Clinical and Age-Specific Aspects of Hospital Mortality Associated with Cerebral Stroke
DOI: 10.22138/2500-0918-2017-14-2-131-139
E. S. Ostapchuk, V. S. Myakotnykh
Ural State Medical University, Yekaterinburg, Russian Federation
Abstract. The aim of the study was the identification of a set of possible causes of hospital mortality of patients with strokes admitted to a specialized stroke unit. Materials and methods. Conducted analysis of the many factors that contributed to hospital mortality in 194 (18.3 %) of 1060 patients with different clinical-pathogenetic variants of stroke. Special attention was paid to age, sex, degree of disorders of consciousness, nature of complications, time of hospital stay and total hospitalization duration. The results of the study. Persons of elderly and senile age with intracerebral hemorrhages die most often, in 1/3 of the cases. The highest rate of hospital mortality among men have age between 51 and 60 years, for women from 71 to 80 years. Often at 41.2 % of stroke patients die within the first week of hospitalization and after two months – at 27.8 %. Among the representatives of elderly and senile age, the most frequent fatal complication of in-Soult is pneumonia (41.6 %), in young and middle age — re strokes (8.5 %) and combined pathology (22.2 %). Severe disturbance of consciousness and multiple stroke risk factors have a negative impact on survivability of patients. The earliest hospitalization may be accompanied by increased of rising mortality due to severity of condition of patients, the need for urgent neurosurgical intervention, and failure of the use of thrombolytic therapy. Conclusions. Adverse prognostic factors of hospital mortality associated with stroke are older than 60 years, male sex, intracranial hemorrhage, impaired consciousness, development of complications, need for surgical interventions.
Keywords: mortality, stroke, age, complications, period
Received 04.04.2017
For citation:
Ostapchuk E.S., Myakotnykh V.S. Clinical and age-specific aspects of hospital mortality associated with cerebral stroke. Vestn. Ural. Med. Akad. Nauki = Jour. Ural Med. Acad. Science. 2017, no. 2, pp. 131–139. DOI: 10.22138/2500-0918-2017-14-2-131-139 (In Russ.)
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Authors
Ekaterina S. Ostapchuk
Viktor S. Myakotnykh
Ural State Medical University, Department of geriatric.
Str. Soboleva, 25, Yekaterinburg, Russian Federation, 620036, Sverdlovsk regional clinical psycho-neurological hospital for veterans of wars, Department of geriatric.
vmaykotnykh@yandex.ru
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)