EXPLORING THE PATTERN OF STROKE IN YOUNG ADULTS CLINICAL PRESENTATIONS, RISK FACTORS, AND IMPLICATIONS FOR EARLY DETECTION AND MANAGEMENT
Main Article Content
Keywords
Pattern of Stroke, Health concern, young adults
Abstract
Introduction: Stroke, traditionally viewed as a disease of the elderly, is increasingly recognized as a significant health concern among young adults.
Objectives: The main objective of the study is to find the pattern of stroke in young adults’ clinical presentations, risk factors, and implications for early detection and management.
Material and methods: This retrospective analysis was conducted at Teaching Hospital Kech, Turbat from June 2022 to December 2022. Data was collected from 220 stroke patients from different age groups. Medical records of eligible patients were systematically reviewed to extract pertinent information regarding demographics, clinical presentation, medical history, risk factors, diagnostic workup, treatment modalities, and outcomes.
Conclusion: It is concluded that stroke poses a significant burden on young adults, with varying clinical presentations and risk factor profiles. Early recognition and comprehensive risk assessment are crucial for timely intervention and improved outcomes in this population.
References
2. Saceleanu VM, Toader C, Ples H, Covache-Busuioc R-A, Costin HP, Bratu B-G, et al. Integrative approaches in acute ischemic stroke: from symptom recognition to future innovations. Biomedicines. 2023;11(10):2617.
3. Hanna M, Wabnitz A, Grewal P. Sex and stroke risk factors: A review of differences and impact. Journal of Stroke and Cerebrovascular Diseases. 2024:107624.
4. Collaborators GS. Global, regional, and national burden of stroke and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Neurology. 2021;20(10):795.
5. Yahya T, Jilani MH, Khan SU, Mszar R, Hassan SZ, Blaha MJ, et al. Stroke in young adults: Current trends, opportunities for prevention and pathways forward. American journal of preventive cardiology. 2020;3:100085.
6. Chen TY, Uppuluri A, Zarbin MA, Bhagat N. Risk factors for central retinal vein occlusion in young adults. European journal of ophthalmology. 2021;31(5):2546-55.
7. Khan N, Akbar A, Fahad S, Faisal S, Naushad M. Analysis of Heart Treatment and Its Impact on Socioeconomic Conditions on the World Community. Available at SSRN 3727588. 2020.
8. Le Gal G, Agnelli G, Darius H, Kahn SR, Owaidah T, Rocha AT, et al. Event rates and risk factors for venous thromboembolism and major bleeding in a population of hospitalized adult patients with acute medical illness receiving enoxaparin thromboprophylaxis. European Journal of Internal Medicine. 2024;121:48-55.
9. Bukhari S, Yaghi S, Bashir Z. Stroke in Young Adults. Journal of Clinical Medicine. 2023;12(15):4999.
10. Strong B, Pudar J, Thrift AG, Howard VJ, Hussain M, Carcel C, et al. Sex disparities in enrollment in recent randomized clinical trials of acute stroke: a meta-analysis. JAMA neurology. 2021;78(6):666-77.
11. Leppert MH, Ho PM, Burke J, Madsen TE, Kleindorfer D, Sillau S, et al. Young women had more strokes than young men in a large, United States claims sample. Stroke. 2020;51(11):3352-5.
12. Branyan TE, Sohrabji F. Sex differences in stroke co-morbidities. Experimental neurology. 2020;332:113384.
13. Zhang Q, Liu Y, Jiang M, Liu Y, Gu S, Tong H, Liu H. Temporal trends in the risk factors and clinical characteristics of ischemic stroke in young adults. Journal of Stroke and Cerebrovascular Diseases. 2020;29(8):104914.
14. Patel UK, Dave M, Lekshminarayanan A, Malik P, DeMasi M, Chandramohan S, et al. Risk factors and incidence of acute ischemic stroke: a comparative study between young adults and older adults. Cureus. 2021;13(4).
15. Boot E, Ekker MS, Putaala J, Kittner S, De Leeuw F-E, Tuladhar AM. Ischaemic stroke in young adults: a global perspective. Journal of Neurology, Neurosurgery & Psychiatry. 2020;91(4):411-7.
16. Alaaeddine RA, AlZaim I, Hammoud SH, Arakji A, Eid AH, Abd-Elrahman KS, El-Yazbi AF. The pleiotropic effects of antithrombotic drugs in the metabolic–cardiovascular–neurodegenerative disease continuum: Impact beyond reduced clotting. Clinical Science. 2021;135(8):1015-51.
17. Crispino P. Hemorrhagic coagulation disorders and ischemic stroke: how to reconcile both? Neurology International. 2023;15(4):1443-58.
18. George MG. Risk factors for ischemic stroke in younger adults: a focused update. Stroke. 2020;51(3):729-35.