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2016, Number 3

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Finlay 2016; 6 (3)

Characterization of ictus in the long-lived patient: a decade of study

Cutiño MY, Rojas FJO, Sánchez LA, López AJ, Verdecia FR, Herrera AD
Full text How to cite this article

Language: Spanish
References: 27
Page: 239-245
PDF size: 187.19 Kb.


Key words:

stroke, aged 80 and over, longevity.

ABSTRACT

Background: the increase of longevity, together non-transmissible diseases, support the prediction of the occurrence of ictus as cause of death.
Objective: to characterize lomg-lived patients who have suffered from ictus.
Methods: it is a descriptive study which included 456, 90 year old or more patients, with the diagnosis of ictus admitted at the Hospital Gustavo Aldereguía Lima, from January 2005 to December 2014. The variables included were: age, sex, kind of ictus, toxic habits, personal pathologic antecedents and condition at discharge.
Results: 5,41 % of the total admissions due to ictus corresponded to long-lived patients. Female sex was more representative with 58,6 %. Ischemic etiology with 91,4 %. Arterial hypertension (76, 1 %) and ischemic cardiopathy (43, 9 %) were the most frequent risk factors. Hospital death rate was 35,7 %.
Conclusion: there is a progressive increase of the presentation of ictus in long-lived with higher prevalence in the female sex and a high hospital death rate.


REFERENCES

  1. Caselli G, Pozzi L, Vaupel JW, Deiana M, Pess G, Carru C, et al. Family clustering in Sardinian longevity: a genealogical approach. Exp Gerontol. 2006;41(8):727-36

  2. Christensen K, Johnson TE, Vaupel JW. The quest for genetic determinants of human longevity: challenges and insights. Nat Rev Genet. 2006;7(1):436-48

  3. Trápaga M. Procesos cognitivos y envejecimiento: un aporte de las neurociencias. En: Asili N. Vida plena en la vejez. Un enfoque multidisciplinario. México DF: Pax México; 2004: p. 89-117

  4. Romero AJ. Temas para la asistencia clínica al adulto mayor. Medisur [revista en Internet]. 2007 [citado 24 Mar 2016];5(2 Suppl 1):[aprox. 15p]. Disponible en: http://www.sld.cu/galerias/pdf/sitios/gericuba/tem as_para_la_asistencia_clinica_al_adulto_mayor.pd f

  5. Mateen FJ, Buchan AM, Hill MD; Cases Investigators. Outcomes of thrombolysis for acute ischemic stroke in octogenarians versus nonagenarians. Stroke. 2010;41(8):1833-5

  6. Bermejo F. La neurología del envejecimiento. Med Geriatr. 1992;4(1):1-2

  7. Prieto RO. Duración de la vida humana. En: De Prieto RO, Vega GE. Temas de Gerontología. La Habana: Edit. Ciencia y Técnica; 1996: p. 85-90

  8. Rocabruno MJC, Prieto RO. Duración de la vida y longevidad. En: Gerontología y Geriatría Clínica. Gerontología y Geriatría Clínica. La Habana: Edit. Ciencias Médicas; 1992: p. 165-74

  9. Seshadri S, Beiser A, Hayes MK, Kase CS, Au R, Kannel WB, et al. The lifetime risk of stroke. Stroke. 2006;37(2):345-35

  10. Wanless D. Securing our future health: taking a long term view. Interim report [Internet]. London: Treasury; 2001 [citado 23 Feb 2015]. Disponible en: http://webarchive.nationalarchives.gov.uk/ /http:/www.hm-treasury.gov.uk/consult_wanless_f inal.htm

  11. Collerton J, Davies K, Jagger C, Kingston A, Bond J, Eccles MP, et al. Health and disease in 85 year olds: baseline findings from the Newcastle 85+ cohort study. BMJ. 2009;399(1):b4904

  12. Sarikaya H, Arnold M, Engelter ST, Lyrer PA, Michel P, Odier C, et al. Intravenous Thrombolysis in Nonagenarians With Ischemic Stroke. Stroke. 2011;42(7):1967-70

  13. Sanossian N, Ovbiagele B. Prevention and management of stroke in very elderly patients. Lancet Neurol. 2009;8(11):1031-41

  14. Morales HA, Blanco MA. El ictus y su relevancia como problema socio-sanitario. Rev hanan cienc méd La Habana [revista en Internet]. 2009 [citado 23 Oct 2015];8(1):[aprox. 10p]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1729-519X2009000100001

  15. Neurology in the elderly: more trials urgently needed. Lancet Neurol. 2009;8(11):969

  16. Béjot Y, Rouaud O, Jacquin A, Osseby GV, Durier J, Manckoundia P, et al. Stroke in the Very Old: Incidence, Risk Factors, Clinical Features, Outcomes and Access to Resources - A 22-Year Population-Based Study. Cerebrovasc Dis. 2010;29(2):111-21

  17. Rojas JI, Zurru MC, Romano M, Patrucco L, Cristiano E. Accidente cerebrovascular isquémico en mayores de 80 años. Medicina (B. Aires). 2007;67(2):1-10

  18. Andersson M, Guo X, Borjesson-Hanson A, Liebetrau M, Östling S, Skoog I. A population-based study on dementia and stroke in 97 year olds. Age Ageing. 2012;41(4):529-33

  19. Buergo MA, Fernández O. Guías de práctica clínica enfermedad cerebrovascular. La Habana: ECIMED; 2009

  20. González AM, Palma ME. Principales causas de morbilidad en una población. Rev haban cienc méd La Habana. 2000;7(2):1-10

  21. Saposnik G, Cote R, Phillips S, Gubitz G, Bayer N, Minuk J, et al. Stroke outcome in those over 80: a multicenter cohort study across Canada. Stroke. 2008;39(8):2310-17

  22. Bermejo F, Benito J, Vega S, Díaz J, Rivera J, Molina JA, et al. La cohorte de ancianos NEDICES. Metodología y principales hallazgos neurológicos. Rev Neurol. 2008;46(7):416-23

  23. Baztán JJ, Pérez DA, Fernández M, Aguado R, Bellando G, de la Fuente AM. Factores pronósticos de recuperación funcional en pacientes muy ancianos con ictus. Estudio de seguimiento al año. Rev Neurol. 2007;44(10):577-83

  24. Gentil A, Béjot Y, Lorgis L, Durier J, Zeller M, Osseby GV, et al. Comparative epidemiology of stroke and acute myocardial infarction: the Dijon Vascular project (Diva). J Neurol Neurosurg Psychiatry. 2009;80(9):1006-11

  25. Kaye JA, Oken BS, Howieson DB, Howieson J, Holm LA, Dennison K. Neurologic evaluation of the optimally healthy oldest old. Arch Neurol. 1994;51(12):1205-11

  26. Kagan A, Popper JS, Rhoads GG. Factors related to stroke incidence in Hawaii Japanese men. The Honolulu Heart Study. Stroke. 1980;11(1):14-21

  27. Pohjasvaara T, Erkinjuntti T, Vataja R. Comparison of stroke features and disability in daily life in patients with ischemic stroke aged 55 to 70 and 71 to 85 years. Stroke. 1997;28(4):729-35




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