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Επιδημιολογική μελέτη ασθενών με ΑΕΕ στο ΓΝ Βόλου (Master thesis)

Κρασνίκοβα, Ελένη

Introduction: This abstract outlines the recording and classification of stroke which were encountered at the General Hospital of Volos (Greece) from January 2017 to December 2017 (12 month period) and the analysis of the causes. Methods: The study was retrospective and is clinical epidemiological (non- invasive). The diagnosis of follow-up and investigation of the incidents was done in accordance with the World Health Organization's Diagnostic and Investigation Criteria, Guidelines ESO, AHA / ASA. We studied all patient dossiers (adults> 16 years) who were hospitalized in Volos from 01/01/2017 to 31/12/2017 with a picture compatible with a first-ever-in- a-lifetime stroke. The calculation of average values and standard deviations was made using Microsoft Office Excel software. Results: Overall n = 410 cases of first-ever-in-a-lifetime stroke were recorded, of which 321 (78.29%) were patients with ischemic and 89 (21.70%) with hemorrhagic stroke such as intracerebral hemorrhage 70 (17.07%) and subarachnoid haemorrhage 19 (4.63%). The sample consists of 216 men (52.68%) and 194 women (47.2%). The mean age of the patients was 75.63 years (min 24 - max 101 SD: 13.23), while for both the leaves were 73.55 (SD 13.27) for men and 77.96 (SD: 12.83) for women. The incidence of ischemic stroke among men and women appears to be almost the same (49.53 and 50.47 respectively), while the same for haemorrhagic stroke that occurs most frequently in men n = 57 (64%) compared with women n = 32 (37%). A pathogenic investigation with the criteria of the TOAST study revealed: large artery atherosclerosis n = 66 (20.56%), small-vessel occlusion n = 54 (16.82%), cardioembolism n = 102 (31.77% ) and other undetermined etiology stroke n = 99 (30.84%). The most common group of patients with stroke according to the classification of TOAST are cardioembolic and unidetermined etiology infarcts. At the first place for development of cardiovascular disease from the modifiable risk factors is arterial hypertension (60%), then diabetes (23.4%) and on the third place is atrial fibrillation (22,9%). The overall 28-day case fatality rate was n = 48 (11.70%), male n = 27 (56.25%) to women n = 21 (43.75%). There were incidence of deaths with ischemic stroke n = 21 (6.54%), with hemorrhagic stroke n=26 (37.14%) and n = 1 (5.26%) with subarachnoid haemorrhage. Conclusions: The epidemiological study of stroke incidence at the General Hospital of Volo leads to better understanding, prevention and treatment strategy in Greece. In the frequency ranking of the different types of stroke, we recorded a high rate of intracerebral haemorrhage (17%) according to World Health Organization (WHO) data. In the TOAST classification, according to our own data, the two most common types of stroke are cardioembolic (31.7%) and unidetermined etiology (30.8%), as shown by the previous Greek studies (at Evros and Arcadia).