Ictus isquémico y factores de riesgo vascular en el adulto joven y el adulto mayor: estudio retrospectivo de base comunitaria (2011-2020) = Ischemic stroke and vascular risk factors in young and older adults: community-based retrospective study (2011-2020)

Objective To analyze the presence of vascular risk factors (VRF) among young adult and older adult patients with ischemic stroke, with and without follow-up in primary care after hospital discharge. Design Observational, retrospective, multicenter study. Setting Primary care health centers and Hospi...

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Autores: Reverté i Villarroya, Sílvia, Suñer Soler, Rosa, Sauras-Colón, Esther, Zaragoza-Brunet, Jose, Fernández-Sáez, José, Lopez-Espuela, Fidel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10256/22982
Acceso en línea:http://hdl.handle.net/10256/22982
Access Level:acceso abierto
Palabra clave:Isquèmia cerebral
Cerebral ischemia
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network_name_str España
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dc.title.none.fl_str_mv Ictus isquémico y factores de riesgo vascular en el adulto joven y el adulto mayor: estudio retrospectivo de base comunitaria (2011-2020) = Ischemic stroke and vascular risk factors in young and older adults: community-based retrospective study (2011-2020)
title Ictus isquémico y factores de riesgo vascular en el adulto joven y el adulto mayor: estudio retrospectivo de base comunitaria (2011-2020) = Ischemic stroke and vascular risk factors in young and older adults: community-based retrospective study (2011-2020)
spellingShingle Ictus isquémico y factores de riesgo vascular en el adulto joven y el adulto mayor: estudio retrospectivo de base comunitaria (2011-2020) = Ischemic stroke and vascular risk factors in young and older adults: community-based retrospective study (2011-2020)
Reverté i Villarroya, Sílvia
Isquèmia cerebral
Cerebral ischemia
title_short Ictus isquémico y factores de riesgo vascular en el adulto joven y el adulto mayor: estudio retrospectivo de base comunitaria (2011-2020) = Ischemic stroke and vascular risk factors in young and older adults: community-based retrospective study (2011-2020)
title_full Ictus isquémico y factores de riesgo vascular en el adulto joven y el adulto mayor: estudio retrospectivo de base comunitaria (2011-2020) = Ischemic stroke and vascular risk factors in young and older adults: community-based retrospective study (2011-2020)
title_fullStr Ictus isquémico y factores de riesgo vascular en el adulto joven y el adulto mayor: estudio retrospectivo de base comunitaria (2011-2020) = Ischemic stroke and vascular risk factors in young and older adults: community-based retrospective study (2011-2020)
title_full_unstemmed Ictus isquémico y factores de riesgo vascular en el adulto joven y el adulto mayor: estudio retrospectivo de base comunitaria (2011-2020) = Ischemic stroke and vascular risk factors in young and older adults: community-based retrospective study (2011-2020)
title_sort Ictus isquémico y factores de riesgo vascular en el adulto joven y el adulto mayor: estudio retrospectivo de base comunitaria (2011-2020) = Ischemic stroke and vascular risk factors in young and older adults: community-based retrospective study (2011-2020)
dc.creator.none.fl_str_mv Reverté i Villarroya, Sílvia
Suñer Soler, Rosa
Sauras-Colón, Esther
Zaragoza-Brunet, Jose
Fernández-Sáez, José
Lopez-Espuela, Fidel
author Reverté i Villarroya, Sílvia
author_facet Reverté i Villarroya, Sílvia
Suñer Soler, Rosa
Sauras-Colón, Esther
Zaragoza-Brunet, Jose
Fernández-Sáez, José
Lopez-Espuela, Fidel
author_role author
author2 Suñer Soler, Rosa
Sauras-Colón, Esther
Zaragoza-Brunet, Jose
Fernández-Sáez, José
Lopez-Espuela, Fidel
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Isquèmia cerebral
Cerebral ischemia
topic Isquèmia cerebral
Cerebral ischemia
description Objective To analyze the presence of vascular risk factors (VRF) among young adult and older adult patients with ischemic stroke, with and without follow-up in primary care after hospital discharge. Design Observational, retrospective, multicenter study. Setting Primary care health centers and Hospital Verge de la Cinta, Tortosa, Spain. Participants Patients with ischemic stroke of two age groups (≤ 55 and ≥ 65 years) distributed in two groups (Group A: without follow-up in primary care; and Group B: with follow-up in primary care), between 2011-2020. Main measurements Sociodemographic, clinical, and VRF data coded according to the International Classification of Diseases (ICD-10). Descriptive, and inferential statistics. Results Data from 2054 participants were analyzed. In the young adult group, 94.9% of the participants in group A had between 1-2 VRFs, compared to 60% in group B. In the older adult group, 84.4% of group A had between 1-2 VRFs, compared to 43,9% of group B. The most frequent VRFs among younger and older adult patients with ischemic stroke were hypertension and dyslipidemia in both follow-up groups. There were no records of obesity, smoking, or alcohol consumption in group A. There was a significant association between being followed up in primary care after stroke and being a young adult and presenting between 3-4 VRFs (P < 0.001). Conclusions The results reinforce the need for continuity of care and follow-up in people with acute stroke in primary care and the need to improve the quality of registries
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
peer-reviewed
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10256/22982
http://hdl.handle.net/10256/22982
url http://hdl.handle.net/10256/22982
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1016/j.aprim.2023.102623
info:eu-repo/semantics/altIdentifier/issn/0212-6567
info:eu-repo/semantics/altIdentifier/eissn/1578-1275
dc.rights.none.fl_str_mv Reconeixement-NoComercial-SenseObraDerivada 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Reconeixement-NoComercial-SenseObraDerivada 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv Atención Primaria, 2023, vol. 55, art. núm. 102623
Articles publicats (D-I)
reponame:Recercat. Dipósit de la Recerca de Catalunya
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instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
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spelling Ictus isquémico y factores de riesgo vascular en el adulto joven y el adulto mayor: estudio retrospectivo de base comunitaria (2011-2020) = Ischemic stroke and vascular risk factors in young and older adults: community-based retrospective study (2011-2020)Reverté i Villarroya, SílviaSuñer Soler, RosaSauras-Colón, EstherZaragoza-Brunet, JoseFernández-Sáez, JoséLopez-Espuela, FidelIsquèmia cerebralCerebral ischemiaObjective To analyze the presence of vascular risk factors (VRF) among young adult and older adult patients with ischemic stroke, with and without follow-up in primary care after hospital discharge. Design Observational, retrospective, multicenter study. Setting Primary care health centers and Hospital Verge de la Cinta, Tortosa, Spain. Participants Patients with ischemic stroke of two age groups (≤ 55 and ≥ 65 years) distributed in two groups (Group A: without follow-up in primary care; and Group B: with follow-up in primary care), between 2011-2020. Main measurements Sociodemographic, clinical, and VRF data coded according to the International Classification of Diseases (ICD-10). Descriptive, and inferential statistics. Results Data from 2054 participants were analyzed. In the young adult group, 94.9% of the participants in group A had between 1-2 VRFs, compared to 60% in group B. In the older adult group, 84.4% of group A had between 1-2 VRFs, compared to 43,9% of group B. The most frequent VRFs among younger and older adult patients with ischemic stroke were hypertension and dyslipidemia in both follow-up groups. There were no records of obesity, smoking, or alcohol consumption in group A. There was a significant association between being followed up in primary care after stroke and being a young adult and presenting between 3-4 VRFs (P < 0.001). Conclusions The results reinforce the need for continuity of care and follow-up in people with acute stroke in primary care and the need to improve the quality of registriesObjetivo Analizar la presencia de factores de riesgo vascular (FRV) entre pacientes adultos jóvenes y adultos mayores con ictus isquémico, con y sin seguimiento en atención primaria tras el alta hospitalaria. Diseño Estudio observacional, retrospectivo y multicéntrico. Emplazamiento Centros de salud de atención primaria y hospital Verge de la Cinta, Tortosa, España. Participantes Pacientes con ictus isquémico de dos grupos de edad (≤ 55 y ≥ 65 años) distribuidos en dos grupos (grupo A: sin seguimiento en atención primaria; grupo B: con seguimiento en atención primaria), entre 2011 y 2020. Mediciones principales Datos sociodemográficos, clínicos y de FRV codificados según la Clasificación Internacional de Enfermedades (CIE-10). Estadística descriptiva e inferencial. Resultados Se analizaron datos de 2.054 participantes. En el grupo de adulto joven, el 94,9% de los participantes del grupo A presentaban entre 1-2 FRV, frente al 60% del grupo B. En el adulto mayor, el 84,4% del grupo A presentaban entre 1-2 FRV, frente al 43,9% del grupo B. Los FRV más frecuentes entre pacientes adultos jóvenes y mayores con ictus isquémico fueron la hipertensión y la dislipemia en ambos grupos de seguimiento. No había registros sobre obesidad, ni tabaquismo ni consumo de alcohol en el grupo A. Se observó una asociación significativa entre realizar seguimiento en atención primaria tras el ictus y ser adulto joven y presentar entre 3 y 4 FRV (p < 0,001). Conclusiones Los resultados refuerzan la necesidad de continuidad asistencial y seguimiento en las personas con ictus agudo en la atención primaria y la mejora de la calidad de los registrosOpen Access funding provided thanks to the CRUE-CSIC agreement with ElsevierElsevier2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionpeer-reviewedapplication/pdfhttp://hdl.handle.net/10256/22982http://hdl.handle.net/10256/22982Atención Primaria, 2023, vol. 55, art. núm. 102623Articles publicats (D-I)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)Españolinfo:eu-repo/semantics/altIdentifier/doi/10.1016/j.aprim.2023.102623info:eu-repo/semantics/altIdentifier/issn/0212-6567info:eu-repo/semantics/altIdentifier/eissn/1578-1275Reconeixement-NoComercial-SenseObraDerivada 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessoai:recercat.cat:10256/229822026-05-29T05:05:01Z
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