北海道・道北地域における脳卒中症例の検討―道北脳卒中共同研究3年間のデータより―

書誌事項

タイトル別名
  • Clinical analysis of acute stroke in northern part of Hokkaido, Japan-For recent three years analysis of the Northern Hokkaido Stroke Study (NOHSS)-
  • For recent three years analysis of the Northern Hokkaido Stroke Study (NOHSS)
  • 道北脳卒中共同研究3年間のデータより

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抄録

The Northern Hokkaido of Japan is an aged and an underpopulated area. We started the stroke registration system in this area from July 2002, and evaluate as follows. 1) The type of stroke (NINDS, CVD-III), 2) severity on admission (NIHSS score), 3) outcome (modified Rankin Scale), 4) risk factors of stroke, and 5) secondary prevention with antithrombotic therapy and recurrence ratio. From July 2002 to June 2005, 792 patients (57.4% male and 42.6% female) with acute stroke were registrated. The mean age (±SD) of patients were 71.0 ± 12.1. The type of stroke distributes cerebral infarction in 64.1%, intracerebral hemorrhage in 26.3%, subarachnoid hemorrhage in 9.3%. The clinical category of cerebral infarction was lacunar in 38.0%, atherothrombosis in 33.7%, cardioembolism in 13.6%. In total 792 cases, 38 cases were recurrent the stroke. The annual recurrence ratio was 2.6% in lacunar group, 6.9% in atherothrombotic group, and 13.6% in cardioembolic group.<BR>In the Northern Hokkaido, proportion of intracerebral hemorrhage was still larger compared with the major collaborated stroke study in Japan. And in ischemic stroke group, lacunar infarction was the largest category even now.

収録刊行物

  • 脳卒中

    脳卒中 28 (4), 554-559, 2006

    一般社団法人 日本脳卒中学会

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