Age&Ageing: Current characteristics and early functional outcomes of elderly stroke patients

The continued growth and aging population is associated with an increase in the absolute number of stroke cases
.

The Global Burden of Disease Research report shows that from 1990 to 2000, the number of strokes increased by 25% each year

From 1990 to 2000, the number of strokes increased by 25% each year

Several hospital-based studies have tried to solve this problem, but the selection bias of this method precludes a comprehensive observation of middle-aged and elderly stroke patients in the general population
.

In addition, elderly patients are underrepresented in randomized clinical trials of acute stroke treatment, so only incomplete data on their characteristics are provided, which cannot represent the reality experienced by clinicians in practice

To fill this knowledge gap, the University of Bourgogne from France brain heart blood vessel disease pathophysiology and epidemiology experts to carry out a program to describe elderly patients with stroke from registration based on current population characteristics and early results Research
.

The results were published in the latest "Age & Ageing" magazine

Heart blood vessels

Between 2013 and 2017, all acute stroke patients were prospectively identified among French residents, using population-based registration
.

Compare patient characteristics and early results according to age groups

Patients aged 75-85 and over 85 years old accounted for 27.

In general, with age, vascular risk factors, pre-existing cognitive impairments and impairments, higher initial severity, more frequent cardiogenic ischemic strokes, post-stroke lung infections, and delirium The disease rate has increased

Distribution of pre-stroke and post-stroke mRS scores by age group

Distribution of pre-stroke and post-stroke mRS scores by age group

Compared with patients <75 years old, patients 75-85 years old [OR= 2.
61; 95%CI: 1.
74-3.
93, P <0.
001] age> 85 years old (OR = 7.
18, 95% CI: 4.
58-11.
3, P <0.
001) The risk of adverse functional outcomes after stroke increased by 151% and 618%, respectively
.

Among the survivors, 60% of patients under 75 years of age were discharged home, compared with 49% of patients aged 75-85, and 29% of patients over 85 years of age

Compared with patients <75 years old, patients 75-85 years old [OR= 2.

Age distribution of stroke survivors

Age distribution of stroke survivors

 

One third of patients aged 75-85 and over 85 years old receive rehabilitation after a stroke
.

The corresponding rate for patients under 75 years of age is 27%

The corresponding rate for patients under 75 years of age is 27%
.
Among patients over 85 years of age, 31% were admitted to long-term care facilities (78% were still living in the facility before the stroke, and 22% were newly admitted to the hospital after the stroke), and 90% needed long-term care
.
The corresponding rate for patients under 75 years of age is 27%
.
Among patients over 85 years of age, 31% were admitted to long-term care facilities (78% were still living in the facility before the stroke, and 22% were newly admitted to the hospital after the stroke), and 90% needed long-term care
.

In summary, the increase in the burden of stroke in the elderly has a significant impact on future treatment strategies and the demand for specialized nursing facilities
.

In summary, the increase in the burden of stroke in the elderly has a significant impact on future treatment strategies and the demand for specialized nursing facilities
.
In summary, the increase in the burden of stroke in the elderly has a significant impact on future treatment strategies and the demand for specialized nursing facilities
.

 

references:

Current characteristics and early functional outcome of older stroke patients: a population-based study (Dijon Stroke Registry) , Age and Ageing, Volume 50, Issue 3, May 2021, Pages 898–905, https://doi.
org/10.
1093/ ageing/afaa192

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