scholarly journals Comparison of Stroke Risk Factors between Middle-aged and Elderly Patients

2017 ◽  
Vol 19 (1) ◽  
pp. 13-27 ◽  
Author(s):  
Sujin Seok ◽  
Jia Lee
2018 ◽  
Vol 50 (3) ◽  
pp. 110-119 ◽  
Author(s):  
Jordana Salma ◽  
Kathleen F. Hunter ◽  
Linda Ogilvie ◽  
Norah Keating

Background Arab immigrants have increasing rates of stroke and uncontrolled stroke risk factors coupled with minimal resources for stroke prevention. Purpose This article describes the results of an interpretive descriptive study about Arab immigrant women’s experiences of practicing stroke prevention. We use an intersectionality approach to discuss some of the factors that influenced women’s ability to manage their health. Methods Sixteen middle-aged and older Arab Muslim immigrant women were recruited between 2015 and 2016 from two religious centers in an urban Canadian center. Women were between the ages of 45 and 75 years, were living in the community, and had a combination of stroke risk factors. Semi-structured interviews lasting 2–3 h were conducted in Arabic by the primary bilingual researcher. Data analysis was completed in Arabic, with final themes and exemplars translated to English with the support of a certified translator. Results Study themes include relating life stressors to physical health, pursuing knowledge in the dark, negotiating medication and treatment options, making an effort to eat healthy and be active, and identifying triple ingredients for empowerment. Conclusion Economic status, access to transportation, language fluency, life stressors, and personal coping strategies influenced Arab women’s ability to manage personal health.


Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Kyoung Nam ◽  
Hee-Young Song

Background Control of stroke risk factors, in particular, hypertension and unhealthy life styles such as high fat diet, and inactivity which are modifiable have been focused for primary prevention of stroke. Greater awareness for stroke may promote individual to involve preventive activities. In Korea, relatively little research has been done on the awareness and risk for stroke among community living adults. We investigated awareness for stroke, calculated stroke risk score using the Framingham stroke risk score profile, and examined the relationship among awareness for stroke, blood pressure(BP), body weight, blood sugar, cholesterol and stroke risk score among middle-aged adults in Korea. Methods A total of 99 participants ( 3 9 men, 60 women) aged 47.0 years old were recruited in an urban area and were interviewed by researchers using a structured questionnaire including stroke risk factors. Awareness for stroke was assessed with baseline knowledge on stroke risk factors, symptoms, and treatment; and recognition on important indicators such as BP, body weight, blood sugar and cholesterol. Stroke risk was determined by applying the Framingham stroke risk profile. Data were analyzed by descriptive statistics, t-test, and Pearson’s correlation using PASW statistics 18.0. Results Participants answered more than 3 stroke warning signs out of 5, although most participants did not know if their BP, body weight, blood sugar, and cholesterol were within normal limits. Scores of stroke risk determined by Framingham stroke risk profile showed significant difference between men and women (3.85±2.35 vs. 2.52±.06) (t=2.968, p=.004). Only systolic blood pressure was related with stroke risk in men(r=.537, p=.002), while blood sugar(r=.497, p=.005), systolic(r=.705, p <.001) and diastolic blood pressure(r=.557, p<.001) were related with stroke risk in women. The negative correlation between awareness for stroke and stroke risk was found in women(r=-.303, p=.021). Conclusions There is need to improve the awareness of stroke among community living middle-aged adults by providing more targeted information on stroke risk factors and their contribution to stroke prevention.Further studies are warranted to refine predictive factors for the risk of stroke, regarding gender difference in relationship between stroke risk score and BP, body weight, blood sugar and cholesterol which are important indicators for major illness related to stroke.


Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
Maureen Mathews ◽  
David Wang

Stroke is fourth leading cause of death and primary contributor to adult disability in US. Mortality has declined in past 10 years, but prevalence has increased; indicating public risk factor education should be a higher priority. Education is especially important for high-risk individuals Methods: this project assessed knowledge and motivation for behavioral changes in African American females (AAF) >18 years of age before/after a presentation regarding stroke risk factors. A community-based program utilizing video and group discussions was developed using AHA/ASA/NSA resources. A post intervention tool included demographic information and participants’ knowledge regarding stroke symptoms/risk factors. Results are used to plan future education programs Results: fifty-one AAF attended a presentation and completed a survey. Participants were divided into three groups for analysis: 18-35 yo, young; 36-55 yo, middle-aged; and 56+ yo, older. There were 12(24%) young participants, 19 (37.2 %)middle-aged participants, and 20 (39.2%) were older. Prior to educational sessions, participants reported having learned about stroke primarily from television, 28 (55%); doctor, 28 (55%); and family, 25 (50%). Participants identified stroke risk factors as hypertension, 16 (31%); smoking, 10 (20%); obesity, 10 (20%); diabetes, 6 (12%); atrial fibrillation, 3 (6%); and hyperlipidemia, 2 (4%). Participants plan to reduce risk factors through exercise, 17 (33%); diet,11 (22%); and medications, 9 (18%). Forty-four (86%) of participants would call 911 for suspected stroke. The FAST acronym was used to educate participants on signs/symptoms of stroke. The post education survey showed majority of participants were able to name at least one/three signs for stroke, including facial droop, 31 (61%); arm/leg weakness, 28 (55%); and speech changes, 28 (55%). Conclusion: participant responses support literature indicating multiple sources of information are necessary to increase/improve public awareness of stroke risk factors/symptoms. However, ongoing education needed for public to retain knowledge of stroke. Considering cultural differences in populations when designing stroke educational programs is important to utilize the most effective media.


2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S506-S506
Author(s):  
Folusakin Ayoade ◽  
Dushyantha Jayaweera

Abstract Background The risk of ischemic stroke (IS) is known to be higher in people living with HIV (PLWH) than uninfected controls. However, information about the demographics and risk factors for hemorrhagic stroke (HS) in PLWH is scant. Specifically, very little is known about the differences in the stroke risk factors between HS and IS in PLWH. The goal of this study was to determine the demographics and risk factor differences between HS and IS in PLWH. Methods We retrospectively analyzed the demographic and clinical data of PLWH in OneFlorida (1FL) Clinical Research Consortium from October 2015 to December 2018. 1FL is a large statewide clinical research network and database which contains health information of over 15 million patients, 1240 clinical practices, and 22 hospitals. We compared HS and IS based on documented ICD 9 and 10 diagnostic codes and extracted information about sociodemographic data, traditional stroke risk factors, Charlson comorbidity scores, habits, HIV factors, diagnostic modalities and medications. Statistical significance was determined using 2-sample T-test for continuous variables and adjusted Pearson chi square for categorical variables. Odds ratio (OR) and 95% confidence intervals (CI) between groups were compared. Results Overall, from 1FL sample of 13986 people living with HIV, 574 subjects had strokes during the study period. The rate of any stroke was 18.2/1000 person-years (PYRS). The rate of IS was 10.8/1000 PYRS while the rate of HS was 3.7/1000 PYRS, corresponding to 25.4% HS of all strokes in the study. Table 1 summarizes the pertinent demographic and risk factors for HS and IS in PLWH in the study. Table 1: Summary of pertinent demographic and risk factors for hemorrhagic and ischemic strokes in people living with HIV from One Florida database Conclusion In this large Floridian health database, demographics and risk factor profile differs between HS and IS in PLWH. Younger age group is associated with HS than IS. However, hypertension, hyperlipidemia and coronary artery disease are more likely to contribute to IS than HS in PLWH. Further research is needed to better understand the interplay between known and yet unidentified risk factors that may be contributing to HS and IS in PLWH. Disclosures All Authors: No reported disclosures


2008 ◽  
Vol 3 (4) ◽  
pp. 293-296 ◽  
Author(s):  
Bhojo A. Khealani ◽  
Mohammad Wasay

Epidemiologic literature on stroke burden, patterns of stroke is almost non existent from Pakistan. However, several hospital-based case series on the subject are available, mainly published in local medical journals. Despite the fact that true stroke incidence and prevalence of stroke in Pakistan is not known, the burden is assumed to be high because of highly prevalent stroke risk factors (hypertension, diabetes mellitus, coronary artery disease, dyslipidemia and smoking) in the community. High burden of these conventional stroke risk factors is further compounded by lack of awareness, poor compliance hence poor control, and inappropriate management/treatment practices. In addition certain risk factors like rheumatic valvular heart disease may be more prevalent in Pakistan. We reviewed the existing literature on stroke risk factors in community, the risk factor prevalence among stroke patients, patterns of stroke, out come of stroke, availability of diagnostic services/facilities related to stroke and resources for stroke care in Pakistan.


2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Grace Vincent-Onabajo ◽  
Taritei Moses

Background. Knowledge of stroke risk factors is expected to reduce the incidence of stroke—whether first-ever or recurrent. This study examined knowledge of stroke risk factors and its determinants among stroke survivors.Methods. A cross-sectional survey of consenting stroke survivors at two physiotherapy facilities in Nigeria was carried out. Sociodemographic and clinical data were obtained and knowledge of stroke risk factors (defined as the ability to mention at least one correct risk factor) was assessed using open-ended questionnaire. Data were treated with descriptive statistics and logistic regression analysis.Results. Sixty-nine stroke survivors (male = 72.5%; mean ± SD age =49.7±10.6years) participated in the study. Thirty-four (49.4%) participants had knowledge of stroke risk factors. Only educational level was significantly associated with knowledge and participants with tertiary educational qualification were about 48 times (odds ratio = 48.5; CI = 7.6–309.8;P<0.0001) more likely to be knowledgeable than those with no education.Conclusion. Less than half of the participants had knowledge of stroke risk factors. Participants with tertiary education were significantly more knowledgeable than those with lower educational qualifications. Effective means of educating stroke survivors on stroke risk factors should be identified and adopted.


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