A Retrospective Evaluation of Acute Ischemic Stroke Patients Presenting to the Emergency Department
Hakan Hakkoymaz1, Enes Omer Gungor1, Muhammed Semih Gedik2, Yilmaz Inanc31Department of Emergency Medicine, Kahramanmaras Sutcu Imam University Faculty of Medicine, Kahramanmaras, Turkey, 2Department of Emergency Medicine, Kahramanmaras Necip Fazil City Hospital, Kahramanmaras, Turkey, 3Department of Neurology, Kahramanmaras Sutcu Imam University Faculty of Medicine, Kahramanmaras, Turkey
Objectives: Stroke is one of the most important diseases leading to severe disability and death. Ischemic stroke incidence increases with age. In this study, we aimed to define the etiological, epidemiological, demographic and clinical characteristics of patients with acute ischemic stroke and contribute to the acute stroke data of our country. Methods: This descriptive study was planned retrospectively. In this study, patients admitted to the adult emergency department of our hospital due to acute ischemic stroke between 01/01/2017 and 31/12/2017 were examined. Results: 57.9% (n=224) of the patients were male, and the mean age was 66.7 (17-96). 64.4% of the patients had a history of hypertension, 35.6% had coronary artery disease, and 32.2% had diabetes mellitus. The mortality rate of the patients was 22.9%. Conclusion: The presence of a history of hypertension is the most important risk factor for acute ischemic stroke, and it is observed at much higher rates in men over 60 years of age. The time of admittance to the emergency department since the beginning of the event is key for the treatment regimen, and recent iv tPA and thrombectomy applications have had positive results for these patients. Keywords: Acute ischemic stroke, emergency department, risk factors, thrombectomy
Cite This Article
Hakkoymaz H, Gungor E, Gedik M, Inanc Y. A Retrospective Evaluation of Acute Ischemic Stroke Patients Presenting to the Emergency Department. EJMI. 2020; 4(2): 221-227
Corresponding Author: Hakan Hakkoymaz