Predictive clinical features of cardioembolic infarction in patients aged 85 years and older
Ana Maria Carbajo-García1
Jonatan Cortés1
Adrià Arboix1
Joan Massons1
Laura Díez1
Enric Vergés1
Jordi Arboix-Ali2
Luís García-Eroles3
1.Cerebrovascular Division,Department of Neurology,Hospital Universitari del Sagrat Cor,Universitat de Barcelona,Barcelona,Catalonia,Spain 2.Department of Sports Sciences,Ramon Llull University,FPCEE Blanquerna,Barcelona,Catalonia,Spain 3.Director d 'Organització i Sistemes d 'Informació,Gerència Territorial Metropolitana Nord,Institut Català de la Salut,Barcelona,Catalonia,Spain
摘要：Objective To assess predictive clinical factors of cardioembolic infarction in very old patients(85 years of age and older).Methods Prospective hospital-based stroke registry("The Sagrat Cor Hospital of Barcelona Stroke Registry)is an acute-care teaching hospital in Barcelona,Catalonia,Spain.From 956 first-ever cardioembolic stroke patients included in the stroke registry over a 24-year period,639 were younger than 85 years of age and 317 were 85 years or older(mean age: 88.9 years).Demographics,clinical characteristics,risk factors and early outcome were compared.Predictors of cardioembolic infarction in the oldest age group were assessed by multivariate analyses.Results In a logistic regression model based on demographics,risk factors,clinical features and complications,female gender(odds ratio [OR] = 1.74,95％confidence interval [CI]: 1.27-2.39),heart failure(OR = 2.27,95％CI: 1.46-3.56),altered consciousness(OR = 1.76,95％CI:1.28-2.42),and infectious complications(OR = 2.01,95％CI: 1.39-2.91)were predictors of cardioembolic stroke in the oldest age group.By contrast,heavy smoking,heart valve disease,hypertension,headache,early seizures,sensory deficit,and involvement of the posterior cerebral artery were independently associated with cardioembolic stroke in the younger group.Conclusions Identification of a differential clinical profile of cardioembolic stroke between patients aged 85 years or more and those younger than 85 years helps clinicians to the optimal management of ischemic infarction in the oldest segment of the population.
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论文发表日期：2019-11-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：7( 793-799 )
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