Pediatric Stroke Often Misdiagnosed, Treatment Delayed
Doctors tell boy, 15, he had a migraine after rugby tackle - but he was actually suffering a paralyzing stroke which nearly killed him
Factors Associated With Misdiagnosis of Acute Stroke in Young Adults
Amy on her 36 hour wait for a diagnosis.
But the prevention focus is here.
Increase of Stroke Incidence in Young Adults in a Middle-Income Country
A 10-Year Population-Based Study
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Abstract
Background and Purpose—The
incidence of stroke is on the rise in young adults in high-income
countries. However, there is a gap of knowledge about trends in stroke
incidence in young adults from low- and middle-income countries. We
aimed to measure trends in incidence of ischemic stroke (IS) and
intracerebral hemorrhage (IH) in young people from 2005 to 2015 in
Joinville, Brazil.
Methods—We
retrospectively ascertained all first-ever IS subtypes and IH that
occurred in Joinville in the periods of 2005 to 2006, 2010 to 2011, and
2014 to 2015. Poisson regression was used to calculate incidence rate
ratios of all strokes, IS, and IH. We also compared the prevalence of
risk factors and extension of diagnostic work-up across the 3 periods.
Results—For
10 years, we registered 2483 patients (7.5% aged <45 years). From
2005 to 2006 to 2014 to 2015, overall stroke incidence significantly
increased by 62% (incidence rate ratios, 1.62; 95% confidence interval,
1.10–2.40) in subjects <45 years and by 29% in those <55 years
(incidence rate ratios, 1.29; 95% confidence interval, 1.04–1.60).
Incidence of IS increased by 66% (incidence rate ratios, 1.66; 95%
confidence interval, 1.09–2.54), but there was no significant change in
incidence of IH in subjects <45 years. Smoking rates decreased by 71%
(odds ratio, 0.29; 95% confidence interval, 0.12–0.68).
Conclusions—Stroke
incidence is rising in young adults in Joinville, Brazil, because of
increase in rates of ischemic but not hemorrhagic strokes. We urgently
need better policies of cardiovascular prevention in the young.
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