Risk Factors for Prevention Stroke (IS or TIA) Due to Cerebral Infarction in Young Adults: A Meta-Analytical Study

Objective: Stroke in young patients is not common. The purpose of this study was to find out the risk factors of stroke in young adults in Bangladesh and to compare with different other studies. Methods: 85 young adult cases of stroke patients with the age ranging from 14 to 45 years, admitted in different medical units of Dhaka Medical College Hospital from January 2008 to July 2009, were studied. The risk factors for stroke and the distribution of stroke types were analyzed. Results: The specific age group (14-45 years old) included 6% of patients of all ages admitted for stroke. Among 85 patients, cerebral infarction was diagnosed in 52 patients (61%). Intracerebral hemorrhage (without trauma) was diagnosed in 25 patients (29.4%). Subarachnoid hemorrhage was found in 7 young patients (8.24%). The most common risk factors for ischemic stroke were hypertension (57.68%), hypercholesterolemia (38.46%), diabetes (34.61%), smoking (32.69%), premature atherosclerosis (11.54%). Regarding aetiology of cerebral infarction, the majority due to cardiogenic emboli (75%). The use of oral contraceptives, pregnancy, SLE, migraine and moya moya disease were infrequent causes of cerebral infarction. In ischemic stroke, the ratio of cardiogenic emboli & other factors were 3:1. The most common risk factors for hemorrhagic stroke were hypertension (63.63%), hypercholesterolemia (39.39%), diabetes (36.54%) & smoking (33.33%). Conclusion: Hypertension, Diabetes, tobacco smoking, premature atherosclerosis & rheumatic valvular heart disease are growing problems in the developing countries. According to our finding, identification & treatment of hypertension, dyslipidaemia, diabetes & rheumatic valvular heart disease & cessation of smoking are proper measures to prevent morbidity & mortality. Key words: Risk factors; stroke; young adult. DOI: 10.3329/jdmc.v18i2.6265 J Dhaka Med Coll. 2009; 18(2) : 95-99

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Etiology of and risk factors for cerebral infarction in young adults in western Norway: a population-based case-control study

European Journal of Neurology ◽

10.1046/j.1351-5101.2003.00700.x ◽

2004 ◽

Vol 11 (1) ◽

pp. 25-30 ◽

Cited By ~ 43

Author(s):

H. Naess ◽

H. I. Nyland ◽

L. Thomassen ◽

J. Aarseth ◽

K.-M. Myhr

Keyword(s):

Risk Factors ◽

Young Adults ◽

Cerebral Infarction ◽

Case Control Study ◽

Population Based ◽

Case Control ◽

Western Norway ◽

Control Study

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M.578 Associations between physical activity and cardiovascular risk factors in young adults: The cardiovascular risk in young finns study

Atherosclerosis ◽

10.1016/s0021-9150(04)90576-x ◽

2004 ◽

Vol 5 (1) ◽

pp. 134

Author(s):

K MANSIKKANIEMI

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Young Adults ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Young Finns Study

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Stable Weight Averts Risk Factors in Young Adults

Internal Medicine News ◽

10.1016/s1097-8690(05)71568-7 ◽

2005 ◽

Vol 38 (4) ◽

pp. 5

Author(s):

BRUCE JANCIN

Keyword(s):

Risk Factors ◽

Young Adults

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Cardiovascular risk factors and carotid intima media thickness in young adults born small for gestational age after cessation of growth hormone treatment: a 5-year longitudinal study

Yearbook of Paediatric Endocrinology ◽

10.1530/ey.15.4.3 ◽

2018 ◽

Author(s):

van der Steen M ◽

Kerkhof GF ◽

Smeets CCJ ◽

Hokken-Koelega ACS

Keyword(s):

Risk Factors ◽

Growth Hormone ◽

Young Adults ◽

Cardiovascular Risk ◽

Longitudinal Study ◽

Gestational Age ◽

Growth Hormone Treatment ◽

Intima Media Thickness ◽

Carotid Intima Media Thickness ◽

Hormone Treatment

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Rediscussing the Role of Traditional Risk Factors in Young Adults With Oral Squamous Cell Carcinoma

Anticancer Research ◽

10.21873/anticanres.14723 ◽

2020 ◽

Vol 40 (12) ◽

pp. 6987-6995

Author(s):

NORBERT NECKEL ◽

MARCO MICHAEL ◽

DANIEL TROELTZSCH ◽

JONAS WÜSTER ◽

STEFFEN KOERDT ◽

...

Keyword(s):

Risk Factors ◽

Squamous Cell Carcinoma ◽

Young Adults ◽

Oral Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Traditional Risk Factors

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Characteristics of Pediatric Emergency and Risk Factors for Life-saving Interventions

Global Pediatric Health ◽

10.1177/2333794x21990340 ◽

2021 ◽

Vol 8 ◽

pp. 2333794X2199034

Author(s):

Phatthranit Phattharapornjaroen ◽

Yuwares Sittichanbuncha ◽

Pongsakorn Atiksawedparit ◽

Kittisak Sawanyawisuth

Keyword(s):

Risk Factors ◽

Analytical Study ◽

Pediatric Patients ◽

Pediatric Emergency ◽

Limited Data ◽

Inclusion Criteria ◽

Resuscitation Room ◽

Life Saving ◽

Level 1 ◽

Triage Level

Pediatric emergency patients are vulnerable population and require special care or interventions. Nevertheless, there is limited data on the prevalence and risk factors for life-saving interventions. This study is a retrospective analytical study. The inclusion criteria were children aged 15 years or under who were triaged as level 1 or 2 and treated at the resuscitation room. Factors associated with LSI were executed by logistic regression analysis. During the study period, there were 22 759 ER visits by 14 066 pediatric patients. Of those, 346 patients (2.46%) met the study criteria. Triage level 1 accounted for 16.18% (56 patients) with 29 patients (8.38%) with LSI. Trauma was an independent factor for LSI with adjusted odds ratio (95% CI) of 4.37 (1.49, 12.76). In conclusion, approximately 8.38% of these patients required LSI. Trauma cause was an independent predictor for LSI.

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Opioid-Induced Respiratory Depression in Pediatric Palliative Care Patients with Severe Neurological Impairment—A Scoping Literature Review and Case Reports

Children ◽

10.3390/children7120312 ◽

2020 ◽

Vol 7 (12) ◽

pp. 312

Author(s):

Maximilian David Mauritz ◽

Carola Hasan ◽

Larissa Alice Dreier ◽

Pia Schmidt ◽

Boris Zernikow

Keyword(s):

Risk Factors ◽

Palliative Care ◽

Young Adults ◽

Scoping Review ◽

Pediatric Patients ◽

Case Reports ◽

Neurological Impairment ◽

Opioid Therapy ◽

Pediatric Palliative Care ◽

Severe Neurological Impairment

Pediatric Palliative Care (PPC) addresses children, adolescents, and young adults with a broad spectrum of underlying diseases. A substantial proportion of these patients have irreversible conditions accompanied by Severe Neurological Impairment (SNI). For the treatment of pain and dyspnea, strong opioids are widely used in PPC. Nonetheless, there is considerable uncertainty regarding the opioid-related side effects in pediatric patients with SNI, particularly concerning Opioid-Induced Respiratory Depression (OIRD). Research on pain and OIRD in pediatric patients with SNI is limited. Using scoping review methodology, we performed a systematic literature search for OIRD in pediatric patients with SNI. Out of n = 521 identified articles, n = 6 studies were included in the review. Most studies examined the effects of short-term intravenous opioid therapy. The incidence of OIRD varied between 0.13% and 4.6%; besides SNI, comorbidities, and polypharmacy were the most relevant risk factors. Additionally, three clinical cases of OIRD in PPC patients receiving oral or transdermal opioids are presented and discussed. The case reports indicate that the risk factors identified in the scoping review also apply to adolescents and young adults with SNI receiving low-dose oral or transdermal opioid therapy. However, the risk of OIRD should never be a barrier to adequate symptom relief. We recommend careful consideration and systematic observation of opioid therapy in this population of patients.

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