Cerebral stroke in elderly and senile age
DOI: 10.22138/2500-0918-2017-14-1-27-34
V.S. Myakotnykh, E.S. Ostapchuk
Ural State Medical University, Yekaterinburg, Russian Federation
Abstract. The purpose of the study is based on a comparative examination of the set of indicators that accompany the development and outcomes of stroke in persons of different age and sex, to represent the concept of the formation of this pathology in elderly and senile age and justify the need to develop diagnostic and therapeutic standards, taking into account the age criteria. Materials and methods. The comparative epidemiological, clinical, and pathogenetic study of 330 patients aged 61 to 93 years and 823 — aged 18 to 60 years was performing. All of them underwent ischemic (n = 422) or hemorrhagic (n = 731) strokes and treated in a specialized hospital. The results of the study. In elderly patients compared with younger, prevailed not only ischemic strokes (n = 141; 42,7 %), but intracerebral hemorrhage (n = 136; 41,2 %). Subarachnoid hemorrhage occurred more frequently in younger and middle-aged. This made the hypothesis of high frequency of the so-called «red softening» in structures of the brain in elderly and senile age. The hypothesis is confirmed by the high frequency background of the disease, more typical of ischemic cerebral process than for primary hemorrhagic. Among persons of elderly and senile age more often than younger, met disorders of consciousness, worse was the process of recovery of lost functions, the higher was the mortality rate. But it can be linked not only with age but also with the absence of clear diagnostic and treatment standards for persons of elderly and senile age taking into account the multiplicity of their diseases. Conclusions. There was revealed epidemiological, clinical and pathogenetic features of stroke in representatives of elderly and senile age. It improve the quality of care necessary to develop fundamentally new diagnostic, therapeutic and rehabilitation standards, taking into account age peculiarities of the organism as a whole and of the disease.
Keywords: stroke, age, background of disease, outcomes
Received 20.03.2017
For citation:
Myakotnykh V.S., Ostapchuk E.S. Cerebral stroke in elderly and senile age. Vestn. Ural. Med. Akad. Nauki. Journal of Ural Medical Academic Science. 2017, Vol. 14, no. 1, pp. 27–34. DOI: 10.22138/2500-0918-2017-14-1-27-34 [In Russ.]
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Authors
Viktor S. Myakotnykh
Head of the Department of Geriatrics of the Ural State Medical University
Professor, Dr. Sci. (Med.)
vmaykotnykh@yandex.ru
Ekaterina S. Ostapchuk
Doctoral student of the Department of Geriatrics of the Ural State Medical University
Cand. Sci. (Med.)
Ural State Medical University, Department of geriatric
Soboleva Str. 25, Yekaterinburg, Russian Federation, 620036
Sverdlovsk regional clinical psycho-neurological hospital for veterans of wars, Department of geriatric
