnh hưởng đến nhiều yếu tố nguy cơ như tăng huyết áp (THA), tiền sử đột quỵ não cũ
HCDBTT làm kéo dài thời gian khởi phát-nhập viện hơn, điểm ASPECTS thấp hơn, tình trạng bệnh nặng hơn, giảm tỷ lệ điều trị tái tưới máu, biến cố trong quá trình điều trị cao hơn và khả năng hồi phục kém hơn.To assess the prevalence of frailty syndrome in elderly patients with acute ischemic stroke and evaluate its association with patient characteristics and some complications during hospitalization period. Subject and method: The study included 120 patients aged 60 years or older with acute ischemic stroke who were hospitalized within 24 hours of symptom onset and treated at Nghe An General Friendship Hospital. The study was conducted using a descriptive and prospective method with longitudinal follow-up. Result and conclusions: The mean age of the patients was 72.37 years, and 56.6% were male. The prevalence of frailty syndrome was 32.5%, and it was associated with older age, hypertension, and a history of previous stroke. Frailty syndrome was also associated with longer onset-to-door times, lower ASPECTS, more severe illness, lower rates of successful reperfusion, higher rates of complications during hospitalization period, and poorer outcomes.

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