RESUMO
Objetivos: el objetivo de este trabajo es analizar las diferencias entre mayores y menores de 80 años en una serie hospitalaria de accidente cerebrovascular (ACV). Material y m¨¦todos: se revisaron retrospectivamente las historias de los pacientes ingresados en el Hospital Universitario de Gran Canaria Dr. Negr¨ªn, en el per¨ªodo 2004-2006 por ACV o AIT. Se recogi¨® la presencia de hipertensi¨®n arterial (HTA), diabetes mellitus (DM), dislipemia (DLP), cardiopat¨ªa isqu¨¦mica (CI), fibrilaci¨®n auricular (FA), la clasificaci¨®n Trial of Org 10172 in Acute Stroke Treatment (TOAST) y la NIH, y la escala modificada de Rankin al alta. Resultados: se incluy¨® a 850 pacientes, 106 (12,4%) > 80 años y 744 (87,6%) < 80 años. En los > 80 años, el 43,4% eran varones y el 56,6% mujeres (el 64,1% varones y el 35,9% mujeres en los < 80 años). Un 81,1% de los > 80 años presentaba HTA (68,1% en los < 80 años); un 29,2% DM (39,3% en los < 80 años); un 26,4% DLP (40,2% en los < 80 años); un 16,9% CI (15,8% en los < 80 años) y un 40% FA (20,9% en los < 80 años). En los pacientes mayores de 80 años, en un 23,6% el ACV fue de origen aterotromb¨®tico (19,3% en los < 80 años); un 38,7% cardioemb¨®lico (19,3% en los < 80 años); un 10,4% lacunar (22,6% en los < 80 años) y un 24,5% indeterminado (28,6% en los < 80 años). La puntuaci¨®n en la escala Rankin al alta fue 3 2 en un 73,8% de los < 80 años y en un 55,7% de los > 80 años. Conclusiones: el accidente cerebrovascular isqu¨¦mico en los mayores de 80 años determina algunas diferencias en cuanto a la presencia de factores de riesgo, etiolog¨ªa del ACV y gravedad de ¨¦ste
Introduction: the aim of this study was to analyze differences between patients aged 80 years or less and those aged more than 80 years old a hospital series of ischemic stroke. Material and methods: we performed a retrospective review of all patients with ischemic stroke or transient ischemic attack requiring admission to the Neurology Service of the Dr. Negr¨ªn UniversityHospital of Gran Canaria (Spain) between January 1, 2004and December 31, 2006. Data were gathered on hypertension, diabetes mellitus (DM), hyperlipidemia, ischemic cardiopathy (IC), atrial fibrillation (AF), the Trial of Org 10172 in Acute Stroke Treatment(TOAST) classification, as well as the National Institutes of Health (NIH) scale and the modified Rankin scale (mRS) at discharge. Results: A total of 850 patients were included. Age was >80 yearsin 106 (12.4%) and was <80 years in 744 (87.6%). In the group aged >80 years, 43.4% were men and 56.6% were women(64.1% men and 35.9% women in the group aged <80 years).Hypertension was present in 81.1% of patients aged >80 years (68.1% in those aged <80 years); previous DM was found in 29.2% (39.3% in the group aged <80 years); hyperlipidemia was present in 26.4% (40.2% in the group aged <80); IC was found in 16.9% (15.8% in the group aged <80); AF was found in 40% (20.9% in the group aged <80 years). In the group of patients aged >80 years, 23.6% had atherothrombotic stroke (19.3% inthose aged <80 years); 38.7% were cardioembolic (19.3% in the group aged <80 years); 10.4% were lacunar (22.6% in the group aged <80 years); and 24.5% was of undetermined origin (28.6% in the group aged <80 years). The mRS at discharge was ¡Ý 2 in 73.8% of patients aged <80 years and in 55.7% of those aged >80 years. Conclusions: ischemic stroke in patients over 80 years old leads to certain differences in relation to risk factors, stroke etiology and stroke severity (AU)
