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Comparative Study of Ischemic Stroke in Patients Aged Above and Below 50 Years Admitted to a Tertiary Care Hospital in Ulaanbaatar
Cent Asian J Med Sci 2016;2:143-152
Published online November 30, 2016
© 2016 Mongolian National University of Medical Sciences.

Delgermaa Tsagaankhuu1,3, Tsagaankhuu Guntev1, Tuvshinjargal Dashjamts2, Baigalmaa Gongor1,4, Tovuudorj Avirmed1

1Department of Neurology, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia; 2Department of Radiology, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia; 3Department of Neurology, First Central Hospital, Ulaanbaatar, Mongolia; 4Department of Neurology, Third Central Hospital, Ulaanbaatar, Mongolia
Correspondence to: Tsagaankhuu Guntev, MD, PhD
Department of Neurology, School of Medicine, Mongolian National University of Medical Sciences, Zorig Street, Ulaanbaatar 14210, Mongolia.
Tel: : +976-9929-0330 E-mail: tsagaankhuu@mnums.edu.mn
Received July 27, 2016; Revised August 21, 2016; Accepted September 1, 2016.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/bync/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Objectives: The aim of this study was to compare characteristics of ischemic stroke between young (20-49 years) and old (50-89 years) patients undergoing investigations and treatment according to one common protocol in a tertiary hospital. Methods: This hospital-based prospective study included 90 young and 130 old patients with acute ischemic stroke. Data regarding the etiology of the stroke, diagnostic test results and degree of functional improvement of patients were examined during their observation. Results: Common causes for stroke in the young patients were current smoking (53.3%), heavy alcohol consumption (51.1%), cardiac embolism (36.0%), migraine with aura (25.5%), infective diseases (15.6%), and oral contraceptive use (14.4%). Leading causes for ischemic stroke in old patients were the conventional risk factors such as hypertension (75.4%), atherosclerosis (66.9%), and diabetes mellitus (26.9%). Most of the young stroke patients demonstrated good functional outcomes, at the time of discharge (71.1%) and at three weeks (86.6%) according to the Rankin Scale. Conclusion: There are significant differences between young and old patients with ischemic stroke regarding to risk factors, etiological subtypes and improvement of functional deficits associated with the stroke.
Keywords : Stroke, Cerebral Ischemia, Young Adult