The course of intracerebral hypertensive hemorrhages depending on age and gender
Objective ‒ to analyze the clinical course of patients with intracerebral hypertensive hemorrhages depending on age and gender.
Materials and methods. An analysis of the treatment of 238 patients with hypertensive intracerebral hemorrhages, who were treated at the Kyiv City Clinical Hospital of Emergency Medical Care from 2018‒2019, was conducted. The majority of patients were men (163).
Results. The average age of patients was 60 years. Patients are divided into age groups according to the WHO classification (2016). Young age (18‒44 years) ‒ 25 (23 men and 2 women), average age (45‒59 years) ‒ 91 (74 men and 17 women), old age (60‒74 years) ‒ 90 (52 men and 38 women), old age (75‒90 years) ‒ 32 (14 men and 18 women). There are no long-lived people (>90 years). 84 patients were operated on, and 94 surgical interventions were performed. Patients with lobar and lateral hematomas, as well as with significant hemorrhages with a breakthrough in the ventricular system, who underwent fluid-draining surgical interventions, were operated on. The total mortality was 39.5 %. Surgical mortality rate was 46.4 %.
Conclusions. According to the conducted analysis and the data of the Center for Medical Statistics of the Ministry of Health of Ukraine, the incidence of hemorrhagic stroke is many times more frequent in men, which is most likely due to a more aggressive lifestyle, lack of control over arterial hypertension, bad habits (alcohol consumption and smoking). The highest mortality rate was observed in elderly patients (47 %) and young patients (48 %), regardless of the patient’s condition at the time of admission.
Polishchuk MIe, Moskovko SP, Flomin YuV, Huliaieva MV, Huliaiev DV. Insult: problemу ta virishennya. Sudynni zakhvoriuvannia holovnoho mozku. 2015; 3-4:2-17. (in Ukrainian)
Myckan BM, Jedynak GA, Ostapjak ZM, Gryculjak BV, Myckan T. Insult: riznovydy, faktory ryzyku, fizychna reabilitacija. Fizychne vyhovannja, sport i kultura zdorovja u suchasnomu suspilstvi: Zbirnyk naukovyh prac. 2012;3:295-302. (in Ukrainian) http://nbuv.gov.ua/UJRN/Fvs_2012_3_75
Voloshyn PV, Maruta NO. Osnovni naprjamky naukovyh rozrobok v nevrologiji, psyhiatriji ta narkologiji v Ukraijini. Ukr. Visnyk Psyhonevrologiji. 2017;25(1):10-8. (in Ukrainian) http://nbuv.gov.ua/UJRN/Uvp_2017_25_1_3
Zinchenko OM, Golubchykov MV, Mishhenko TS. Stan nevrologichnoji sluzhby Ukraijiny v 2014 roci: statystychno-analitychnyy dovidnyk. Harkiv; 2015. 24 p. (in Ukrainian)
Centr medychnoji statystyky MOZ Ukraijiny http://medstat.gov.ua/ukr/main.html (in Ukrainian)
Zozulja IS, Zozulja AI. Gemoragichna cerebralna hvoroba Zb. nauk. prac spivrobit. NMAPO imeni P.L. Shupyka. 2018;32:126-7 (in Ukrainian)
Miakotnikh BC, Starykov AS, Khlizov VY. Neirososudystaia geryatryia. Ekaterynburg: UYF Nauka;1996. 320 р. (In Russian)
Vereshchahyn NV, Morhunov VA, Hulevskaia TC. Patolohyia holovnoho mozga pry ateroskleroze y arteryalnoi hypertonyy. Moskva: Medytsyna; 1997. 288 р. (In Russian)
Damulyn YV. Dystsyrkuliatornaia entsefalopatyia v pozhylom y starcheskom vozraste: Dyssertatsia …d-ra med. nauk. Moskva; 1997. 259 p. (In Russian)
Damulyn YV, Parfenov DA, Skoromets AA, Yakhno NN. Narushenyia krovoobrashchenyia v holovnom y spynnom mozge. Rukovodstvo dlia vrachei «Bolezny nervnoi systemy». Pod red. chl.-kor. RAMN, prof. NN Yakhno, prof. DR Shtulmana. Moskva: Medytsyna; 2001. P. 231-5. (In Russian)
Asfandyiarova NS, Dashkevych OV, Zaykyna EV y dr. Hendernaia y vozrastnaia struktura mnozhestvennyh khronycheskykh zabolevanyi patsyentov Riazanskoi oblasty. Klynytsyst. 2017;11(3-4):65-72. (In Russian)
Dobrynina LA, Kalashnikova LA, Pavlova LN. Causes of ischemic stroke in young adults. Zhurnal nevrologii i psihiatrii im SS Korsakova. 2011;111(3):4-8. (In Russian). PMID:21423109
Parfenov VA, Khasanova DR. Yshemycheskyi ynsult. Moskva: Medytsynskoe ynformatsyonnoe agentstvo; 2012. 214 p. (In Russian)
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