A Retrospective Evaluation of Acute Ischemic Stroke Patients Presenting to the Emergency Department

Abstract

Objectives: Stroke is one of the most important diseases leading to severe disability and death. Ischemic stroke incidenceincreases with age. In this study, we aimed to define the etiological, epidemiological, demographic and clinicalcharacteristics of patients with acute ischemic stroke and contribute to the acute stroke data of our country.Methods: This descriptive study was planned retrospectively. In this study, patients admitted to the adult emergencydepartment of our hospital due to acute ischemic stroke between 01/01/2017 and 31/12/2017 were examined.Results: 57.9% (n=224) of the patients were male, and the mean age was 66.7 (17-96). 64.4% of the patients had ahistory of hypertension, 35.6% had coronary artery disease, and 32.2% had diabetes mellitus. The mortality rate of thepatients was 22.9%.Conclusion: The presence of a history of hypertension is the most important risk factor for acute ischemic stroke, andit is observed at much higher rates in men over 60 years of age. The time of admittance to the emergency departmentsince the beginning of the event is key for the treatment regimen, and recent iv tPA and thrombectomy applicationshave had positive results for these patients.