文献类型：期刊文献

英文题名：Recurrence of ischaemic stroke using epidemiology and neuroimaging: A retrospective study in Gansu Province

作者：Bao, Honghui[1];Yin, Qitao[1];Tian, Danbi[2]

第一作者：包红辉

通信作者：Bao, HH[1]

机构：[1]Gansu Univ Chinese Med, Dept Neurol, Affiliated Hosp, Lanzhou, Peoples R China;[2]Gansu Univ Chinese Med, Informat Ctr, Affiliated Hosp, Lanzhou, Peoples R China

第一机构：甘肃中医药大学第二附属医院

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Dept Neurol, Affiliated Hosp, Lanzhou, Peoples R China.|[10735b845793de6ae2b30]甘肃中医药大学第二附属医院;[10735]甘肃中医药大学;

年份：2023

卷号：9

期号：2

外文期刊名：HELIYON

收录：;Scopus(收录号：2-s2.0-85147567977);WOS:【SCI-EXPANDED(收录号:WOS:000970595500001)】；

语种：英文

外文关键词：Ischaemic stroke; Recurrence; Neuroimaging; Clinical medicine; Retrospective study

摘要：Objectives: This retrospective study aimed to investigate the clinical and imaging recurrence of ischaemic stroke (IS), and to evaluate the risk factors for recurrence. A combined clinical and imaging diagnostic model is important for stroke prevention and management. Methods and materials: In accordance with the inclusion and exclusion criteria, we retrospectively analysed consecutively hospitalised patients with acute IS at the Affiliated Hospital of Gansu University of Chinese Medicine. Based on the epidemiological and imaging results, stroke epi-sodes were divided into four categories: clinical first episode (CFE), clinical recurrence (CR), imaging first episode (IFE), and imaging recurrence (IR). Based on the above categories and clinical practice, a joint diagnostic system for IS was established for the first time, including the following five types: IFE, IR, CFE and IFE, CFE and IR, and CR and IR. A binomial logistic regression analysis was conducted to determine the factors which contributed to CR and IR. Results: In total, 280 patients were assessed. The CR rate was 22.9% (64/280) and the IR rate was 62.9% (176/280). The only predictor of CR was hypertension (P = 0.019, odds ratio [OR] = 3.041, 95% confidence interval [95%CI] = 1.200-7.704). The factors of hypertension (P < 0.001, OR = 3.551, 95%CI = 1.781-7.080) and age (P = 0.031, OR = 1.031, 95%CI = 1.003-1.060) were predictors of IR. Conclusion: The IR rates for IS were three times higher than the CR rates. The key to preventing IR and CR in IS was the management of blood pressure. Neuroimaging examinations were important for the early detection of IFE and IR in elderly patients with hypertension. A combined clinical imaging diagnostic model was developed for the first time.