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Epidemiology and Characteristics of Recurrent Stroke : The Occurrence Type of Restroke is Similar as Previous Stroke
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  • Epidemiology and Characteristics of Recurrent Stroke : The Occurrence Type of Restroke is Similar as Previous Stroke
  • Epidemiology and Characteristics of Recurrent Stroke : The Occurrence Type of Restroke is Similar as Previous Stroke
저자명
Ok. Young-Cheol,Park. Seung-Kyu,Cho. Kyu-Yong,Lim. Jun-Seob,Lee. Rae-Seop
간행물명
Journal of Korean neurosurgical society
권/호정보
2007년|41권 4호|pp.224-229 (6 pages)
발행정보
대한신경외과학회
파일정보
정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Objective : Despite improvement of therapeutic regimen, incidence of stroke increases and it remains a leading cause of death. Our study aims at offering variable data on recurrent strokes. Methods : There were 59 patients who admitted from Jan. 2002 to Dec. 2004 due to recurrent strokes. A retrospective longitudinal cohort study was done. Results : Four-hundred-seventy five patients, diagnosed with acute stroke, experienced 491 strokes in 3 years, and there were 75 recurrent strokes [15.3%] in 59 patients. These 59 patients were included in the study. First hemorrhagic cases [H] were 19 [32%], and the first infarction cases [I] were 40 [68%]. Subsequent strokes after first stroke were as follows : $H{ o}H$ 14 [23.7%] cases, $H{ o}I$ 5 [8.5%], $I{ o}H$ 8 [13.6%], $I{ o}I$ 32 (54.2%]. A Cox regression analyses showed that the first type of stroke was a significant factor to the second stroke as follows : if one has had a hemorrhagic stroke, the possibility of second hemorrhagic attack ($H{ o}H$ attack) increase 3.2 times than ischemic type and in ischemic stroke [$I{ o}I$ attack] 3.6 times increased incidence of second ischemic attack. Conclusion : The recurrence rate of stroke was 12.4% [59 of 475 patients]. If the first stroke is hemorrhage or infarction, the next stroke would have high potentiality of hemorrhage, or infarction. The possibility of same type in second stroke Increase over 3 times. In $H{ o}H$ group, the time interval between first and second stroke was shorter and the age of onset was earlier than in $I{ o}I$ group. Moreover, the infarction was more frequent than hemorrhage in multiple strokes. There was a correlation in lacunar type infarction between first and second attack.