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P25 Implementation of prediction of social risk of ischemic stroke on children’s population of ukraine
  1. AA Volosovets,
  2. IS Zozulya
  1. Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine

Abstract

Introduction Acute ischemic stroke is one of the most often causes of disability and death worldwide. Unfortunately it is widespread even among young patients - prevalence of stroke among children reaches from 2 to 6 per 100,000 children. The number of etiological factors that may lead to stroke in children is very high, but social factors are making significant contribution to the occurrence of stroke.

Objective Our objective is to study the spectrum of social risk factors, their impact on the incidence of cerebral ischemic stroke and possible correlation with social risk factors in children’s population of Ukraine.

Materials and methods We have examined 140 grown-up patients with ischemic stroke (average age - 65,2 ± 8,7 years) using clinical and instrumental methods, laboratory examination and detailed clinical and anamnestic survey. 45 young patients with stroke (average age - 9,3 ± 3,8 years) were included retrospectively in research for comparison of social risk factors of stroke.

Results Among known social predictors of development of cerebral ischemia we discover 7 risk factors (sleep disturbance, excessive stress, abnormal nocturnal activity, long-term work with monitors, reduced physical activity, irregular meals, severe smoke and alcohol addiction) with higher incidence and use them to evaluate risk of possible cerebral stroke with help of specialized social risk of stroke scale.

Occurrence of social predictors of ischemic stroke (%)

We have discovered that percentage of incidence of stroke predictors has demonstrated significant difference between grown-ups and young patients. But also we have to admit that such factors as sleep disturbance (24,4%), excessive stress (31,1%), long-term work with monitors (35,5%) and irregular and unhealthy meals (24,4%) were surprisingly high among children patients.

Conclusions This fact allows us to make a conclusion that some social risk factors have similar tendention to summon strike symptoms without any connection to age of patient. All this testify to the fact that early prevention of this factors is essential for protection of children from ischemic stroke.

  • Children
  • ischemic stroke
  • risk factors
  • Ukraine.

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