ĐẶC ĐIỂM LÂM SÀNG, HÌNH ẢNH HỌC VÀ KẾT QUẢ ĐIỀU TRỊ NHỒI MÁU NÃO CẤP Ở NGƯỜI TRẺ TUỔI TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objectives: Clinical characteristics, radiological features and treatment outcome of acute ischemic stroke in young adults (18 - 45 years) at the Bach Mai hospital. Methods: This study retrospectively reviewed the records of all 18 to 45-year-old patients who were admitted to the Emergency Department and Stroke center of Bach Mai hospital from November 2019 to June 2021. The three months clinical outcome was evaluated using the modified Rankin scale (mRS) score. The mRS score was used to classify clinical outcome as favourable (score 0-1) or unfavourable (score 2-6).  Results: There were 91 patients, 63 men (69.8%) and 29 women: with a mean age of 37.62 ± 5.83 years (range 18–45 years). Stroke of large-artery atherosclerosis 31.9% was the most common subtype, whereas other determined etiology (10.9%). Among all the patients, 42 (46.2%) arrived at hospital within 6 hours of stroke onset, and the number of patients who were admitted to hospital > 6 hours after stroke onset, 49 (53.8%). In the survey of risk factors, the common risk factors were hyperlipidemia 24.2%, hypertension 19.8%, overweight 12.2%, atrial fibrillation 11%, diabetes mellitus 3.3%. At three months hospital discharge, favorable (mRS:0-1) and unfavorable outcomes (mRS 2-6) had incidences of 79.1% and 20.9%, respectively, mortality was 5.5%. Conclusions: Our study found that ischemic stroke of young adults patients at Bach Mai hospital had a good outcome at three months hospital discharge.