Young stroke patients have a strong desire to return to the society, but few studies have been conducted on their rehabilitation training items, intensity, and prognosis. We analyzed clinical data of young and middle-...Young stroke patients have a strong desire to return to the society, but few studies have been conducted on their rehabilitation training items, intensity, and prognosis. We analyzed clinical data of young and middle-aged/older stroke patients hospitalized in the Department of Neurological Rehabilitation, China Rehabilitation Research Center, Capital Medical University, China from February 2014 to May 2015. Results demonstrated that hemorrhagic stroke （59.6%） was the primary stroke type found in the young group, while ischemic stroke （60.0%） was the main type detected in the middle-aged/older group. Compared with older stroke patients, education level and incidence of hyperhomocysteinemia were higher in younger stroke patients, whereas, incidences of hypertension, diabetes, and heart disease were lower. The average length of hospital stay was longer in the young group than in the middle-aged/older group. The main risk factors observed in the young stroke patients were hypertension, drinking, smoking, hyperlipidemia, hyperhomocysteinemia, diabetes, previous history of stroke, and heart disease. The most accepted rehabilitation program consisted of physiotherapy, occupational therapy, speech therapy, acupuncture and moxibustion. Average rehabilitation training time was 2.5 hours/day. Barthel Index and modified Rankin Scale scores were increased at discharge. Six months after discharge, the degree of occupational and economic satisfaction declined, and there were no changes in family life satisfaction. The degrees of other life satisfaction （such as friendship） improved. The degree of disability and functional status improved significantly in young stroke patients after professional rehabilitation, but the number of patients who returned to society within 6 months after stroke was still small.展开更多
BACKGROUND AND OBJECTIVE Approximately 10% of all strokes occur in adults below 50 years of age. Studies assessing cognition among young stroke patients have reported a higher prevalence of cognitive impairment than i...BACKGROUND AND OBJECTIVE Approximately 10% of all strokes occur in adults below 50 years of age. Studies assessing cognition among young stroke patients have reported a higher prevalence of cognitive impairment than in older adults with stroke. This prospective study further investigated the prevalence and course of cognitive dysfunction in young adult stroke patients. METHODS Consecutive patients admitted with an ischemic stroke, ages 18 to 55, were invited to participate. During the study period, 150 patients were recruited. All underwent baseline neurologic and neuropsychological evaluation, including MRI and assessment of stroke severity. RESULTS The mean age of the sample was 44.5 years, with median stroke severity in the mild range. Within three weeks after hospital admission 40% showed impaired cognitive function, including impaired attention. At three months′ follow-up, improvement was noted in general cognitive ability, processing speed, attention and flexibility, as well as executive function. However, cognitive deficits were still present in one third of the patients. CONCLUSION This prospective study of patients with an acute ischemic stroke, 55 years of age or younger, found that, at three months, cognitive impairment is present in 40%.展开更多
基金supported by the Special Fund of Basic Scientific Research Service Fee of Central Public Welfare Scientif ic Research Institute of China,No.2014CZ-13
文摘Young stroke patients have a strong desire to return to the society, but few studies have been conducted on their rehabilitation training items, intensity, and prognosis. We analyzed clinical data of young and middle-aged/older stroke patients hospitalized in the Department of Neurological Rehabilitation, China Rehabilitation Research Center, Capital Medical University, China from February 2014 to May 2015. Results demonstrated that hemorrhagic stroke （59.6%） was the primary stroke type found in the young group, while ischemic stroke （60.0%） was the main type detected in the middle-aged/older group. Compared with older stroke patients, education level and incidence of hyperhomocysteinemia were higher in younger stroke patients, whereas, incidences of hypertension, diabetes, and heart disease were lower. The average length of hospital stay was longer in the young group than in the middle-aged/older group. The main risk factors observed in the young stroke patients were hypertension, drinking, smoking, hyperlipidemia, hyperhomocysteinemia, diabetes, previous history of stroke, and heart disease. The most accepted rehabilitation program consisted of physiotherapy, occupational therapy, speech therapy, acupuncture and moxibustion. Average rehabilitation training time was 2.5 hours/day. Barthel Index and modified Rankin Scale scores were increased at discharge. Six months after discharge, the degree of occupational and economic satisfaction declined, and there were no changes in family life satisfaction. The degrees of other life satisfaction （such as friendship） improved. The degree of disability and functional status improved significantly in young stroke patients after professional rehabilitation, but the number of patients who returned to society within 6 months after stroke was still small.
文摘BACKGROUND AND OBJECTIVE Approximately 10% of all strokes occur in adults below 50 years of age. Studies assessing cognition among young stroke patients have reported a higher prevalence of cognitive impairment than in older adults with stroke. This prospective study further investigated the prevalence and course of cognitive dysfunction in young adult stroke patients. METHODS Consecutive patients admitted with an ischemic stroke, ages 18 to 55, were invited to participate. During the study period, 150 patients were recruited. All underwent baseline neurologic and neuropsychological evaluation, including MRI and assessment of stroke severity. RESULTS The mean age of the sample was 44.5 years, with median stroke severity in the mild range. Within three weeks after hospital admission 40% showed impaired cognitive function, including impaired attention. At three months′ follow-up, improvement was noted in general cognitive ability, processing speed, attention and flexibility, as well as executive function. However, cognitive deficits were still present in one third of the patients. CONCLUSION This prospective study of patients with an acute ischemic stroke, 55 years of age or younger, found that, at three months, cognitive impairment is present in 40%.
